Feedback Reports and e-Learning in Primary Care Spirometry (FRESCO)

• ClinicalTrials.gov Identifier: NCT00962455
• Recruitment Status: Completed
• First Posted: August 20, 2009
• Last Update Posted: August 20, 2009
• Sponsor: Radboud University Medical Center
• Collaborators: Quartz Transmural Centre for the Helmond Region; Elkerliek Hospital
• Information provided by: Radboud University Medical Center

Study Description

Brief Summary:

Spirometry is a biomedical test to measure lung function in subject who (may) have a chronic respiratory condition. Performing the test requires a certain level of training and experience from the health care professional who conducts the test, and sufficient cooperation of the patient. Although the test is widely used in primary care in many countries, the quality of the test performance seems limited and needs improvement in order to avoid false-positive and false-negative test interpretations. In this study, the researchers investigated whether a combination of e-learning and bimonthly written performance feedback to family practice nurses and assistance regarding their spirometry tests improves the rate of adequate tests.

Condition or disease	Intervention/treatment	Phase
Respiratory Tract Diseases; Pulmonary Disease, Chronic Obstructive; Asthma	Other: e-learning & performance feedback; Other: usual practice	Phase 4

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 1135 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Outcomes Assessor)
• Official Title: Feedback Reports and E-learning to Support Spirometry Test Performance in Dutch Family Practices
• Study Start Date: November 2007
• Actual Primary Completion Date: November 2008
• Actual Study Completion Date: April 2009

Arms and Interventions

Arm	Intervention/treatment
Experimental: e-learning & performance feedback; Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality	Other: e-learning & performance feedback; Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality
Active Comparator: Usual practice; Usual practice regarding spirometry execution in family practice	Other: usual practice; Usual practice regarding spirometry execution in family practice

Outcome Measures

Primary Outcome Measures :

1. Proportion of spirometry tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria that were also repeatable for both FEV1 and FVC [ Time Frame: 12 months prospective follow-up ]

Secondary Outcome Measures :

1. Proportions of tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria [ Time Frame: 12 months prospective follow-up ]
2. Proportions of spirometry tests with ≥2 blows meeting 2005 ERS/ATS end-of-test criteria [ Time Frame: 12 months prospective follow-up ]
3. Proportions of spirometry tests with A to C grade according to scholastic-type quality grading system by Ferguson et al (2000) [ Time Frame: 12 months prospective follow-up ]

Eligibility Criteria

• Ages Eligible for Study: 10 Years and older (Child, Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria for Family Practices:

• collaboration with Elkerliek Hospital Helmond through regional integrated care support service ('QUARTZ')
• purchased spirometer through this support service
• have implemented spirometry as a part of routine patient care

Inclusion Criteria for Patients:

• registered in one of the participating family practices
• performed a spirometry test as a part of routine care during the observation period of the study

Exclusion Criteria for Patients:

• age < 10 years

Contacts and Locations

Locations

Netherlands

Radboud University Nijmegen Medical Centre, Department of Primary and Community Care

Nijmegen, Netherlands, 6500 HB

Sponsors and Collaborators

Radboud University Medical Center

Quartz Transmural Centre for the Helmond Region

Elkerliek Hospital

Investigators

• Principal Investigator: Tjard R Schermer, PhD; Radboud University Medical Center
• Principal Investigator: Alan J Crockett, PhD; The University of Adelaide
• Principal Investigator: Willem Pieters, MD, PhD; Elkerliek Hospital

More Information

• Responsible Party: Tjard Schermer, senior researcher, Radboud University Nijmegen MC, Dept of Primary and Community Care
• ClinicalTrials.gov Identifier: NCT00962455
• Other Study ID Numbers: UMCN-CARA-0001113
• First Posted: August 20, 2009
• Last Update Posted: August 20, 2009
• Last Verified: August 2009

Keywords provided by Radboud University Medical Center:

Spirometry; Family Practice; Randomized Controlled Trial; Feedback; Intervention Studies

Additional relevant MeSH terms:

Pulmonary Disease, Chronic Obstructive; Respiratory Tract Diseases; Lung Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Lung Diseases, Obstructive