Evaluation of Case Management to Improve the Outpatient Care of Alcohol-related Disorders

This study has been completed.
Sponsor:
Information provided by:
University Hospital Freiburg
ClinicalTrials.gov Identifier:
NCT00314067
First received: April 10, 2006
Last updated: October 17, 2013
Last verified: June 2008

April 10, 2006
October 17, 2013
July 2006
May 2007   (final data collection date for primary outcome measure)
  • Acceptance of the CQM-system: Number of actively participating practices
  • Adherence to the system: relative numbers of screened, documented and followed-up patients
Same as current
Complete list of historical versions of study NCT00314067 on ClinicalTrials.gov Archive Site
Quality of care provided: Patients that are adequately treated and followed-up
Same as current
Not Provided
Not Provided
 
Evaluation of Case Management to Improve the Outpatient Care of Alcohol-related Disorders
Comprehensive Quality Management in Out-patient Care for Alcohol-related Disorders (AQAH). Transfer and Dissemination Into Routine Practice

The purpose of this study is to disseminate and transfer the comprehensive quality management interventions (CQM) for alcohol-related disorders in primary care developed during the first funding phase into routine care. The two steps are (1) to optimize the CQM approach and (2) to investigate the dissemination and transfer into routine care in a randomized controlled trial.

In the first funding phase the project AQAH ("Ambulantes Qualitätsmanagement alkoholbezogener Störungen in der hausärztlichen Praxis"-"comprehensive quality management for alcohol-related disorders in primary care") systematically investigated three issues: (1) the outpatient care system and evidence-base for screening, diagnosis and treatment was examined; it developed (2) a comprehensive quality management system (CQM) consisting of documentation material, a pathway of care and evidence-based practice guidelines; (3) the effects of the CQM on the detection and treatment of alcohol-related disorders were investigated in a randomized controlled pre-post design and the results show positive effects of the CQM. In the second funding phase (a 3 year bi-center project) the purpose is now to disseminate and transfer the CQM into routine care. The two steps are (1) to optimize the CQM approach and (2) to investigate the dissemination and transfer into routine care in a randomized trial. (1) The paper-based AQAH-practice guidelines are transformed into an interactive electronic version with online patient documentation and evaluation, decision support measures as well as links to specialists and an e-learning tool. (2) After pilot testing in the AQAH-study-networks, an active transfer to the greater regions of Südbaden and Südwürttemberg will be performed in a parallel group cluster randomized controlled trial with GP practices as unit of randomization. Outcome data will be collected concerning the acceptance of the system and the quality of care delivered.

Comparison(s): (1) Use of the interactive electronic version of the CQM for alcohol-related disorders with a special training for general practitioners, compared to (2) use of the CQM with additional education for the whole practice team and organizational re-structuring advice, compared to (3) a control group who uses the CMQ without any special training.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Alcohol-related Disorders
  • Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care
  • Procedure: Physician training
  • Procedure: Practice team training
  • Experimental: 1
    Interventions:
    • Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care
    • Procedure: Physician training
  • Experimental: 2
    Interventions:
    • Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care
    • Procedure: Physician training
    • Procedure: Practice team training
  • Active Comparator: 3
    Intervention: Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
112
August 2007
May 2007   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • General practitioner
  • Possibility to use broad-band internet

Exclusion Criteria:

  • none
Both
Not Provided
Yes
Contact information is only displayed when the study is recruiting subjects
Germany
 
NCT00314067
BMBF-01EB0412
Not Provided
Not Provided
University Hospital Freiburg
Not Provided
Principal Investigator: Martin Härter, Prof. Dr. Dr. Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy
Principal Investigator: Michael Berner, Dr. Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy
Study Chair: Daniela Ruf, Dipl. Psych. Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy
Study Chair: Götz Mundle, PD Dr. Oberbergklinik, Hornberg and University Hospital for Psychiatry and Psychotherapy, Tübingen
Study Chair: Monika Lohmann, Dipl. Psych. University Hospital for Psychiatry and Psychotherapy, Tübingen
University Hospital Freiburg
June 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP