The Study Guide Cluster Randomized Control Trial

NCT ID: NCT03312218

Last Updated: 2021-02-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

634 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-18

Study Completion Date

2019-07-01

Brief Summary

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Spaced education is a promising theory-driven strategy to improve clinical competence. Our aim is to improve the clinical competence of Family Physicians, an outcome associated with the quality of care delivered to Canadians.

Detailed Description

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Research Question: Among family medicine residents, does enhanced feedback through an app providing alerts and test questions (spaced education), compared to the same app without alerts and enhanced feedback (no spaced education), improve competence as measured by the certification examination? In building this proposal for a definitive trial, the investigators have support from coast to coast. In addition to key clinician educators, the team includes knowledge users from the organization responsible for the certification examination in Family Medicine, methodologists and experienced researchers who study how mobile apps can promote engagement with clinical information. The team has the right blend of expertise in medical education and cluster randomized trials.

Approach and Methods: The investigators will follow an organizational participatory research approach, and propose a cluster randomized controlled trial. Setting: All incoming family medicine residents in Canada will be eligible to participate. Intervention site residents will receive alerts through an app to adaptively reinforce the learning of clinical content based on cases and test questions (spaced education). Residents in the control group will receive the same app providing identical clinical cases and test questions-on-demand, but with alerts inactivated (no spaced education). The primary outcome will be scores on the certification examination. This routinely collected data will be provided to the team by the College of Family Physicians of Canada.

Expected Results and Conclusion: Spaced education will improve examination scores. This will inform educational practice by providing evidence to optimize the training of residents.

Conditions

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Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Intervention

Intervention site residents will receive alerts through an app to adaptively reinforce the learning of clinical content based on cases and test questions (spaced education).

Group Type EXPERIMENTAL

Spaced educational intervention

Intervention Type BEHAVIORAL

A spaced educational intervention will be provided to participants

Control

Residents in the control group will receive the same app providing identical clinical cases and test questions-on-demand, but with alerts inactivated (no spaced education).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Spaced educational intervention

A spaced educational intervention will be provided to participants

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* incoming family medicine residents in Canada (July 2017)

Exclusion Criteria

* not a family medicine resident
* did not start residency on July 1, 2017
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Western University, Canada

OTHER

Sponsor Role collaborator

College of Family Physicians of Canada

OTHER

Sponsor Role collaborator

Memorial University of Newfoundland

OTHER

Sponsor Role collaborator

Université de Montréal

OTHER

Sponsor Role collaborator

University of Ottawa

OTHER

Sponsor Role collaborator

Queen's University, Kingston, Ontario

OTHER

Sponsor Role collaborator

University of Toronto

OTHER

Sponsor Role collaborator

McMaster University

OTHER

Sponsor Role collaborator

University of British Columbia

OTHER

Sponsor Role collaborator

University of Alberta

OTHER

Sponsor Role collaborator

Université de Sherbrooke

OTHER

Sponsor Role collaborator

University of Calgary

OTHER

Sponsor Role collaborator

Jewish General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Roland Grad

Associate Professor, McGill University Dept. of Family Medicine, Director of the Clinician Scholar Program

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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McGill University

Montreal, Quebec, Canada

Site Status

Countries

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Canada

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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The Study Guide Trial 2017

Identifier Type: -

Identifier Source: org_study_id

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