Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners
Primary Purpose
Chronic Obstructive Pulmonary Disease, Metastatic Cancer
Status
Withdrawn
Phase
Not Applicable
Locations
Denmark
Study Type
Interventional
Intervention
continuing medical education and electronic decision support
education and electronic support
Sponsored by
About this trial
This is an interventional supportive care trial for Chronic Obstructive Pulmonary Disease focused on measuring Palliative care, Continuing medical education, General practitioner, Electronic decision support
Eligibility Criteria
Inclusion Criteria:
Working as General Practitioner in the Central Region of Denmark in 2013 and onwards
-
Exclusion Criteria:
-
Sites / Locations
- Aarhus University
Arms of the Study
Arm 1
Arm Type
Other
Arm Label
general practioner
Arm Description
Outcomes
Primary Outcome Measures
Place of death of deceased patients
Looking at the proportion of General practitioners patients dying at home in the year following the continuing medical education meeting
time spent at home the last three months of the deceased patients lives
Looking at all the deceased patients in one year following the continuing medical education meeting
Numbers of hospital admission the last three months of the deceased patients lives
Looking at all the deceased patients in one year following the continuing medical education meeting
Secondary Outcome Measures
and kinds of contacts between GPs and patients in the last three months of the deceased patients lives
use of relevant medicine and of the 'Safety Box' in the last three months of the deceased patients lives
GPs' confidence concerning palliative care
assessed using questionnaire before and after the intervention
Full Information
NCT ID
NCT02050256
First Posted
December 18, 2013
Last Updated
December 10, 2014
Sponsor
University of Aarhus
Collaborators
Danish Cancer Society, TrygFonden, Denmark
1. Study Identification
Unique Protocol Identification Number
NCT02050256
Brief Title
Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners
Official Title
Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners in Denmark - an Intervention Study
Study Type
Interventional
2. Study Status
Record Verification Date
December 2013
Overall Recruitment Status
Withdrawn
Why Stopped
due to organisational changes
Study Start Date
February 2014 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
December 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Aarhus
Collaborators
Danish Cancer Society, TrygFonden, Denmark
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Background: Optimizing the basic palliative care has been shown beneficial to patients in end-of-life care, the general practitioner (GP) having a pivotal role in the health care system, providing comprehensive and continued medical care.
The aim of the study is to investigate the effect of a complex intervention in general practice on GPs' awareness of and confidence in providing end-of-life care.
Method: A follow-up study among 404 general practices in Central Denmark Region. The participating general practices will get the opportunity to receive education in palliative care and access to an electronic support, which provides advice on palliative care and an overview of the palliative population in each medical practice. The education and the support will focus on patients suffering from either metastatic cancer or chronic obstructive pulmonary disease (GOLD stage 4).
The end-of-life care delivered by the GPs to their deceased patients will be analysed, based on questionnaires to GPs and register data related to the deceased patients before and after the intervention, .
Primary outcomes: Place of death of deceased patients, time spent at home, and number of hospital admissions in the last three months of the patients' lives.
Secondary outcomes: Number and kinds of contacts between GPs and patients, use of relevant medicine and of the 'Safety Box'. Finally GPs' confidence concerning palliative care will be assessed in questionnaires.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Obstructive Pulmonary Disease, Metastatic Cancer
Keywords
Palliative care, Continuing medical education, General practitioner, Electronic decision support
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
general practioner
Arm Type
Other
Intervention Type
Other
Intervention Name(s)
continuing medical education and electronic decision support
Intervention Type
Other
Intervention Name(s)
education and electronic support
Intervention Description
Continuing medical education and electronic decision support to General Practitioners.
Primary Outcome Measure Information:
Title
Place of death of deceased patients
Description
Looking at the proportion of General practitioners patients dying at home in the year following the continuing medical education meeting
Time Frame
1 year
Title
time spent at home the last three months of the deceased patients lives
Description
Looking at all the deceased patients in one year following the continuing medical education meeting
Time Frame
3 months
Title
Numbers of hospital admission the last three months of the deceased patients lives
Description
Looking at all the deceased patients in one year following the continuing medical education meeting
Time Frame
3 months
Secondary Outcome Measure Information:
Title
and kinds of contacts between GPs and patients in the last three months of the deceased patients lives
Time Frame
three months
Title
use of relevant medicine and of the 'Safety Box' in the last three months of the deceased patients lives
Time Frame
three months
Title
GPs' confidence concerning palliative care
Description
assessed using questionnaire before and after the intervention
Time Frame
14 months
10. Eligibility
Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Working as General Practitioner in the Central Region of Denmark in 2013 and onwards
-
Exclusion Criteria:
-
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anders B. Mr Jensen, Professor
Organizational Affiliation
Department of Oncology, Aarhus University Hospital, Denmark
Official's Role
Principal Investigator
Facility Information:
Facility Name
Aarhus University
City
Aarhus
ZIP/Postal Code
8000
Country
Denmark
12. IPD Sharing Statement
Citations:
PubMed Identifier
29925332
Citation
Winthereik AK, Neergaard MA, Jensen AB, Vedsted P. Development, modelling, and pilot testing of a complex intervention to support end-of-life care provided by Danish general practitioners. BMC Fam Pract. 2018 Jun 20;19(1):91. doi: 10.1186/s12875-018-0774-x.
Results Reference
derived
Learn more about this trial
Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners
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