Non-inferiority Trials of the Quality of Nurse Consultation Versus a Medical Consultation in Travel Medicine. (aCTIVE)
A Prospective, Single-blind, Randomized Trial, of Non-inferiority of the Quality of Nurse Consultation Versus a Medical Consultation in Travel Medicine
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The permanent Survey of French data"monitoring of tourist demand" shows that 20% of the French population over 15 years performed each year at least one trip abroad. Travel most frequently are destined for European countries (6 times out of 10). The fact remains, however, that the french travelers (roughly 4.5 million) then fall between 120 countries of which a quarter part of the health high risk area.
Most of these risks can be minimized if appropriate precautions are observed before, during, and after the travel.
The development of tourism of people living in France is a real public health issue.
In these conditions, the need for travel medicine becomes more pressing. Medical discipline in full expansion, it is initially preventive before the trip. The other role of the travel medicine is the diagnosis and the treatment of the pathology after the end of the travel, which involves strictly medical skills.
This research investigation is so limited to travel preventive consultation before departure.
Regarding the prevention of the risks related to the trip, the World Health Organization (WHO) emits the 3 following recommendations:
"Travelers who intend to visit a developing country should consult a travel medicine center or a doctor, before their departure...". The main elements to look for by the healthcare professional who leads the consultation include:
- an assessment of any potential or underlying health problems
- a risk assessment linked to the trip according to destination, the route during the stay, the type of trip, the conditions and the duration of the stay
- the risk reduction strategy (Council in hygiene, nutrition) including the vaccinations and recommended therapeutics .
The consultation before the departure, interested on the promotion of health and the prevention of risks associated with travel. The aim is to propose suitable preventive measures. It cannot be a stereotyped speech depending on destinations, it is essential to adapt it to the person's situation.
Healthcare professionals must communicate effectively, so as to promote the understanding and retention of the information provided. The health promotion is one of the main skills invested by nurses.
The different investigation invites us to reflect on the new forms of health professionals cooperation. The investigator believe that the travel medicine offers opportunities in this way.
The hypothesis is : a nursing consultation in the travel medicine, subject to adequate training and a perfectly defined framework, can't meet the same criteria of quality of care than a medical consultation,
The expected results are an equivalence of results in terms of efficiency of support consultation.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Nacira DARGHAL, PhD
- Phone Number: 01 48 95 74 73
- Email: nacira.darghal@aphp.fr
Study Contact Backup
- Name: Delphine LECLERC, Nurse
- Phone Number: 01 48 95 53 42
- Email: leclercd1@hotmail.fr
Study Locations
-
-
-
Bobigny, France, 93000
- Recruiting
- Service des Maladies Infectieuses et Tropicales, centre de conseils aux voyageurs, de vaccinations, Hôpital Avicenne
-
Contact:
- Delphine LECLERC, Nurse
- Phone Number: 01 48 95 53 42
- Email: leclercd1@hotmail.fr
-
Contact:
- BOUCHAUD Olivier, Pr
- Phone Number: 01 48 95 54 21
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Traveler (male and female) over 18 years old (coming for travel consultation in a international center of vaccination)
Exclusion Criteria:
- Children and pregnant women,
Travellers (man and woman) with co-morbidity factors as:
- Hospitalization in the month previous consultation
- Travelers with at least an one disease including an immune deficiency or dys-immunity, such as auto-immune disease,
- Any recent discovery comorbidity (since less than 6 months)
- Any traveler coming for consultation and bearer of signs of an acute health problem.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Nursing consultation
travel preventive consultation was performed by nurse
|
travel preventive consultation was performed by nurse
|
|
No Intervention: Medical consultation
travel preventive consultation was performed by a doctor
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of memorization by travelers of the mains parameters related to the individual prevention of the traveler's Malaria, diarrhea and sexually transmitted infections.
Time Frame: At day 1
|
Evaluated by a post-consultation memorization survey
|
At day 1
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Quality score of the support consultation evaluating the memorization of Information by travelers.
Time Frame: At day 1
|
Evaluated by memorisation survey
|
At day 1
|
|
Level of satisfaction of travelers
Time Frame: At day 1
|
The level of satisfaction will be assessed by a visual scale.
|
At day 1
|
|
The relevance of the choice of vaccinations proposed in relation to recommendations
Time Frame: At day 1
|
will be evaluated by a retrospective review
|
At day 1
|
|
The relevance of the choice of prescribed anti-malarials in relation to recommendation
Time Frame: At day 1
|
will be evaluated by a retrospective review
|
At day 1
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Delphine LECLERC, Nurse, Assistance Publique - Hôpitaux de Paris
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- K100104J
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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