Outreach Visits to Optimize Chronic Care Management in General Practice: A Cluster Randomized Trial

Not Applicable

Completed

• Conditions: Chronic Disease
• Interventions: Behavioral: Outreach visits

• Registration Number: NCT01297075
• Lead Sponsor: Research Unit Of General Practice, Copenhagen

Brief Summary

The aim of this project is to motivate and support general practice clinics in implementing the visions and recommendations presented in two of the disease specific programmes for chronic care management (for chronic obstructive lung disease and Type 2 diabetes). These programmes describe evidence based treatment and division of tasks between the municipalities, the hospitals and general practice.

The Facilitator Project is funded by The Danish Ministry of Interior and Health.

Detailed Description

In a cluster randomized trial the investigators will explore the efficacy of up to three outreach visits by specially trained GPs. Efficacy data are obtained by means of questionnaires at regional databases.

Study Timeline

• Status Verified: 2011-02
• Study First Submitted: 2011-02-15
• Study First Submitted QC: 2011-02-15
• Study First Posted: 2011-02-16
• Study Start: 2011-03
• Primary Completion: 2012-02
• Study Completion: 2012-04
• Last Update Submitted: 2014-05-22
• Last Update Posted: 2014-05-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 189

Inclusion Criteria

General Practices working in the capital region in Denmark

Exclusion Criteria

General Practices where the facilitator works.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Outreach visits	Outreach visits	Practices allocated to outreach visits may receive up to three outreach visits in order to motivate and support general practice clinics in implementing two chronic care programmes for chronic obstructive Pulmonary disease and Type 2 diabetes.

Primary Outcome Measures

Name	Time	Method
Change from baseline at 12 month in Annual systematic chronic disease follow up consultations	Month 4, 3, 2 before baseline and month 13,14,15 after baseline (after intervention)	Change in annual systematic chronic disease controls per person affiliated with a primary care at a period at baseline and at 12 month.

Secondary Outcome Measures

Name	Time	Method
Sentinel Data Capture	12 months	Application for the electronic Sentinel Data Capture module for overview of patients with chronic diseases.
ICPC diagnosis coding	12 months	Self reports regarding the use of ICPC diagnosis coding for Type 2 Diabetes and Chronic Obstructive Pulmonary Disease.
Stratification	12 months	The self reported use of stratification as part of primary care management of patients with chronic diseases
Change from baseline and at 12 month in practices with low performance on annual systematic chronic disease follow up consultations.	Month 4, 3, 2 before baseline and month 13,14,15 after baseline (after intervention)	Reduction in the number of practices with less than 1% annual systematic chronic disease follow up consultations.

Trial Locations

Locations (2)

Research Unit of General Practice; 🇩🇰 Copenhagen, Capital, Denmark

Frans Boch Waldorff; 🇩🇰 Copenhagen, Capital Area, Denmark