Chronic Obstructive Pulmonary Disease (COPD) Clinical Trial
— LungAgeOfficial title:
Translating The GOLD COPD Guidelines Into Primary Care Practice
Verified date | March 2017 |
Source | Memorial Hospital of Rhode Island |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This project will evaluate the translation of the Gold (the Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease) COPD guidelines into primary care practice. During phase I, a needs assessment will evaluate barriers and facilitators to implementation of COPD guidelines into clinical practice through focus groups of primary care patients and providers. Using formative evaluation and feedback from the focus groups, three tools will be developed, refined and pilot tested. The effectiveness of the materials developed in phase I will be tested in phase II (a randomized clinical trial conducted with one year of intervention within non-academic primary care practices) regarding physician performance of COPD guideline implementation and improvement in the clinically relevant outcomes (appropriate screening, diagnosis and management of COPD) compared to usual care.
Status | Completed |
Enrollment | 3593 |
Est. completion date | October 25, 2013 |
Est. primary completion date | October 25, 2013 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 40 Years to 80 Years |
Eligibility |
Inclusion Criteria: - All patients 40 years or older - Seen at least once in the past 2 years (active patients) by their PCP - And/or 40 years of age and less than 81 years of age who smoke. Exclusion Criteria: - < 40 years of age |
Country | Name | City | State |
---|---|---|---|
United States | Memorial Hospital of Rhode Island | Pawtucket | Rhode Island |
Lead Sponsor | Collaborator |
---|---|
Memorial Hospital of Rhode Island | National Heart, Lung, and Blood Institute (NHLBI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Adherence to COPD guidelines | An adherence tool will be developed and reviewed by an expert panel. They will review the suggested criterion and make recommendations regarding an item's status on the tool. The panel may also suggest additional criteria for inclusion in the tool. The tool will be modified based on expert consensus. Once the tool is finalized, a detailed algorithm will be developed for scoring the primary care practice data which will include an adherence score for each visit and an overall adherence score and will be piloted the first 2 months of chart review. | Twelve months post intervention | |
Secondary | patient activation | A patient activation measure (PAM) developed by Hibbard et al. will be used to assess a patient's knowledge, skills and behaviors necessary to create an activated patient for managing their own health care. The patient activation tool will also measure other co-morbidities and will be assessed during a telephone survey at baseline and on a subsample 12 months post-intervention. | Baseline and 12 months post intervention |
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