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

January 18, 2012 updated by: Juan Enrique Corral, Unidad de Cirugía Cardiovascular

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

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.

Study Overview

Status

Completed

Conditions

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.

Study Type

Observational

Enrollment (Actual)

394

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

  • Guatemala
      • Escuintla, Guatemala
        • Hospital Nacional de Escuintla
      • Guatemala, Guatemala, 01010
        • Hospital Universitario Esperanza
      • Guatemala, Guatemala, 01011
        • Hospital Hermano Pedro
      • Guatemala, Guatemala, 01011
        • Hospital Roosevelt
      • Guatemala, Guatemala, 01011
        • Unidad de Cirugía Cardiovascular
      • Guatemala, Guatemala, 01016
        • Hospital Centro Médico Militar
      • Guatemala, Guatemala, 0101
        • Hospital General San Juan de Dios
      • Guatemala, Guatemala, 0109
        • Hospital General de Enfermedad Común - IGSS
      • Quetzaltenango, Guatemala
        • Hospital Regional de Occidente, San Juan de Dios
    • Sacatepequez
      • Antigua Guatemala, Sacatepequez, Guatemala
        • Hospital Nacional Pedro Bethancourt

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

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Internal medicine interns, residents or attendings of any of the teaching hospitals in Guatemala.

Description

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.

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

Cohorts and Interventions

Group / Cohort
Internal Medicine Staff
All interns, residents and attendings training (or working) at an Internal Medicine department of a Guatemalan teaching hospital.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Recommendations of clinical preventive services for non-communicable diseases.
Time Frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.

Recommendations on eleven clinical preventive services for non-communicable diseases were evaluated considering:

  • Whether they recommended them or not
  • Appropriate frequency and starting age
  • Preferred screening method
  • Availability of the service(s) at their hospital
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 Measures

Outcome Measure
Measure Description
Time Frame
Barriers faced in providing adequate services.
Time Frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.
Self-perceived barriers to provide clinical preventive services adequately.
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.
Time Frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.

Participant's opinion on who should be responsible to implement changes in:

  • Chronic disease prevention in national health care
  • Medical education in this field.
After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.

Collaborators and Investigators

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

Sponsor

Unidad de Cirugía Cardiovascular

Collaborators

Washington University School of Medicine
International Development Research Centre, Canada

Investigators

  • Study Chair: Joaquin Barnoya, M.D. MPH., Unidad de Cirugía Cardiovascular

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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

April 1, 2011

Primary Completion (ACTUAL)

August 1, 2011

Study Completion (ACTUAL)

January 1, 2012

Study Registration Dates

First Submitted

January 13, 2012

First Submitted That Met QC Criteria

January 18, 2012

First Posted (ESTIMATE)

January 23, 2012

Study Record Updates

Last Update Posted (ESTIMATE)

January 23, 2012

Last Update Submitted That Met QC Criteria

January 18, 2012

Last Verified

January 1, 2012

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IDRC-006
  • RITC of IDRC (OTHER_GRANT: 105068-002)

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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