Clinical trial NCT00962455: Feedback Reports and e-Learning in Primary Care Spirometry
Official title: Feedback Reports and E-learning to Support Spirometry Test Performance in Dutch Family Practices
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE4
Conditions: Respiratory Tract Diseases
Pulmonary Disease, Chronic Obstructive
Asthma
Keywords: Spirometry
Family Practice
Randomized Controlled Trial
Feedback
Intervention Studies
Lead sponsor: Radboud University Medical Center
Sponsor class: OTHER
Collaborators: name: Quartz Transmural Centre for the Helmond Region
name: Elkerliek Hospital
First posted: 2009-08-20
Enrollment: 1135
Sex: ALL
Minimum age (years): 10
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL

Brief summary: Spirometry is a biomedical test to measure lung function in subject who (may) have a chronic respiratory condition. Performing the test requires a certain level of training and experience from the health care professional who conducts the test, and sufficient cooperation of the patient. Although the test is widely used in primary care in many countries, the quality of the test performance seems limited and needs improvement in order to avoid false-positive and false-negative test interpretations. In this study, the researchers investigated whether a combination of e-learning and bimonthly written performance feedback to family practice nurses and assistance regarding their spirometry tests improves the rate of adequate tests.


Eligibility criteria: Inclusion Criteria for Family Practices:

* collaboration with Elkerliek Hospital Helmond through regional integrated care support service ('QUARTZ')
* purchased spirometer through this support service
* have implemented spirometry as a part of routine patient care

Inclusion Criteria for Patients:

* registered in one of the participating family practices
* performed a spirometry test as a part of routine care during the observation period of the study

Exclusion Criteria for Patients:

* age \< 10 years

Primary outcomes:
measure: Proportion of spirometry tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria that were also repeatable for both FEV1 and FVC
timeFrame: 12 months prospective follow-up
Secondary outcomes:
measure: Proportions of tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria
timeFrame: 12 months prospective follow-up
measure: Proportions of spirometry tests with ≥2 blows meeting 2005 ERS/ATS end-of-test criteria
timeFrame: 12 months prospective follow-up
measure: Proportions of spirometry tests with A to C grade according to scholastic-type quality grading system by Ferguson et al (2000)
timeFrame: 12 months prospective follow-up
Other outcomes:
Locations:
city: Nijmegen
country: Netherlands
facility: Radboud University Nijmegen Medical Centre, Department of Primary and Community Care
Study officials:
affiliation: Radboud University Medical Center
name: Tjard R Schermer, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: The University of Adelaide
name: Alan J Crockett, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Elkerliek Hospital
name: Willem Pieters, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References: