Clinical trial NCT03312218: The Study Guide Cluster Randomized Control Trial
Official title: Can an App Improve the Examination Scores of Family Medicine Residents? A Cluster Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Behavior
Lead sponsor: Jewish General Hospital
Sponsor class: OTHER
Collaborators: name: Western University, Canada
name: College of Family Physicians of Canada
name: Memorial University of Newfoundland
name: Université de Montréal
name: University of Ottawa
name: Queen's University, Kingston, Ontario
name: University of Toronto
name: McMaster University
name: University of British Columbia
name: University of Alberta
name: Université de Sherbrooke
name: University of Calgary
First posted: 2017-10-17
Enrollment: 634
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: Spaced education is a promising theory-driven strategy to improve clinical competence. Our aim is to improve the clinical competence of Family Physicians, an outcome associated with the quality of care delivered to Canadians.

Detailed description: Research Question: Among family medicine residents, does enhanced feedback through an app providing alerts and test questions (spaced education), compared to the same app without alerts and enhanced feedback (no spaced education), improve competence as measured by the certification examination? In building this proposal for a definitive trial, the investigators have support from coast to coast. In addition to key clinician educators, the team includes knowledge users from the organization responsible for the certification examination in Family Medicine, methodologists and experienced researchers who study how mobile apps can promote engagement with clinical information. The team has the right blend of expertise in medical education and cluster randomized trials.

Approach and Methods: The investigators will follow an organizational participatory research approach, and propose a cluster randomized controlled trial. Setting: All incoming family medicine residents in Canada will be eligible to participate. Intervention site residents will receive alerts through an app to adaptively reinforce the learning of clinical content based on cases and test questions (spaced education). Residents in the control group will receive the same app providing identical clinical cases and test questions-on-demand, but with alerts inactivated (no spaced education). The primary outcome will be scores on the certification examination. This routinely collected data will be provided to the team by the College of Family Physicians of Canada.

Expected Results and Conclusion: Spaced education will improve examination scores. This will inform educational practice by providing evidence to optimize the training of residents.

Eligibility criteria: Inclusion Criteria:

* incoming family medicine residents in Canada (July 2017)

Exclusion Criteria:

* not a family medicine resident
* did not start residency on July 1, 2017

Primary outcomes:
measure: Scores on the Certification Examination
timeFrame: 2 years
Secondary outcomes:
Other outcomes:
Locations:
city: Montréal
country: Canada
facility: McGill University
state: Quebec
Study officials:
References: