Effectiveness of a Virtual Intervention for Professionals to Improve Their Attitudes Towards Patient Empowerment.

Study Overview
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Brief Summary
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The eMPODERA study aims to assess the effectiveness of a Community of Practice (CdP) virtual in improving attitudes of primary care professionals on the empowerment of patients with chronic diseases.

Detailed Description
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Main Objective: to assess the effectiveness of a Community of Practice (CdP) virtual in improving attitudes of health professionals in primary care on the empowerment of patients with chronic diseases. Methodology: Design: cluster randomised controlled. Scope: primary care centers (PCC) belonging to the Regions of Catalonia, Madrid and Canary Islands. Population: primary care health professionals (family doctors and nurses). Sample size: 270 healthcare professionals and 1382 patients. Randomization: Randomization unit: PCC; unit of analysis: primary care health professionals. 9 pairs of PCC by region will be randomly selected and randomly assigned to the intervention or control group. Randomization will be performed after the selection of professionals and patients. Intervention: the intervention group will be offered participation for 12 months in a virtual CdP based on a web 2.0 platform. The control group will receive usual training. Measurements: the primary outcome will be measured by Patient-Provider Orientation Scale (PPOS) questionnaire at baseline and 12 months. Secondary outcomes: sociodemographic of professionals; sociodemographic and clinical characteristics of patients; Patient Activation Measure (PAM) questionnaire for patient activation; outcomes regarding use of the CdP. Analysis: A linear mixed-effects regression to estimate the effect of participating in the CdP will be estimated. Additionally, an analysis of how the CdP is functioning through techniques of social network analysis and control charts will be performed.

Official Title
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Effectiveness of a Virtual Intervention (CoP) for Professionals to Improve Their Attitude Towards the Empowerment of Patients With Chronic Disease: Cluster Randomised Controlled Trial (eMPODERA Project)

Conditions
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Chronic Disease

Intervention / Treatment
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* Behavioral: Community of Practice


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clusters: Primary Care Centres (PCC) with Electronic Record system with more than 1 year of implementation PCC belongs to the Automonous Comunities of Canary Island, Catalonia and Madrid Healthcare professionals: Acceptance to participate stable contract with the Primary care centre Physician or Nurses Exclusion Criteria: Clusters: - Primary Care Centres where its directors do not accept to participate in the trial Healthcare professionals: Students Medical and Nursing residents

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control Group<br>Group of healthcare professionals that NOT receive the intervention (community of practice) | |
| Experimental: Intervention group<br>Group of healthcare professionals that receive the intervention (community of practice) | Behavioral: Community of Practice<br>* The intervention group will be offered participation for 12 months in a virtual CdP based on a web 2.0 platform. The control group will receive usual training.<br>* Other names: educational intervention;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Patient-Provider Orientation Scale (PPOS) at 12 months | PPOS is a questionnaire administrated to healthcare professionals | At baseline and 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Patient Activation Measure (PAM) at 12 months | PAM is validated questionnaire to measure patient activation (administrated to patients) | Baseline and 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Patient empowerment, Patient involvement, Patient participation, Healthcare professional attitudes, Chronic diseases