Feedback Reports and e-Learning in Primary Care Spirometry (FRESCO)

August 19, 2009 updated by: Radboud University Medical Center

Feedback Reports and E-learning to Support Spirometry Test Performance in Dutch Family Practices

Spirometry is a biomedical test to measure lung function in subject who (may) have a chronic respiratory condition. Performing the test requires a certain level of training and experience from the health care professional who conducts the test, and sufficient cooperation of the patient. Although the test is widely used in primary care in many countries, the quality of the test performance seems limited and needs improvement in order to avoid false-positive and false-negative test interpretations. In this study, the researchers investigated whether a combination of e-learning and bimonthly written performance feedback to family practice nurses and assistance regarding their spirometry tests improves the rate of adequate tests.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

1135

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Netherlands
      • Nijmegen, Netherlands, 6500 HB
        • Radboud University Nijmegen Medical Centre, Department of Primary and Community Care

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

10 years and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria for Family Practices:

  • collaboration with Elkerliek Hospital Helmond through regional integrated care support service ('QUARTZ')
  • purchased spirometer through this support service
  • have implemented spirometry as a part of routine patient care

Inclusion Criteria for Patients:

  • registered in one of the participating family practices
  • performed a spirometry test as a part of routine care during the observation period of the study

Exclusion Criteria for Patients:

  • age < 10 years

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: e-learning & performance feedback
Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality
Other: e-learning & performance feedback
Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality
Active Comparator: Usual practice
Usual practice regarding spirometry execution in family practice
Other: usual practice
Usual practice regarding spirometry execution in family practice

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Proportion of spirometry tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria that were also repeatable for both FEV1 and FVC
Time Frame: 12 months prospective follow-up
12 months prospective follow-up

Secondary Outcome Measures

Outcome Measure
Time Frame
Proportions of tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria
Time Frame: 12 months prospective follow-up
12 months prospective follow-up
Proportions of spirometry tests with ≥2 blows meeting 2005 ERS/ATS end-of-test criteria
Time Frame: 12 months prospective follow-up
12 months prospective follow-up
Proportions of spirometry tests with A to C grade according to scholastic-type quality grading system by Ferguson et al (2000)
Time Frame: 12 months prospective follow-up
12 months prospective follow-up

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Radboud University Medical Center

Collaborators

Elkerliek Hospital
Quartz Transmural Centre for the Helmond Region

Investigators

  • Principal Investigator: Tjard R Schermer, PhD, Radboud University Medical Center
  • Principal Investigator: Alan J Crockett, PhD, The University of Adelaide
  • Principal Investigator: Willem Pieters, MD, PhD, Elkerliek Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

November 1, 2007

Primary Completion (Actual)

November 1, 2008

Study Completion (Actual)

April 1, 2009

Study Registration Dates

First Submitted

August 17, 2009

First Submitted That Met QC Criteria

August 19, 2009

First Posted (Estimate)

August 20, 2009

Study Record Updates

Last Update Posted (Estimate)

August 20, 2009

Last Update Submitted That Met QC Criteria

August 19, 2009

Last Verified

August 1, 2009

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • UMCN-CARA-0001113

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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