Effectiveness of Educational Games to Implementation Clinical Practice Guidelines to Family Medicine Residents in Spain. (EDUCAGUIA)

February 6, 2018 updated by: Isabel Del Cura-Gonzalez, Gerencia de Atención Primaria, Madrid

Educaguia Project: Clinical Trial, Randomised by Clusters, to Assess the Effectiveness of a Strategy With Educational Games to Implementation pf Clinical Practice Guidelines to Family Medicine Residents in Spain.

A multicenter study to evaluate the effectiveness of a teaching strategy based on the incorporation of educational games with simulated settings versus usual practice based on diffusion for the implementation of clinical practice guidelines in Family Medicine Residency Program. The impact of the new strategy will be measured in improving knowledge and skill acquisition in clinical decision making of Family Medicine Residency Program after 6 months. Effectiveness will also be measured a month and 12 months after intervention.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Objective: To evaluate the effectiveness of educational games to implementation practice guidelines to acquire skills in clinical decision-making by family medicine residents in Spain.

Secondary objectives: To describe the strategies utilized in Residency Program in Family Medicine in Spain to teach the use of practice guidelines. To identify barriers and facilitators for the use of practice guidelines for family medicine residents.

Setting: Unit Family Medicine in Spain. Study design: Multicentric cluster randomised controlled clinical trial. Population: Family Medicine Residents of second and third year. Sample size: 394 residents (197 in each arm). The randomization units will be units (clusters). The units of analysis are professionals (residents). Variables: Main outcome variable measured in both groups: assess of skill levels and number of correct answers about clinical questions in diabetes, anxiety disorders, antibiotic prescription and insomnia clinical practice guidelines in primary care.

Sociodemographic variables and educational variables for each subject and variables regarding Residency Program in Family Medicine.

Intervention: EDUCAGUIA plan. Incorporating educational games online for each guideline.

Statistical Analysis: Primary and secondary effectiveness. Adjusting by contextual and individual variables factors with mixed effects models (lineal regression) (dependent variable: points obtained in educational games in each guide).

Study Type

Interventional

Enrollment (Actual)

202

Phase

  • Not Applicable

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

  • Spain
      • Madrid, Spain, 28035
        • Gerencia de atención primaria

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

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Second and third year residents in Family Medicine Program.

Exclusion Criteria:

  • Giving up the Family Medicine Program.

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

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Educaguia intervention
Implementation of practice clinical guidelines with educational games
Behavioral: educaguia intervention
Health professionals (residents) play with educational games in order to acquire knowledge and skill about management of clinical practice guidelines.
Active Comparator: Control group
Implementation of clinical practice guidelines with standard practice care
Other: control group
Health professional will learn how to manage a clinical practice guidelines with standard clinical practice.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Assessing clinical decision-making skills
Time Frame: Change from Baseline skills at 6 months
Outcomes of a test designed to assess problem solving and clinical decision making skills about anxiety disorders, diabetes, insomnia and prescription antibiotics prescription after six months after intervention.
Change from Baseline skills at 6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Assessing clinical decision-making skills
Time Frame: Change from Baseline at 1 month and 12 months
Outcomes of a test designed to assess problem solving and clinical decision making skills about anxiety disorders, diabetes, insomnia and prescription antibiotics prescription after 1 month and 12 months after intervention.
Change from Baseline at 1 month and 12 months

Collaborators and Investigators

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

Sponsor

Gerencia de Atención Primaria, Madrid

Collaborators

Fondo de Investigacion Sanitaria

Investigators

  • Principal Investigator: Isabel del Cura, MD PhD, Reserch Unit. Gerencia de Atención Primaria Madrid, Servicio Madrileño de Salud. Madrid. Spain.

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 (Actual)

January 17, 2017

Primary Completion (Actual)

December 1, 2017

Study Completion (Actual)

December 1, 2017

Study Registration Dates

First Submitted

April 29, 2014

First Submitted That Met QC Criteria

August 5, 2014

First Posted (Estimate)

August 6, 2014

Study Record Updates

Last Update Posted (Actual)

February 7, 2018

Last Update Submitted That Met QC Criteria

February 6, 2018

Last Verified

February 1, 2018

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 11/0047

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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