A Trial of an Audit and Feedback Report to Improve Colonoscopy Performance

September 5, 2018 updated by: Sunnybrook Health Sciences Centre

A Randomized Controlled Trial of an Audit and Feedback Report to Improve Colonoscopy Performance

This project aims to measure the impact of a physician report card (also called an audit & feedback report) on colonoscopy performance. Endoscopists in Ontario will be randomly assigned to either receive the endoscopist report card or to no feedback. Using Ontario health administrative data, the quality of colonoscopy will be compared between those who received the report card and those who do not. The investigators will also measure the effect of receiving endoscopist report card on colonoscopy performance amongst endoscopists who perform poorly at baseline compared to those who do not. Further, the acceptability of two educational interventions that aim to improve the quality of colonoscopy will be evaluated by conducting one-on-one interviews with select participants. This study is critical to ensure that Canadians have access to the highest quality colonoscopy possible.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

833

Phase

  • Not Applicable

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:

  • All practising endoscopists in Ontario who performed at least 5 colonoscopies in 2014

Exclusion Criteria:

-

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: Round 1: Intervention arm

Half of the endoscopists in Ontario will receive an individualized audit & feedback report.

Individualized A/F report.
Other: Individualized A/F report
Individualized A/F report containing 9 colonoscopy quality measures.
No Intervention: Round 1: Control
Half of the endoscopists in Ontario will NOT receive an individualized audit & feedback report.
Other: Round 2: Month 12

All endoscopists in Ontario will receive an individualized audit & feedback report at month 12.

Individualized A/F report
Other: Individualized A/F report
Individualized A/F report containing 9 colonoscopy quality measures.
Other: Round 2: Poor performers

In Round 2, selected 60 poorer performers will be randomly assigned to receive one of the following interventions at month 12:

  1. A/F report plus a high intensity intervention
  2. A/F report plus a low intensity intervention
  3. A/F report alone
Other: A/F report plus a high intensity intervention
E.g. Master class in colonoscopy
Other: A/F report plus a low intensity intervention
E.g. Access to a video/presentation on good colonoscopy technique followed by a post presentation assessment.
Other: A/F report alone

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in polypectomy rate from baseline
Time Frame: At month 12
Measure change in polypectomy rate from baseline
At month 12

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Additional outcome 1- Change in cecal intubation rate
Time Frame: At month 12
Change in cecal intubation rate from baseline
At month 12
Additional outcome 2 - Change in annual colonoscopy volume
Time Frame: At month 12
Change in annual colonoscopy volume from baseline
At month 12
Additional outcome 3 - Change in poor bowel preparation rate
Time Frame: At month 12
Change in poor bowel preparation rate from baseline
At month 12

Collaborators and Investigators

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

Sponsor

Sunnybrook Health Sciences Centre

Collaborators

Cancer Care Ontario

Investigators

  • Principal Investigator: Jill Tinmouth, MD, Sunnybrook Health Sciences Centre

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

September 1, 2015

Primary Completion (Actual)

September 1, 2018

Study Completion (Actual)

September 1, 2018

Study Registration Dates

First Submitted

July 10, 2015

First Submitted That Met QC Criteria

November 2, 2015

First Posted (Estimate)

November 3, 2015

Study Record Updates

Last Update Posted (Actual)

September 7, 2018

Last Update Submitted That Met QC Criteria

September 5, 2018

Last Verified

May 1, 2017

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 477-2014

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.

Clinical Trials on Colorectal Polyps

Clinical Trials on Individualized A/F report

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Sri Lanka

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

3
Subscribe