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Completed

NCT Number: NCT03206606

Evaluation of a Mobile Application to Facilitate the Interpretation of Spirometry by Family Physicians and Residents

Problematic: Spirometry is used to objectify the obstructive syndrome defining chronic obstructive pulmonary disease (COPD). However, this test remains underused in the primary care. The tools available for its interpretation are little used and the existence of several decision algorithms can create confusion during the diagnosis.

Principal objective: To evaluate the impact of a mobile application (SPIRO©) on medical practice (interpretation and prescription of spirometry) of family physicians and family medicine residents working in family medicine units (FMU) in Quebec affiliated with Laval University.

Secondary objective : To evaluate the usability of SPIRO© among family physicians and residents in family medicine working in FMU in Quebec affiliated with Laval University.

Methods: This is a pre-post clinical trial with control group. Participants (family MD and family medicine residents) will be recruited from the various FMU affiliated with Laval University. Participants working in the FMU in the experimental group will be able to use the SPIRO® mobile application to facilitate interpretation of the spirometry test results while participants in the control group will not have access to it during the study. The basic characteristics of the participants and various behavioral parameters based on the theory of planned behavior concerning the interpretation and prescription of spirometry test will be measured. Data from the control group will be collected before those in the experimental group at the time the application is not yet available, which will minimize contamination between groups. The data will be collected with questionnaires delivered in person to the participants before the intervention (T0 time) and then four months later (T1 time) during their team or research meeting. Participants will be recruited in eight of the 12 Quebec FMU affiliated with Laval University, who will be randomly assigned to two equal groups: control and experimental. The intervention will consist in sending the SPIRO© mobile application to participants in the experimental group who will use it for a period of four months.

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Key information

Conditions

COPD Chronic Disease Disease Attributes Lung Diseases Lung Diseases, Obstructive Mobile Application Pathologic Processes Pathological Conditions, Signs and Symptoms Pulmonary Disease, Chronic Obstructive Respiratory Tract Diseases Spirometry

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

UMF de Manicouagan, Baie-Comeau, Quebec, Canada

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About this study

Hypothesis : The investigators hypothesize that the use of the SPIRO© application will increase the skills and confidence of family physicians and family medicine residents in prescribing and interpreting spirometry compared to the control group.

The project will be conducted in the following six major steps: 1) Collection of socio-demographic and behavioral characteristics of participants using sections A, B, C and D of the NAPI questionnaire in the control group; 2) Intervention in the control group (they will continue their daily medical practice without being subject to any intervention by our research team), for a period of 4 months; 3) Measurement of behavioral changes in the control group using Sections B, C, D and E of the NAPI questionnaire 4 months after the start of the study; 4) Collection of socio-demographic and behavioral data from participants in the experimental group using sections A, B, C and D of the NAPI questionnaire; 5) E-mail distribution of the application and use of the application by participants in the experimental group for a period of four months, 6) Measurement of behavioral changes in the experimental group after the use of the application, Using sections B, C, D and E of the NAPI questionnaire as well as a questionnaire on the application SPIRO© (SPIRO questionnaire) which will evaluate the usability of this one.

The study has been approved by the research ethic board of the Health and Social Services Center of the old capital - attached to the Integrated Center for Health and Social Services of the National Capital.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Participants need to be primary care physicians or residents in family medicine of 18 years old or more working in one of the 12 family medicine units in Quebec affiliated with Laval University.

Exclusion criteria

  • Health professionals not practicing family medicine and residents of other specialties will not be eligible. Individuals who participated in the development of the " subjective Norms, Attitudes, Perceived behavioral control, Intentions (NAPI) " questionnaires (apparent validation) will be excluded.

Treatment and study plan

SPIRO

Device

Participants in the Experimental Group will be asked to use SPIRO mobile application during a period of 4 months.

Primary outcomes

  1. Beliefs about capabilities - interpretation

    Time frame: six weeks

    The beliefs about the capabilities of primary care physicians and residents in family medicine regarding interpretation of spirometry.

Secondary outcomes

  1. Beliefs about consequences - prescription

    Time frame: six weeks

    The beliefs about the consequences of primary care physicians and residents in family medicine regarding prescription of spirometry.

  2. Beliefs about consequences - interpretation

    Time frame: six weeks

    The beliefs about the consequences of primary care physicians and residents in family medicine regarding interpretation of spirometry.

  3. Beliefs about consequences - use of a mobile application

    Time frame: six weeks

    The beliefs about the consequences of primary care physicians and residents in family medicine regarding the use of a mobile application to interpret spirometry.

  4. Moral norms - prescription

    Time frame: six weeks

    The beliefs about the moral norms of primary care physicians and residents in family medicine regarding prescription of spirometry.

  5. Moral norms - interpretation

    Time frame: six weeks

    The beliefs about the moral norms of primary care physicians and residents in family medicine regarding interpretation of spirometry.

  6. Moral norms - use of a mobile application

    Time frame: six weeks

    The beliefs about the moral norms of primary care physicians and residents in family medicine regarding the use of a mobile application to interpret spirometry.

  7. Intentions - prescription

    Time frame: six weeks

    The beliefs about the intentions of primary care physicians and residents in family medicine regarding prescription of spirometry.

  8. Intentions - interpretation

    Time frame: six weeks

    The beliefs about the intentions of primary care physicians and residents in family medicine regarding interpretation of spirometry.

  9. Intentions - use of a mobile application

    Time frame: six weeks

    The beliefs about the intentions of primary care physicians and residents in family medicine regarding the use of a mobile application to interpret spirometry.

  10. Social influence - prescription

    Time frame: six weeks

    The beliefs about the social influence of primary care physicians and residents in family medicine regarding prescription of spirometry.

  11. Social influence - interpretation

    Time frame: six weeks

    The beliefs about the social influence of primary care physicians and residents in family medicine regarding interpretation of spirometry.

  12. Social influence - use of a mobile application

    Time frame: six weeks

    The beliefs about the social influence of primary care physicians and residents in family medicine regarding the use of a mobile application to interpret spirometry.

  13. Belief about capabilities - prescription

    Time frame: six weeks

    The beliefs about the belief about capabilities of primary care physicians and residents in family medicine regarding prescription of spirometry.

  14. Belief about capabilities - use of a mobile application

    Time frame: six weeks

    The beliefs about the belief about capabilities of primary care physicians and residents in family medicine regarding the use of a mobile application to interpret spirometry.

Sponsors and collaborators

Lead sponsor

Laval University

Other

Registry information

Official study title

Evaluation of a Mobile Application to Facilitate the Interpretation of the Spirometry Test by Family Physicians and Family Medicine Residents: Impact on Prescription and Interpretation of This Test

Important dates

Study start
2016
Primary completion
2017
Study completion
2017
First posted
Jul 2, 2017
Registry last updated
Oct 12, 2020

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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