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

Study Overview
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Brief Summary
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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.

Detailed Description
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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).

Official Title
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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.

Conditions
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Health Knowledge, Attitudes, Practice

Intervention / Treatment
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* Behavioral: educaguia intervention
* Other: control group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Second and third year residents in Family Medicine Program. Exclusion Criteria: Giving up the Family Medicine Program.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

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

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessing clinical decision-making skills | 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 | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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educational games, clinical practice guideline, family medicine, primary health care, cluster clinical trial