Feedback Reports and E-learning to Support Spirometry Test Performance in Dutch Family Practices
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 1,135
- 试验地点
- 1
- 主要终点
- Proportion of spirometry tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria that were also repeatable for both FEV1 and FVC
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 10 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •for Family Practices:
- •collaboration with Elkerliek Hospital Helmond through regional integrated care support service ('QUARTZ')
- •purchased spirometer through this support service
- •have implemented spirometry as a part of routine patient care
- •Inclusion Criteria for Patients:
- •registered in one of the participating family practices
- •performed a spirometry test as a part of routine care during the observation period of the study
排除标准
- •for Patients:
- •age < 10 years
研究组 & 干预措施
e-learning & performance feedback
Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality
干预措施: e-learning & performance feedback (Other)
Usual practice
Usual practice regarding spirometry execution in family practice
干预措施: usual practice (Other)
结局指标
主要结局
Proportion of spirometry tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria that were also repeatable for both FEV1 and FVC
时间窗: 12 months prospective follow-up
次要结局
- 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)