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Completed

NCT Number: NCT01297075

Outreach Visits to Optimize Chronic Care Management in General Practice: A Cluster Randomized Trial

The aim of this project is to motivate and support general practice clinics in implementing the visions and recommendations presented in two of the disease specific programmes for chronic care management (for chronic obstructive lung disease and Type 2 diabetes). These programmes describe evidence based treatment and division of tasks between the municipalities, the hospitals and general practice.

The Facilitator Project is funded by The Danish Ministry of Interior and Health.

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Key information

Conditions

Chronic Disease Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

30 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Research Unit of General Practice, Copenhagen, Capital, Denmark

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About this study

In a cluster randomized trial the investigators will explore the efficacy of up to three outreach visits by specially trained GPs. Efficacy data are obtained by means of questionnaires at regional databases.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

General Practices working in the capital region in Denmark

Exclusion criteria

General Practices where the facilitator works.

Treatment and study plan

Outreach visits

Behavioral

The 16 facilitators in the project attend an educational programme designed to provide them with the necessary skills and tools for the task. The facilitators visit general practice clinics from March 2011 until the end of 2012. Each clinic is offered three visits. The facilitator is to act as a change agent who motivates and helps the clinic team in the process of defining common goals, and choosing the appropriate means for achieving them.

Primary outcomes

  1. Change from baseline at 12 month in Annual systematic chronic disease follow up consultations

    Time frame: Month 4, 3, 2 before baseline and month 13,14,15 after baseline (after intervention)

    Change in annual systematic chronic disease controls per person affiliated with a primary care at a period at baseline and at 12 month.

Secondary outcomes

  1. ICPC diagnosis coding

    Time frame: 12 months

    Self reports regarding the use of ICPC diagnosis coding for Type 2 Diabetes and Chronic Obstructive Pulmonary Disease.

  2. Sentinel Data Capture

    Time frame: 12 months

    Application for the electronic Sentinel Data Capture module for overview of patients with chronic diseases.

  3. Stratification

    Time frame: 12 months

    The self reported use of stratification as part of primary care management of patients with chronic diseases

  4. Change from baseline and at 12 month in practices with low performance on annual systematic chronic disease follow up consultations.

    Time frame: Month 4, 3, 2 before baseline and month 13,14,15 after baseline (after intervention)

    Reduction in the number of practices with less than 1% annual systematic chronic disease follow up consultations.

Sponsors and collaborators

Lead sponsor

Research Unit Of General Practice, Copenhagen

Other

Collaborators

  • Region Capital Denmark

Registry information

Acronym: Output

Important dates

Study start
2011
Primary completion
2012
Study completion
2012
First posted
Feb 16, 2011
Registry last updated
May 23, 2014

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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