Trial Outcomes & Findings for Developing a Practice-Based Learning and Improvement Quality Improvement (QI) Systems Impact Assessment Questionnaire (NCT NCT00754377)

Results Overview

Residents' belief about their ability to implement a CQI project was measured using a single efficacy item (values ranged from 1, strongly disagree, to 5, strongly agree). The item is from the Systems Quality Improvement Training and Assessment Tool. Differences (post minus pre) in this belief item were looked at with positive and higher difference values reflecting more positive change/increase in belief.

Recruitment status

COMPLETED

Target enrollment

92 participants

Primary outcome timeframe

1 month

Results posted on

2015-05-12

Participant Flow

Participant milestones

Participant milestones
Measure	PBL Curriculum Group To evaluate preliminary data on a PBLI curriculum grounded on QI system projects. PBLI curriculum comparison: The design is a pre-post comparison of PBLI curriculum participants versus non-participants. Data will come from the closed-ended items on the questionnaire given before the rotation and at the end of the rotation. PBLI curriculum was offered on alternate rotations (residents on alternate month were involved with a different curriculum). Preliminary data is available from 11 blocks, 6 PBLI QI Systems Curriculum blocks (n=50) and 5 comparison blocks (n=42) during the previous academic year. Closed-ended items assessed beliefs about different aspects of Continuous Quality Improvement (CQI) project development and implementation (6 items). In addition, there were 5 short definition items to address knowledge. Finally, content analysis methods will be used to evaluate responses to the open-ended item which asked respondents to develop a project to improve patient care.	Comparison Group Alternate rotations and didn't receive intervention
Overall Study STARTED	50	42
Overall Study COMPLETED	50	42
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Developing a Practice-Based Learning and Improvement Quality Improvement (QI) Systems Impact Assessment Questionnaire

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	PBLI Curriculum Group n=50 Participants Received PBLI curriculum to evaluate and develop tools.	Comparison Group n=42 Participants Didn't receive intervention	Total n=92 Participants Total of all reporting groups
Age, Customized	NA participants n=5 Participants	NA participants n=7 Participants	NA participants n=5 Participants
Sex/Gender, Customized	NA participants n=5 Participants	NA participants n=7 Participants	NA participants n=5 Participants

PRIMARY outcome

Timeframe: 1 month

Residents' belief about their ability to implement a CQI project was measured using a single efficacy item (values ranged from 1, strongly disagree, to 5, strongly agree). The item is from the Systems Quality Improvement Training and Assessment Tool. Differences (post minus pre) in this belief item were looked at with positive and higher difference values reflecting more positive change/increase in belief.

Outcome measures

Outcome measures
Measure	PBLI Curriculum Group n=46 Participants Received the intervention and used to evaluate and develop PBLI tools	Comparison Group n=40 Participants Didn't receive intervention
Beliefs About Ability to Implement a CQI Project	.80 units on a scale Standard Deviation .81	.28 units on a scale Standard Deviation .93

SECONDARY outcome

Timeframe: 1 Month

Residents' knowledge was assessed using the knowledge scale (e.g., describe change concept, how a cause-effect diagram is created, elements of the improvement model) from the SQI TAT and scores could range from 0 to 54 points. Difference scores were used based on total score of the scale with larger positive values indicating more increase in knowledge.

Outcome measures

Outcome measures
Measure	PBLI Curriculum Group n=46 Participants Received the intervention and used to evaluate and develop PBLI tools	Comparison Group n=40 Participants Didn't receive intervention
Change in Knowledge Scores About Quality Improvement	4.39 units on a scale Standard Deviation 4.89	0.73 units on a scale Standard Deviation 2.51

Adverse Events

PBLI Curriculum Group

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Comparison Group

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. David Aron

Louis Stokes VA Medical Center

Phone: (216) 791-2300

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place