Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners

This study is not yet open for participant recruitment. (see Contacts and Locations)
Verified December 2013 by University of Aarhus
Sponsor:
Collaborators:
Danish Cancer Society
TrygFonden, Denmark
Information provided by (Responsible Party):
University of Aarhus
ClinicalTrials.gov Identifier:
NCT02050256
First received: December 18, 2013
Last updated: January 28, 2014
Last verified: December 2013
  Purpose

Background: Optimizing the basic palliative care has been shown beneficial to patients in end-of-life care, the general practitioner (GP) having a pivotal role in the health care system, providing comprehensive and continued medical care.

The aim of the study is to investigate the effect of a complex intervention in general practice on GPs' awareness of and confidence in providing end-of-life care.

Method: A follow-up study among 404 general practices in Central Denmark Region. The participating general practices will get the opportunity to receive education in palliative care and access to an electronic support, which provides advice on palliative care and an overview of the palliative population in each medical practice. The education and the support will focus on patients suffering from either metastatic cancer or chronic obstructive pulmonary disease (GOLD stage 4).

The end-of-life care delivered by the GPs to their deceased patients will be analysed, based on questionnaires to GPs and register data related to the deceased patients before and after the intervention, .

Primary outcomes: Place of death of deceased patients, time spent at home, and number of hospital admissions in the last three months of the patients' lives.

Secondary outcomes: Number and kinds of contacts between GPs and patients, use of relevant medicine and of the 'Safety Box'. Finally GPs' confidence concerning palliative care will be assessed in questionnaires.


Condition Intervention
Chronic Obstructive Pulmonary Disease
Metastatic Cancer
Other: continuing medical education and electronic decision support
Other: education and electronic support

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners in Denmark - an Intervention Study

Resource links provided by NLM:


Further study details as provided by University of Aarhus:

Primary Outcome Measures:
  • Place of death of deceased patients [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    Looking at the proportion of General practitioners patients dying at home in the year following the continuing medical education meeting

  • time spent at home the last three months of the deceased patients lives [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Looking at all the deceased patients in one year following the continuing medical education meeting

  • Numbers of hospital admission the last three months of the deceased patients lives [ Time Frame: 3 months ] [ Designated as safety issue: No ]
    Looking at all the deceased patients in one year following the continuing medical education meeting


Secondary Outcome Measures:
  • and kinds of contacts between GPs and patients in the last three months of the deceased patients lives [ Time Frame: three months ] [ Designated as safety issue: No ]
  • use of relevant medicine and of the 'Safety Box' in the last three months of the deceased patients lives [ Time Frame: three months ] [ Designated as safety issue: No ]
  • GPs' confidence concerning palliative care [ Time Frame: 14 months ] [ Designated as safety issue: No ]
    assessed using questionnaire before and after the intervention


Estimated Enrollment: 410
Study Start Date: February 2014
Estimated Study Completion Date: April 2015
Estimated Primary Completion Date: April 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
general practioner Other: continuing medical education and electronic decision support Other: education and electronic support
Continuing medical education and electronic decision support to General Practitioners.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Working as General Practitioner in the Central Region of Denmark in 2013 and onwards

-

Exclusion Criteria:

-

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02050256

Contacts
Contact: Anna Ms Winthereik, MD +4578462598 akwi@ki.au.dk
Contact: Anders B. Mr Jensen, Professor andjense@rm.dk

Locations
Denmark
Aarhus University Not yet recruiting
Aarhus, Denmark, 8000
Sub-Investigator: Anna Kirstine Ms Winthereik, MD         
Sponsors and Collaborators
University of Aarhus
Danish Cancer Society
TrygFonden, Denmark
Investigators
Principal Investigator: Anders B. Mr Jensen, Professor Department of Oncology, Aarhus University Hospital, Denmark
  More Information

No publications provided

Responsible Party: University of Aarhus
ClinicalTrials.gov Identifier: NCT02050256     History of Changes
Other Study ID Numbers: 2006802748
Study First Received: December 18, 2013
Last Updated: January 28, 2014
Health Authority: Denmark: Danish Dataprotection Agency

Keywords provided by University of Aarhus:
Palliative care
Continuing medical education
General practitioner
Electronic decision support

Additional relevant MeSH terms:
Lung Diseases
Respiration Disorders
Pulmonary Disease, Chronic Obstructive
Neoplasm Metastasis
Neoplasms
Neoplasms, Second Primary
Lung Diseases, Obstructive
Respiratory Tract Diseases
Neoplastic Processes
Pathologic Processes

ClinicalTrials.gov processed this record on July 20, 2014