Effectiveness of a Virtual Intervention for Professionals to Improve Their Attitudes Towards Patient Empowerment.

NCT ID: NCT02757781

Last Updated: 2016-05-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

272 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2018-12-31

Brief Summary

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The eMPODERA study aims to assess the effectiveness of a Community of Practice (CdP) virtual in improving attitudes of primary care professionals on the empowerment of patients with chronic diseases.

Detailed Description

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Main Objective: to assess the effectiveness of a Community of Practice (CdP) virtual in improving attitudes of health professionals in primary care on the empowerment of patients with chronic diseases.

Methodology:

Design: cluster randomised controlled.

Scope: primary care centers (PCC) belonging to the Regions of Catalonia, Madrid and Canary Islands.

Population: primary care health professionals (family doctors and nurses).

Sample size: 270 healthcare professionals and 1382 patients.

Randomization: Randomization unit: PCC; unit of analysis: primary care health professionals. 9 pairs of PCC by region will be randomly selected and randomly assigned to the intervention or control group. Randomization will be performed after the selection of professionals and patients.

Intervention: the intervention group will be offered participation for 12 months in a virtual CdP based on a web 2.0 platform. The control group will receive usual training.

Measurements: the primary outcome will be measured by Patient-Provider Orientation Scale (PPOS) questionnaire at baseline and 12 months. Secondary outcomes: sociodemographic of professionals; sociodemographic and clinical characteristics of patients; Patient Activation Measure (PAM) questionnaire for patient activation; outcomes regarding use of the CdP.

Analysis: A linear mixed-effects regression to estimate the effect of participating in the CdP will be estimated. Additionally, an analysis of how the CdP is functioning through techniques of social network analysis and control charts will be performed.

Conditions

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Chronic Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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Control Group

Group of healthcare professionals that NOT receive the intervention (community of practice)

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention group

Group of healthcare professionals that receive the intervention (community of practice)

Group Type EXPERIMENTAL

Community of Practice

Intervention Type BEHAVIORAL

The intervention group will be offered participation for 12 months in a virtual CdP based on a web 2.0 platform. The control group will receive usual training.

Interventions

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Community of Practice

The intervention group will be offered participation for 12 months in a virtual CdP based on a web 2.0 platform. The control group will receive usual training.

Intervention Type BEHAVIORAL

Other Intervention Names

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educational intervention

Eligibility Criteria

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Inclusion Criteria

Clusters:

* Primary Care Centres (PCC) with Electronic Record system with more than 1 year of implementation
* PCC belongs to the Automonous Comunities of Canary Island, Catalonia and Madrid

Healthcare professionals:

* Acceptance to participate
* stable contract with the Primary care centre
* Physician or Nurses

Exclusion Criteria

Clusters:

\- Primary Care Centres where its directors do not accept to participate in the trial

Healthcare professionals:

* Students
* Medical and Nursing residents
Minimum Eligible Age

21 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Servicio Canario de Salud

OTHER

Sponsor Role collaborator

Gerencia de Atención Primaria, Madrid

OTHER_GOV

Sponsor Role collaborator

Avedis Donabedian Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carola Orrego, PhD

Role: PRINCIPAL_INVESTIGATOR

Avedis Donabedian Research Institute

Lilisbeth Perestelo, PhD

Role: PRINCIPAL_INVESTIGATOR

Servicio de Evaluación del Servicio Canario de la Salud

Ana I Gonzalez, MD

Role: PRINCIPAL_INVESTIGATOR

Unidad de Apoyo Técnico de la Gerencia Asistencial de Atención Primaria de la Comunidad de Madrid

Carlos Bermejo, RN,Msc

Role: PRINCIPAL_INVESTIGATOR

Unidad de Apoyo Técnico de la Gerencia Asistencial de Atención Primaria de la Comunidad de Madrid

Central Contacts

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Carola Orrego, PhD

Role: CONTACT

34 932076608

References

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Koatz D, Torres-Castano A, Salrach-Arnau C, Perestelo-Perez L, Ramos-Garcia V, Gonzalez-Gonzalez AI, Pacheco-Huergo V, Toledo-Chavarri A, Gonzalez-Pacheco H, Orrego C. Exploring value creation in a virtual community of practice: a framework analysis for knowledge and skills development among primary care professionals. BMC Med Educ. 2024 Feb 7;24(1):121. doi: 10.1186/s12909-024-05061-6.

Reference Type DERIVED
PMID: 38326814 (View on PubMed)

Orrego C, Perestelo-Perez L, Gonzalez-Gonzalez AI, Ballester-Santiago M, Koatz D, Pacheco-Huergo V, Rivero-Santana A, Ramos-Garcia V, Fernandez NM, Torres-Castano A, Bermejo-Caja C. A Virtual Community of Practice to Improve Primary Health Care Professionals' Attitudes Toward Patient Empowerment (e-MPODERA): A Cluster Randomized Trial. Ann Fam Med. 2022 May-Jun;20(3):204-210. doi: 10.1370/afm.2799.

Reference Type DERIVED
PMID: 35606139 (View on PubMed)

Bermejo-Caja CJ, Koatz D, Orrego C, Perestelo-Perez L, Gonzalez-Gonzalez AI, Ballester M, Pacheco-Huergo V, Del Rey-Granado Y, Munoz-Balsa M, Ramirez-Puerta AB, Canellas-Criado Y, Perez-Rivas FJ, Toledo-Chavarri A, Martinez-Marcos M; e-MPODERA group. Acceptability and feasibility of a virtual community of practice to primary care professionals regarding patient empowerment: a qualitative pilot study. BMC Health Serv Res. 2019 Jun 20;19(1):403. doi: 10.1186/s12913-019-4185-z.

Reference Type DERIVED
PMID: 31221215 (View on PubMed)

Gonzalez-Gonzalez AI, Orrego C, Perestelo-Perez L, Bermejo-Caja CJ, Mora N, Koatz D, Ballester M, Del Pino T, Perez-Ramos J, Toledo-Chavarri A, Robles N, Perez-Rivas FJ, Ramirez-Puerta AB, Canellas-Criado Y, Del Rey-Granado Y, Munoz-Balsa MJ, Becerril-Rojas B, Rodriguez-Morales D, Sanchez-Perruca L, Vazquez JR, Aguirre A. Effectiveness of a virtual intervention for primary healthcare professionals aimed at improving attitudes towards the empowerment of patients with chronic diseases: study protocol for a cluster randomized controlled trial (e-MPODERA project). Trials. 2017 Oct 30;18(1):505. doi: 10.1186/s13063-017-2232-9.

Reference Type DERIVED
PMID: 29084597 (View on PubMed)

Other Identifiers

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PI15/00164

Identifier Type: -

Identifier Source: org_study_id

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