Feedback Reports and e-Learning in Primary Care Spirometry

Asthma Clinical Trial

— FRESCO  

Official title:

Feedback Reports and E-learning to Support Spirometry Test Performance in Dutch Family Practices

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00962455
• Other study ID #: UMCN-CARA-0001113
• Status: Completed
• Phase: Phase 4
• First received: August 17, 2009
• Last updated: August 19, 2009
• Start date: November 2007
• Est. completion date: April 2009

Study information

• Verified date: August 2009
• Source: Radboud University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)
• Study type: Interventional

Clinical Trial Summary

Spirometry is a biomedical test to measure lung function in subject who (may) have a chronic respiratory condition. Performing the test requires a certain level of training and experience from the health care professional who conducts the test, and sufficient cooperation of the patient. Although the test is widely used in primary care in many countries, the quality of the test performance seems limited and needs improvement in order to avoid false-positive and false-negative test interpretations. In this study, the researchers investigated whether a combination of e-learning and bimonthly written performance feedback to family practice nurses and assistance regarding their spirometry tests improves the rate of adequate tests.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1135
• Est. completion date: April 2009
• Est. primary completion date: November 2008
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 10 Years and older

Eligibility

Inclusion Criteria for Family Practices:

• collaboration with Elkerliek Hospital Helmond through regional integrated care support service ('QUARTZ')

• purchased spirometer through this support service

• have implemented spirometry as a part of routine patient care

Inclusion Criteria for Patients:

• registered in one of the participating family practices

• performed a spirometry test as a part of routine care during the observation period of the study

Exclusion Criteria for Patients:

• age < 10 years

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor)

Related Conditions & MeSH terms

• Asthma
• Chronic Disease
• Pulmonary Disease, Chronic Obstructive
• Respiratory Tract Diseases

Intervention

Other:
• e-learning & performance feedback
Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality
• usual practice
Usual practice regarding spirometry execution in family practice

Locations

Country	Name	City	State
Netherlands	Radboud University Nijmegen Medical Centre, Department of Primary and Community Care	Nijmegen

Sponsors (3)

Lead Sponsor	Collaborator
Radboud University	Elkerliek Hospital, Quartz Transmural Centre for the Helmond Region

Country where clinical trial is conducted

Netherlands, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Proportion of spirometry tests with =2 acceptable blows according to 2005 ERS/ATS criteria that were also repeatable for both FEV1 and FVC		12 months prospective follow-up	No
Secondary	Proportions of tests with =2 acceptable blows according to 2005 ERS/ATS criteria		12 months prospective follow-up	No
Secondary	Proportions of spirometry tests with =2 blows meeting 2005 ERS/ATS end-of-test criteria		12 months prospective follow-up	No
Secondary	Proportions of spirometry tests with A to C grade according to scholastic-type quality grading system by Ferguson et al (2000)		12 months prospective follow-up	No