Alcohol-related Disorders Clinical Trial
Official title:
Comprehensive Quality Management in Out-patient Care for Alcohol-related Disorders (AQAH). Transfer and Dissemination Into Routine Practice
The purpose of this study is to disseminate and transfer the comprehensive quality management interventions (CQM) for alcohol-related disorders in primary care developed during the first funding phase into routine care. The two steps are (1) to optimize the CQM approach and (2) to investigate the dissemination and transfer into routine care in a randomized controlled trial.
In the first funding phase the project AQAH ("Ambulantes Qualitätsmanagement
alkoholbezogener Störungen in der hausärztlichen Praxis"-"comprehensive quality management
for alcohol-related disorders in primary care") systematically investigated three issues:
(1) the outpatient care system and evidence-base for screening, diagnosis and treatment was
examined; it developed (2) a comprehensive quality management system (CQM) consisting of
documentation material, a pathway of care and evidence-based practice guidelines; (3) the
effects of the CQM on the detection and treatment of alcohol-related disorders were
investigated in a randomized controlled pre-post design and the results show positive
effects of the CQM. In the second funding phase (a 3 year bi-center project) the purpose is
now to disseminate and transfer the CQM into routine care. The two steps are (1) to optimize
the CQM approach and (2) to investigate the dissemination and transfer into routine care in
a randomized trial. (1) The paper-based AQAH-practice guidelines are transformed into an
interactive electronic version with online patient documentation and evaluation, decision
support measures as well as links to specialists and an e-learning tool. (2) After pilot
testing in the AQAH-study-networks, an active transfer to the greater regions of Südbaden
and Südwürttemberg will be performed in a parallel group cluster randomized controlled trial
with GP practices as unit of randomization. Outcome data will be collected concerning the
acceptance of the system and the quality of care delivered.
Comparison(s): (1) Use of the interactive electronic version of the CQM for alcohol-related
disorders with a special training for general practitioners, compared to (2) use of the CQM
with additional education for the whole practice team and organizational re-structuring
advice, compared to (3) a control group who uses the CMQ without any special training.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label
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