Clinical trial NCT02210442: Effectiveness of Educational Games to Implementation Clinical Practice Guidelines to Family Medicine Residents in Spain.
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.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Health Knowledge, Attitudes, Practice
Keywords: educational games
clinical practice guideline
family medicine
primary health care
cluster clinical trial
Lead sponsor: Gerencia de Atención Primaria, Madrid
Sponsor class: OTHER_GOV
Collaborators: name: Fondo de Investigacion Sanitaria
First posted: 2014-08-06
Enrollment: 202
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

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.

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).

Eligibility criteria: Inclusion Criteria:

* Second and third year residents in Family Medicine Program.

Exclusion Criteria:

* Giving up the Family Medicine Program.

Primary outcomes:
measure: Assessing clinical decision-making skills
timeFrame: Change from Baseline skills at 6 months
Secondary outcomes:
measure: Assessing clinical decision-making skills
timeFrame: Change from Baseline at 1 month and 12 months
Other outcomes:
Locations:
city: Madrid
country: Spain
facility: Gerencia de Atención Primaria
Study officials:
affiliation: Reserch Unit. Gerencia de Atención Primaria Madrid, Servicio Madrileño de Salud. Madrid. Spain.
name: Isabel del Cura, MD PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Del Cura-Gonzalez I, Lopez-Rodriguez JA, Sanz-Cuesta T, Rodriguez-Barrientos R, Martin-Fernandez J, Ariza-Cardiel G, Polentinos-Castro E, Roman-Crespo B, Escortell-Mayor E, Rico-Blazquez M, Hernandez-Santiago V, Azcoaga-Lorenzo A, Ojeda-Ruiz E, Gonzalez-Gonzalez AI, Avila-Tomas JF, Barrio-Cortes J, Molero-Garcia JM, Ferrer-Pena R, Tello-Bernabe ME, Trujillo-Martin M; Educaguia Group. Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project): a clinical trial by clusters. Implement Sci. 2016 May 17;11:71. doi: 10.1186/s13012-016-0425-3.