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Effects of an Active Implementation of a Guideline for Chronic Obstructive Pulmonary Disease

NCT01228708 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 3021

Last updated 2012-03-28

No results posted yet for this study

Summary

Aims:

To design a proactive implementation strategy for a chronic-disease-management-programme.

To describe effects of the active implementation of a programme for COPD-patients measured on patient-related goals and use of health resources.

To describe stakeholders' evaluation of the implementation.

Materials and method:

An intervention study with 3000 COPD-patients cluster-randomized after a bloc-randomization of their GP-practice. 18 GP-practices in Ringkøbing-Skjern-Municipality are randomized to receive an active implementation or to an "as usual" group. A neighboring municipality acts as "sleeping" control. With data from registers and a questionnaire-survey the effect on COPD-patients self reported-health, evaluation of health system and changes in distribution of health resources is analyzed. How health professionals perceive the implementation and how it influences their conception, interactions and culture is illustrated by interviews with stakeholders.

We expect to see improved health related quality of life, enhanced evaluation of the health system and a more appropriate distribution of health resources in the intervention group.

Conditions

  • Implementation of a Chronic Disease Management Programme
  • COPD

Interventions

OTHER

Active implementation of a guideline for chronic disease

Smoking cessation courses Remuneration to GPs for the planned follow-up and joint home visits Action card and sputum colour advice Webpage on "How to live with COPD" and the support the health system can provide Database with patients with COPD Feed-back from health centre to GPs, when patients have finished courses Fax from hospital to GPs, when patients with COPD is discharged Routines to recall patients for follow-ups Team audit, evaluate and adjust the strategies every 3rd month Joint home visit with GP and community nurse when a patient with COPD is discharged to plan future care Practice staff do part of follow-ups and monitoring Practice supervision with consultant in lung diseases Podcast with advice from specialists Guideline for COPD

Sponsors & Collaborators

  • Research Unit for General Practice, Aarhus University

    collaborator OTHER

  • Ringkoebing-Skjern Municipality, Denmark.

    collaborator UNKNOWN

  • Region MidtJylland Denmark

    collaborator OTHER

  • University of Aarhus

    lead OTHER

Principal Investigators

  • Margrethe IC Smidth, PT MSc · The Research Unit for General Practice Aarhus

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
35 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2009-08-31
Primary Completion
2010-10-31
Completion
2011-11-30

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT01228708 on ClinicalTrials.gov