A Randomized Controlled Trial of an Audit and Feedback Report to Improve Colonoscopy Performance
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 833
- 主要终点
- Change in polypectomy rate from baseline
研究概览
简要总结
This project aims to measure the impact of a physician report card (also called an audit & feedback report) on colonoscopy performance. Endoscopists in Ontario will be randomly assigned to either receive the endoscopist report card or to no feedback. Using Ontario health administrative data, the quality of colonoscopy will be compared between those who received the report card and those who do not. The investigators will also measure the effect of receiving endoscopist report card on colonoscopy performance amongst endoscopists who perform poorly at baseline compared to those who do not. Further, the acceptability of two educational interventions that aim to improve the quality of colonoscopy will be evaluated by conducting one-on-one interviews with select participants. This study is critical to ensure that Canadians have access to the highest quality colonoscopy possible.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All practising endoscopists in Ontario who performed at least 5 colonoscopies in 2014
排除标准
- 未提供
研究组 & 干预措施
Round 2: Poor performers
In Round 2, selected 60 poorer performers will be randomly assigned to receive one of the following interventions at month 12:
- A/F report plus a high intensity intervention
- A/F report plus a low intensity intervention
- A/F report alone
干预措施: A/F report plus a low intensity intervention (Other)
Round 1: Intervention arm
Half of the endoscopists in Ontario will receive an individualized audit & feedback report.
Individualized A/F report.
干预措施: Individualized A/F report (Other)
Round 2: Poor performers
In Round 2, selected 60 poorer performers will be randomly assigned to receive one of the following interventions at month 12:
- A/F report plus a high intensity intervention
- A/F report plus a low intensity intervention
- A/F report alone
干预措施: A/F report plus a high intensity intervention (Other)
Round 2: Month 12
All endoscopists in Ontario will receive an individualized audit & feedback report at month 12.
Individualized A/F report
干预措施: Individualized A/F report (Other)
Round 2: Poor performers
In Round 2, selected 60 poorer performers will be randomly assigned to receive one of the following interventions at month 12:
- A/F report plus a high intensity intervention
- A/F report plus a low intensity intervention
- A/F report alone
干预措施: A/F report alone (Other)
Round 1: Control
Half of the endoscopists in Ontario will NOT receive an individualized audit & feedback report.
结局指标
主要结局
Change in polypectomy rate from baseline
时间窗: At month 12
Measure change in polypectomy rate from baseline
次要结局
- Additional outcome 1- Change in cecal intubation rate(At month 12)
- Additional outcome 2 - Change in annual colonoscopy volume(At month 12)
- Additional outcome 3 - Change in poor bowel preparation rate(At month 12)