- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00298727
The Effect and Mediators of Two Knowledge Translation Strategies
Defining the Effect and Mediators of Two Knowledge Translation Strategies Designed to Alter Knowledge, Intent and Clinical Utilization of Rehabilitation Outcome Measures
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Interventions: Two different KT interventions with the same curriculum will be evaluated: 1. Stakeholder-Hosted Interactive Problem-Based Seminar (SHIPS), and 2. Online Problem-Based course (ePBL). SHIPs will consist of face-to-face PBL (Problem-based Learning) (2½ days) with outcome measure developers as facilitators, using 6 problems generated in consultation with participants. The ePBL will consist of a 6-week web-based course with 6 generic problems developed by content experts.
Outcome Measures: Baseline predictors including demographics, knowledge, attitudes/barriers regarding outcome measures and Readiness to Change will be assessed by self-report. Immediately post-intervention and 6 months later these will be re-administered. Primary qualitative and quantitative evaluations will be conducted 6-months post-intervention to assess the relative effectiveness of KT interventions and to identify elements that contribute to changing clinical behavior. Chart audits will determine the utilization of outcome measures (counts). Incorporation of outcome measures into clinical reasoning will be assessed using an innovative technique: chart-stimulated recall.
The Study Sample: Physical and Occupational Therapists (n=144; 80% power to detect an effect size of 0.5; alpha=0.05) will be recruited in partnership with the national professional associations.
Methods: SHIPS will be conducted in three urban centers in Canada. Participants will be block allocated by a minimization procedure to either of the two interventions to minimize any prognostic differences. Trained evaluators at each site will conduct chart audits and chart-stimulated recall. Trained interviewers will conduct semi-structured interviews focused on identifying critical elements in KT and implementing practice changes. Interviews will be transcribed verbatim.
Analyses: Analysis of covariance (ANCOVA), with baseline scores as a covariate, will be used to compare chart-stimulated recall scores at 6-months post-intervention. Secondary analyses will also use ANCOVA with the remaining potential predictors. Qualitative content analysis will be conducted iteratively until saturation is achieved.
Knowledge Impact and Transfer: A strategy for optimal transfer of health outcome measures into practice will be developed and shared with multiple disciplines involved in primary and specialty management of musculoskeletal and childhood disability. In addition, we will work with national professional organizations and Ministries of Health to use the knowledge from this study to support national initiatives on implementation and to assist with best KT practices in health service education.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Ontario
-
Hamilton, Ontario, Canada, L8S 1C7
- McMaster University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- A valid license to practice physical or occupational therapy.
- Ability to communicate in English will be required.
Exclusion Criteria:
- Volunteers will be required to complete a knowledge pre-test in the format of a multiple-choice questionnaire. Those who are already knowledgeable, as determined by a score of 75% or greater, will be excluded to avoid ceiling effects.
Study Plan
How is the study designed?
Design Details
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: 1
SHIPS: Face-to-Face Workshop
|
Stakeholder-Hosted Interactive Problem-based Seminars
Other Names:
|
Active Comparator: 2
ePBL: Online Problem-Based Course
|
Online Problem-Based Course
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Chart Audit Form (Utilization)
Time Frame: Up to 6 months post-intervention
|
Up to 6 months post-intervention
|
Chart Stimulated Recall Data Collection Form
Time Frame: Up to 6 months post-intervention
|
Up to 6 months post-intervention
|
Self-Efficacy Questionnaire
Time Frame: Up to 6 months post-intervention
|
Up to 6 months post-intervention
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Readiness to Change Clinical Practice Scale
Time Frame: Up to 6 months post-intervention
|
Up to 6 months post-intervention
|
Knowledge Test
Time Frame: Up to 6 months post-intervention
|
Up to 6 months post-intervention
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Joy C MacDermid, PhD, McMaster University
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 152239
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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