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

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ClinicalTrials.gov Identifier: NCT02210442
Recruitment Status : Completed
First Posted : August 6, 2014
Last Update Posted : February 7, 2018
Sponsor:
Collaborator:
Fondo de Investigacion Sanitaria
Information provided by (Responsible Party):
Isabel Del Cura-Gonzalez, Gerencia de Atención Primaria, Madrid

Study Description
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Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Health Knowledge, Attitudes, Practice Behavioral: educaguia intervention Other: control group Not Applicable

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 Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 202 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Other
Official Title: 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.
Actual Study Start Date : January 17, 2017
Actual Primary Completion Date : December 2017
Actual Study Completion Date : December 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Family Issues

Arms and Interventions
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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.


Outcome Measures
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Primary Outcome Measures :
  1. 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.


Secondary Outcome Measures :
  1. 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.


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Second and third year residents in Family Medicine Program.

Exclusion Criteria:

  • Giving up the Family Medicine Program.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02210442


Locations
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Spain
Gerencia de Atención Primaria
Madrid, Spain, 28035
Sponsors and Collaborators
Gerencia de Atención Primaria, Madrid
Fondo de Investigacion Sanitaria
Investigators
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Principal Investigator: Isabel del Cura, MD PhD Reserch Unit. Gerencia de Atención Primaria Madrid, Servicio Madrileño de Salud. Madrid. Spain.
More Information
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Publications:

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Responsible Party: Isabel Del Cura-Gonzalez, PhD. MD, Gerencia de Atención Primaria, Madrid
ClinicalTrials.gov Identifier: NCT02210442    
Other Study ID Numbers: 11/0047
First Posted: August 6, 2014    Key Record Dates
Last Update Posted: February 7, 2018
Last Verified: February 2018
Keywords provided by Isabel Del Cura-Gonzalez, Gerencia de Atención Primaria, Madrid:
educational games
clinical practice guideline
family medicine
primary health care
cluster clinical trial