Effectiveness of Educational Games to Implementation Clinical Practice Guidelines to Family Medicine Residents in Spain.

Health Knowledge, Attitudes, Practice Clinical Trial

— EDUCAGUIA  

Official title:

Educaguia Project: Clinical Trial, Randomised by Clusters, to Assess the Effectiveness of a Strategy With Educational Games to Implementation pf Clinical Practice Guidelines to Family Medicine Residents in Spain.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02210442
• Other study ID #: 11/0047
• Status: Completed
• Phase: N/A
• First received: April 29, 2014
• Last updated: February 6, 2018
• Start date: January 17, 2017
• Est. completion date: December 2017

Study information

• Verified date: February 2018
• Source: Gerencia de Atención Primaria, Madrid
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

A multicenter study to evaluate the effectiveness of a teaching strategy based on the incorporation of educational games with simulated settings versus usual practice based on diffusion for the implementation of clinical practice guidelines in Family Medicine Residency Program. The impact of the new strategy will be measured in improving knowledge and skill acquisition in clinical decision making of Family Medicine Residency Program after 6 months. Effectiveness will also be measured a month and 12 months after intervention.

Description:

Objective: To evaluate the effectiveness of educational games to implementation practice guidelines to acquire skills in clinical decision-making by family medicine residents in Spain.

Secondary objectives: To describe the strategies utilized in Residency Program in Family Medicine in Spain to teach the use of practice guidelines. To identify barriers and facilitators for the use of practice guidelines for family medicine residents.

Setting: Unit Family Medicine in Spain. Study design: Multicentric cluster randomised controlled clinical trial. Population: Family Medicine Residents of second and third year. Sample size: 394 residents (197 in each arm). The randomization units will be units (clusters). The units of analysis are professionals (residents). Variables: Main outcome variable measured in both groups: assess of skill levels and number of correct answers about clinical questions in diabetes, anxiety disorders, antibiotic prescription and insomnia clinical practice guidelines in primary care.

Sociodemographic variables and educational variables for each subject and variables regarding Residency Program in Family Medicine.

Intervention: EDUCAGUIA plan. Incorporating educational games online for each guideline.

Statistical Analysis: Primary and secondary effectiveness. Adjusting by contextual and individual variables factors with mixed effects models (lineal regression) (dependent variable: points obtained in educational games in each guide).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 202
• Est. completion date: December 2017
• Est. primary completion date: December 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Second and third year residents in Family Medicine Program.

Exclusion Criteria:

• Giving up the Family Medicine Program.

Related Conditions & MeSH terms

• Health Knowledge, Attitudes, Practice

Intervention

Behavioral:
• educaguia intervention
Health professionals (residents) play with educational games in order to acquire knowledge and skill about management of clinical practice guidelines.

Other:
• control group
Health professional will learn how to manage a clinical practice guidelines with standard clinical practice.

Locations

Country	Name	City	State
Spain	Gerencia de Atención Primaria	Madrid

Sponsors (2)

Lead Sponsor	Collaborator
Gerencia de Atención Primaria, Madrid	Fondo de Investigacion Sanitaria

Country where clinical trial is conducted

Spain, 

References & Publications (1)

Del Cura-González I, López-Rodríguez JA, Sanz-Cuesta T, Rodríguez-Barrientos R, Martín-Fernández J, Ariza-Cardiel G, Polentinos-Castro E, Román-Crespo B, Escortell-Mayor E, Rico-Blázquez M, Hernández-Santiago V, Azcoaga-Lorenzo A, Ojeda-Ruiz E, González-González AI, Ávila-Tomas JF, Barrio-Cortés J, Molero-García JM, Ferrer-Peña R, Tello-Bernabé ME, Trujillo-Martín M; Educaguia Group. Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project): a clinical trial by clusters. Implement Sci. 2016 May 17;11:71. doi: 10.1186/s13012-016-0425-3. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Assessing clinical decision-making skills	Outcomes of a test designed to assess problem solving and clinical decision making skills about anxiety disorders, diabetes, insomnia and prescription antibiotics prescription after six months after intervention.	Change from Baseline skills at 6 months
Secondary	Assessing clinical decision-making skills	Outcomes of a test designed to assess problem solving and clinical decision making skills about anxiety disorders, diabetes, insomnia and prescription antibiotics prescription after 1 month and 12 months after intervention.	Change from Baseline at 1 month and 12 months