Guatemala Internal Medicine Physicians' Knowledge of Non-communicable Disease Clinical Preventive Services

Knowledge and Recommendations on Tobacco Cessation and Other Preventive Interventions Among Internal Medicine Staff in Guatemala Teaching Hospitals

Sponsors

Lead Sponsor: Unidad de Cirugía Cardiovascular

Collaborator: International Development Research Centre, Canada
Washington University School of Medicine

Source Unidad de Cirugía Cardiovascular
Brief Summary

A national cross-sectional survey was conducted to evaluate recommendations on clinical preventive services and additional information on non-communicable disease prevention. Trained surveyors interviewed interns, residents and attendings of the Internal Medicine departments of all teaching hospitals in Guatemala. Analysis compared recommendation practices within and between hospitals.

Detailed Description

A voluntary, anonymous, self-completed, cross-sectional survey was administered to all available internal medicine staff in Guatemalan teaching hospitals. The questionnaire included: physician's demographics, work time dedicated to outpatients, knowledge of leading causes of death in Guatemala, guidelines used for non-communicable disease prevention, simulated cases asking for recommendation(s) on different preventive services for asymptomatic adults (i.e. whether they recommended them or not, appropriate frequency and starting age, preferred screening method, and availability of the service(s) at their hospital). The survey also assessed barriers faced in providing adequate services, and opinions on who should implement changes in national health care and in medical education. The answers given by the internal medicine staff were compared with the United States Preventive Services Task Forces (USPSTF) Recommendations and Guatemalan Ministry of Health Guidelines. Analysis compared recommendation practices within and between hospitals.

Overall Status Completed
Start Date April 2011
Completion Date January 2012
Primary Completion Date August 2011
Study Type Observational
Primary Outcome
Measure Time Frame
Recommendations of clinical preventive services for non-communicable diseases. After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.
Secondary Outcome
Measure Time Frame
Barriers faced in providing adequate services. After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.
Opinion on who should implement changes in clinical preventive services provision. After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.
Enrollment 394
Condition
Eligibility

Sampling Method: Non-Probability Sample

Criteria:

Inclusion Criteria: - All interns, internal medicine residents and attendings (including department director, unit directors and regular attendings) that are currently training or working in an Internal Medicine department in any of the ten teaching hospitals in Guatemala. Exclusion Criteria: - Staff that is on vacations, on sick leave or suspended by any reason.

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

Overall Official
Last Name Role Affiliation
Joaquin Barnoya, M.D. MPH. Study Chair Unidad de Cirugía Cardiovascular
Location
Facility:
Hospital Nacional Pedro Bethancourt | Antigua Guatemala, Sacatepequez, Guatemala
Hospital Nacional de Escuintla | Escuintla, Guatemala
Hospital Universitario Esperanza | Guatemala, 01010, Guatemala
Hospital Hermano Pedro | Guatemala, 01011, Guatemala
Hospital Roosevelt | Guatemala, 01011, Guatemala
Unidad de Cirugía Cardiovascular | Guatemala, 01011, Guatemala
Hospital Centro Médico Militar | Guatemala, 01016, Guatemala
Hospital General San Juan de Dios | Guatemala, 0101, Guatemala
Hospital General de Enfermedad Común - IGSS | Guatemala, 0109, Guatemala
Hospital Regional de Occidente, San Juan de Dios | Quetzaltenango, Guatemala
Location Countries

Guatemala

Verification Date

January 2012

Responsible Party

Type: Principal Investigator

Investigator Affiliation: Unidad de Cirugía Cardiovascular

Investigator Full Name: Juan Enrique Corral

Investigator Title: Research Fellow

Keywords
Has Expanded Access No
Condition Browse
Arm Group

Label: Internal Medicine Staff

Description: All interns, residents and attendings training (or working) at an Internal Medicine department of a Guatemalan teaching hospital.

Study Design Info

Time Perspective: Cross-Sectional

Source: ClinicalTrials.gov

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