TeleEducation for Implementing a Clinical Practice Guideline For Amputees

Summary

The publication of a Clinical Practice Guideline (CPG) is often not enough for its correct use in the field of health care. There are barriers to the implementation of the CPG recommendations, including those related to the lack of knowledge or skills on the part of health service providers. Strategies have been proposed to improve the implementation of the CPGs through interventions with different levels of effectiveness, such as the use of reminders, informative meetings, sending educational material, audits, among others. Some of these interventions can be carried out through Telehealth strategies, that is, with remote services. The purpose of this study is to evaluate the effectiveness of a Telehealth program to improve the implementation of the Clinical Practice Guideline for diagnosis and preoperative, intraoperative and postoperative treatment of the amputee, the prescription of the prosthesis and comprehensive rehabilitation, through strategies to publicize the recommendations included in the CPG and train doctors, reducing the barriers related to the lack of knowledge of the CPG. For this, two groups of institutions that provide health services in Antioquia will be compared, randomized according to two interventions: the socialization of the recommendations of the CPG for amputees, against a combined strategy of education through a Telehealth platform and the delivery of educational material. Compliance with prioritized recommendations of the CPG will be evaluated, related to surgical techniques, perioperative practices, the prescription of prosthetic components and referral to services that allow the comprehensive rehabilitation of the person with amputation. Additionally, the theoretical knowledge of the doctors of each participating institution before and after the interventions will be evaluated through a written test.

Conditions

• Clinical Practice Guidelines
• Lower Limb Amputation Above Knee (Injury)
• Lower Limb Amputation Below Knee (Injury)
• Lower Limb Amputation Knee
• Lower Limb Ischemia
• Diabetes Mellitus
• Rehabilitation
• Prosthesis User

Interventions

BEHAVIORAL

Telehealth-based strategy

Teleducation course, based on the CPG recommendations

Sponsors & Collaborators

• Instituto Colombiano para el Desarrollo de la Ciencia y la Tecnología (COLCIENCIAS)

  collaborator OTHER_GOV

• Universidad de Antioquia

  collaborator OTHER

• Grupo Rehabilitacion en Salud

  lead NETWORK

Principal Investigators

• Jesús A Plata Contreras · Universidad de Antioquia

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-01-01

Primary Completion

2021-12-20

Completion

2022-05-01

Countries

• Colombia

Study Locations