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Completed

NCT Number: NCT04342481

Education and Management of PAD in Primary Care

Peripheral arterial disease (PAD) occurs when the vessels carrying blood to the legs become narrowed or blocked. It affects 1 in 5 people aged over 60 and are at risk of losing their leg, developing a heart attack or stroke, or die early.

Early symptoms of peripheral arterial disease (PAD) include aching in the legs when walking which may not be recognised by healthcare professional. Our research has shown that knowledge and recognition of PAD is poor in healthcare professionals and trainees. There appears to be little time provided within healthcare professional training for PAD.

To improve PAD recognition/management, the investigators want to identify the current level of training given to healthcare professionals; opinion towards PAD related to their training and how they prefer to receive training.

With the information gained from this research, the development of an educational training package for GPs, practice nurses and their trainees to improve recognition of PAD is anticipated.

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Key information

Conditions

Peripheral Arterial Disease Arterial Occlusive Diseases Arteriosclerosis Atherosclerosis Cardiovascular Diseases Peripheral Vascular Diseases Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University of Leicester

Leicester, Leicestershire, Le1 7rh, United Kingdom

About this study

Around 20% of people above 60 years are estimated to have PAD. The prevalence of PAD is expected to rise due to a sedentary life-style, poor dietary choices, rising prevalence of diabetes and longer life-expectancy.

The most common presentation of symptomatic PAD is intermittent claudication - pain on activity. In some cases the reduction in blood flow is so severe that it causes pain at rest, ulceration or gangrene (chronic limb threatening ischemia, CLTI). Approximately 5% of individuals between the age of 55 and 74 in the UK have IC or CLTI. Compared to age-matched individuals, these patients are more likely to suffer cardiovascular events - heart attack and strokes and cognitive impairment (10). Of those with IC, 5% will progress to CLTI. In patients with CLTI the one-year risk of limb amputation is 30% and five-year all-cause mortality is 50%, similar to various advanced forms of cancer. Recognition and management are essential to reducing the limb and life loss sequela.

Management of these high-risk individuals is shared between primary care (diagnosis, treatment of cardiovascular risk-factors, rehabilitation) and secondary care (vascular reconstruction, amputation, specialist management of cardiovascular disease).

This mutli-centre prospective cohort study will investigate the explore the educational experience of UK primary care health practitioners for peripheral arterial disease (PAD), including identification of factors that shape their preferred learning style and assess health professionals opinions of PAD recognition and management.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Practising healthcare practitioners within primary care
  • Participants must be aged 18 years or older
  • Participants must be able to access the online questionnaire
  • Participants must have the capacity to consent
  • Participants should speak English

Exclusion criteria

  • Healthcare practitioners who are not in practice.
  • Participants who do not consent
  • Participants who are unable to communicate in English

Treatment and study plan

Educational Screening tool

Other

Educational Screening tool

Primary outcomes

  1. Educational exposure do primary care health practitioners experience regarding PAD

    Time frame: 10 years

    Educational exposure do primary care health practitioners experience regarding PAD

Secondary outcomes

  1. What opinions do UK primary care health practitioners have towards PAD recognition and management?

    Time frame: 10 years

    What opinions do UK primary care health practitioners have towards PAD recognition and management?

Other outcomes

  1. What factors are important when considering educational interventions to healthcare practitioners in primary care?

    Time frame: 10 years

    What factors are important when considering educational interventions to healthcare practitioners in primary care?

Sponsors and collaborators

Lead sponsor

University of Leicester

Other

Collaborators

  • National Institute for Health Research, United Kingdom
  • The George Davies Charitable Trust

Registry information

Official study title

To Explore the Educational Experience of UK Primary Care Health Practitioners for Peripheral Arterial Disease (PAD), Including Identification of Factors That Shape Their Preferred Learning Style and Assess Health Professionals Opinions of PAD Recognition and Management

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Apr 13, 2020
Registry last updated
Jul 20, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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