Evaluation of Case Management to Improve the Outpatient Care of Alcohol-related Disorders
- Conditions
- Alcohol-related Disorders
- Interventions
- Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary careProcedure: Physician trainingProcedure: Practice team training
- Registration Number
- NCT00314067
- Lead Sponsor
- University Hospital Freiburg
- Brief Summary
The purpose of this study is to disseminate and transfer the comprehensive quality management interventions (CQM) for alcohol-related disorders in primary care developed during the first funding phase into routine care. The two steps are (1) to optimize the CQM approach and (2) to investigate the dissemination and transfer into routine care in a randomized controlled trial.
- Detailed Description
In the first funding phase the project AQAH ("Ambulantes Qualitätsmanagement alkoholbezogener Störungen in der hausärztlichen Praxis"-"comprehensive quality management for alcohol-related disorders in primary care") systematically investigated three issues: (1) the outpatient care system and evidence-base for screening, diagnosis and treatment was examined; it developed (2) a comprehensive quality management system (CQM) consisting of documentation material, a pathway of care and evidence-based practice guidelines; (3) the effects of the CQM on the detection and treatment of alcohol-related disorders were investigated in a randomized controlled pre-post design and the results show positive effects of the CQM. In the second funding phase (a 3 year bi-center project) the purpose is now to disseminate and transfer the CQM into routine care. The two steps are (1) to optimize the CQM approach and (2) to investigate the dissemination and transfer into routine care in a randomized trial. (1) The paper-based AQAH-practice guidelines are transformed into an interactive electronic version with online patient documentation and evaluation, decision support measures as well as links to specialists and an e-learning tool. (2) After pilot testing in the AQAH-study-networks, an active transfer to the greater regions of Südbaden and Südwürttemberg will be performed in a parallel group cluster randomized controlled trial with GP practices as unit of randomization. Outcome data will be collected concerning the acceptance of the system and the quality of care delivered.
Comparison(s): (1) Use of the interactive electronic version of the CQM for alcohol-related disorders with a special training for general practitioners, compared to (2) use of the CQM with additional education for the whole practice team and organizational re-structuring advice, compared to (3) a control group who uses the CMQ without any special training.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 112
- General practitioner
- Possibility to use broad-band internet
- none
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 2 Practice team training - 3 Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care - 1 Physician training - 2 Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care - 1 Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care - 2 Physician training -
- Primary Outcome Measures
Name Time Method Acceptance of the CQM-system: Number of actively participating practices Adherence to the system: relative numbers of screened, documented and followed-up patients
- Secondary Outcome Measures
Name Time Method Quality of care provided: Patients that are adequately treated and followed-up
Trial Locations
- Locations (2)
Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy
🇩🇪Freiburg, Germany
University Hospital for Psychiatry and Psychotherapy, Tübingen
🇩🇪Tübingen, Germany