Feedback Reports and e-Learning in Primary Care Spirometry

Phase 4

Completed

• Conditions: Asthma; Respiratory Tract Diseases; Pulmonary Disease, Chronic Obstructive
• Interventions: Other: usual practice; Other: e-learning & performance feedback

• Registration Number: NCT00962455
• Lead Sponsor: Radboud University Medical Center

Brief Summary

Spirometry is a biomedical test to measure lung function in subject who (may) have a chronic respiratory condition. Performing the test requires a certain level of training and experience from the health care professional who conducts the test, and sufficient cooperation of the patient. Although the test is widely used in primary care in many countries, the quality of the test performance seems limited and needs improvement in order to avoid false-positive and false-negative test interpretations. In this study, the researchers investigated whether a combination of e-learning and bimonthly written performance feedback to family practice nurses and assistance regarding their spirometry tests improves the rate of adequate tests.

Detailed Description

Not available

Study Timeline

• Study Start: 2007-11
• Primary Completion: 2008-11
• Study Completion: 2009-04
• Status Verified: 2009-08
• Study First Submitted: 2009-08-17
• Study First Submitted QC: 2009-08-19
• Last Update Submitted: 2009-08-19
• Study First Posted: 2009-08-20
• Last Update Posted: 2009-08-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1135

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Usual practice	usual practice	Usual practice regarding spirometry execution in family practice
e-learning & performance feedback	e-learning & performance feedback	Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality

Primary Outcome Measures

Name	Time	Method
Proportion of spirometry tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria that were also repeatable for both FEV1 and FVC	12 months prospective follow-up

Secondary Outcome Measures

Name	Time	Method
Proportions of tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria	12 months prospective follow-up
Proportions of spirometry tests with A to C grade according to scholastic-type quality grading system by Ferguson et al (2000)	12 months prospective follow-up
Proportions of spirometry tests with ≥2 blows meeting 2005 ERS/ATS end-of-test criteria	12 months prospective follow-up

Trial Locations

Locations (1)

Radboud University Nijmegen Medical Centre, Department of Primary and Community Care; 🇳🇱 Nijmegen, Netherlands