Optimising the treatment of chronic ischemic heart disease by training general practitioners to deliver very brief advice on physical activity – work package 6 (pragmatic cluster-randomised controlled trial)

Not Applicable

Conditions: I25
Chronic ischaemic heart disease

Registration Number: DRKS00034642

Lead Sponsor: Heinrich-Heine-University Düsseldorf, Medical Faculty

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 600

Inclusion Criteria

Inclusion criteria general practitioners: General practitioners in private practice or employed in North Rhine-Westphalia specialised in general practice, aged 18 and over, who have German language skills and have given written informed consent prior to study inclusion, and who are willing to participate in the 3.5-hour training.

Inclusion criteria patients: All patients with a documented diagnosis of a chronic IHD according to ICD-10 (International Classification of Diseases-10: I25.-I25.9) who personally visit their GP participating in the OptiCor study on the days of data collection and who gave written consent to participate in the study after being approached and informed about the study.

Exclusion Criteria

Exclusion criteria general practitioners: Participation in a comparable training or education programme on counselling patients on physical activity (regardless of the disease) within the past five years.

Exclusion criteria patients: severe language barriers, moderate to severe cognitive limitations, significant physical limitations that would massively hinder the performance of physical activity in the sense of sporting activity, as well as explicit instructions from the practice teams not to approach certain people about possible study participation (experience shows that this sometimes happens, for example, in patients with dementia, severe mental illness or an acute situation of the heart disease). Furthermore, no patients without personal contact with a general practitioner on the day of the survey will be included in the study (e.g., if they only pick up a prescription, visit the practice to have their blood taken or visit a relative).

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary endpoint is the proportion of patients with IHD who report the receipt of brief advice on physical activity during a routine consultation with their GP (statistical comparison of intervention vs. control GP group). <br><br>The survey of patients with IHD on this endpoint takes place as part of a questionnaire-based face-to-face data collection in the practice of GPs of the intervention and control group, and after the consultation with the GP. <br>There will be 5 study cycles over a period of 2 years.<br>A study cycle lasts around ten weeks: 5 weeks of data collection in the control group (n=5 practices) (T0), implementation of the training in GPs of the control and intervention group (T1), followed by 5 weeks of data collection in the intervention group (n=5 practices) (T2).

Secondary Outcome Measures