Guatemala Internal Medicine Physicians' Knowledge of Non-communicable Disease Clinical Preventive Services

Non-communicable Diseases Clinical Trial

Official title:

Knowledge and Recommendations on Tobacco Cessation and Other Preventive Interventions Among Internal Medicine Staff in Guatemala Teaching Hospitals

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01515111
• Other study ID #: IDRC-006
• Secondary ID: RITC of IDRC
• Status: Completed
• Phase: N/A
• First received: January 13, 2012
• Last updated: January 18, 2012
• Start date: April 2011
• Est. completion date: January 2012

Study information

• Verified date: January 2012
• Source: Unidad de Cirugía Cardiovascular
• Contact: n/a
• Is FDA regulated: No
• Health authority: Guatemala: Ministerio de Salud Pública y Asistencia Social
• Study type: Observational

Clinical Trial Summary

A national cross-sectional survey was conducted to evaluate recommendations on clinical preventive services and additional information on non-communicable disease prevention. Trained surveyors interviewed interns, residents and attendings of the Internal Medicine departments of all teaching hospitals in Guatemala. Analysis compared recommendation practices within and between hospitals.

Description:

A voluntary, anonymous, self-completed, cross-sectional survey was administered to all available internal medicine staff in Guatemalan teaching hospitals.

The questionnaire included: physician's demographics, work time dedicated to outpatients, knowledge of leading causes of death in Guatemala, guidelines used for non-communicable disease prevention, simulated cases asking for recommendation(s) on different preventive services for asymptomatic adults (i.e. whether they recommended them or not, appropriate frequency and starting age, preferred screening method, and availability of the service(s) at their hospital). The survey also assessed barriers faced in providing adequate services, and opinions on who should implement changes in national health care and in medical education.

The answers given by the internal medicine staff were compared with the United States Preventive Services Task Forces (USPSTF) Recommendations and Guatemalan Ministry of Health Guidelines.

Analysis compared recommendation practices within and between hospitals.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 394
• Est. completion date: January 2012
• Est. primary completion date: August 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• All interns, internal medicine residents and attendings (including department director, unit directors and regular attendings) that are currently training or working in an Internal Medicine department in any of the ten teaching hospitals in Guatemala.

Exclusion Criteria:

• Staff that is on vacations, on sick leave or suspended by any reason.

Study Design

Time Perspective: Cross-Sectional

Related Conditions & MeSH terms

• Non-communicable Diseases

Locations

Country	Name	City	State
Guatemala	Hospital Nacional Pedro Bethancourt	Antigua Guatemala	Sacatepequez
Guatemala	Hospital Nacional de Escuintla	Escuintla
Guatemala	Hospital Centro Médico Militar	Guatemala
Guatemala	Hospital General de Enfermedad Común - IGSS	Guatemala
Guatemala	Hospital General San Juan de Dios	Guatemala
Guatemala	Hospital Hermano Pedro	Guatemala
Guatemala	Hospital Roosevelt	Guatemala
Guatemala	Hospital Universitario Esperanza	Guatemala
Guatemala	Unidad de Cirugía Cardiovascular	Guatemala
Guatemala	Hospital Regional de Occidente, San Juan de Dios	Quetzaltenango

Sponsors (3)

Lead Sponsor	Collaborator
Unidad de Cirugía Cardiovascular	International Development Research Centre, Canada, Washington University School of Medicine

Country where clinical trial is conducted

Guatemala, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Recommendations of clinical preventive services for non-communicable diseases.	Recommendations on eleven clinical preventive services for non-communicable diseases were evaluated considering: Whether they recommended them or not; Appropriate frequency and starting age; Preferred screening method; Availability of the service(s) at their hospital	After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.	No
Secondary	Barriers faced in providing adequate services.	Self-perceived barriers to provide clinical preventive services adequately.	After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.	No
Secondary	Opinion on who should implement changes in clinical preventive services provision.	Participant's opinion on who should be responsible to implement changes in: Chronic disease prevention in national health care; Medical education in this field.	After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.	No