Effectiveness of a Virtual Intervention for Professionals to Improve Their Attitudes Towards Patient Empowerment.

Not Applicable

• Conditions: Chronic Disease
• Interventions: Behavioral: Community of Practice

• Registration Number: NCT02757781
• Lead Sponsor: Avedis Donabedian Research Institute

Brief Summary

The eMPODERA study aims to assess the effectiveness of a Community of Practice (CdP) virtual in improving attitudes of primary care professionals on the empowerment of patients with chronic diseases.

Detailed Description

Main Objective: to assess the effectiveness of a Community of Practice (CdP) virtual in improving attitudes of health professionals in primary care on the empowerment of patients with chronic diseases.

Methodology:

Design: cluster randomised controlled.

Scope: primary care centers (PCC) belonging to the Regions of Catalonia, Madrid and Canary Islands.

Population: primary care health professionals (family doctors and nurses).

Sample size: 270 healthcare professionals and 1382 patients.

Randomization: Randomization unit: PCC; unit of analysis: primary care health professionals. 9 pairs of PCC by region will be randomly selected and randomly assigned to the intervention or control group. Randomization will be performed after the selection of professionals and patients.

Intervention: the intervention group will be offered participation for 12 months in a virtual CdP based on a web 2.0 platform. The control group will receive usual training.

Measurements: the primary outcome will be measured by Patient-Provider Orientation Scale (PPOS) questionnaire at baseline and 12 months. Secondary outcomes: sociodemographic of professionals; sociodemographic and clinical characteristics of patients; Patient Activation Measure (PAM) questionnaire for patient activation; outcomes regarding use of the CdP.

Analysis: A linear mixed-effects regression to estimate the effect of participating in the CdP will be estimated. Additionally, an analysis of how the CdP is functioning through techniques of social network analysis and control charts will be performed.

Study Timeline

• Study First Submitted: 2016-04-25
• Study First Submitted QC: 2016-04-29
• Status Verified: 2016-05
• Study First Posted: 2016-05-02
• Last Update Submitted: 2016-05-10
• Last Update Posted: 2016-05-12
• Study Start: 2016-07
• Primary Completion: 2017-10
• Study Completion: 2018-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 272

Inclusion Criteria

Clusters:

• Primary Care Centres (PCC) with Electronic Record system with more than 1 year of implementation
• PCC belongs to the Automonous Comunities of Canary Island, Catalonia and Madrid

Healthcare professionals:

• Acceptance to participate
• stable contract with the Primary care centre
• Physician or Nurses

Exclusion Criteria

Clusters:

• Primary Care Centres where its directors do not accept to participate in the trial

Healthcare professionals:

• Students
• Medical and Nursing residents

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention group	Community of Practice	Group of healthcare professionals that receive the intervention (community of practice)

Primary Outcome Measures

Name	Time	Method
Change from Patient-Provider Orientation Scale (PPOS) at 12 months	At baseline and 12 months	PPOS is a questionnaire administrated to healthcare professionals

Secondary Outcome Measures

Name	Time	Method
Change from Patient Activation Measure (PAM) at 12 months	Baseline and 12 months	PAM is validated questionnaire to measure patient activation (administrated to patients)