Chronic Obstructive Pulmonary Disease Clinical Trial
Official title:
The Impact of Care Pathways on Interprofessional Teamwork: an International Cluster Randomized Controlled Trial
Care pathways are complex interventions to support the interprofessional team in the redesign of their care process. This international cluster randomised trial will analyse the impact of the development and implementation of care pathways on the interprofessional teamwork.
Background Although care pathways are often said to promote teamwork, high-level evidence
that supports this statement is lacking. The objective of the European Quality of Care
Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional
teamwork.
Methods/design An international post-test-only cluster Randomized Controlled Trial (cRCT),
combined with process evaluations, will be performed in Belgium, Ireland, Italy and Portugal.
Teams caring for Proximale Femur Fracture (PFF) patients and patients hospitalized with an
exacerbation of Chronic Obstructive Pulmonary Disease (COPD) will be randomized into an
intervention and control group. The intervention group will implement a care pathway for PFF
or COPD containing three active components: a formative evaluation of the actual teams'
performance, a set of evidence based key interventions and a training in pathway-development.
The control group will provide usual care. As effect measures a set of team input, process
and output indicators will be used. Main outcome indicator is the team process indicator
relational coordination. Next to these, process measures will be used to evaluate the
implementation process. In total, 132 teams agreed to participate, of which 68 were randomly
assigned to the intervention group and 64 to the control group. Based on power analysis, a
sample of 475 team members per arm is required. To analyze results, multilevel analysis will
be performed.
Discussion The EQCP-study on teamwork is the first cluster-randomized controlled trial on the
impact of care pathways on interprofessional teamwork. Results from our study will enhance
understanding on the active components of care pathways. Through this, preferred
implementation strategies can be defined.
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