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Effectiveness of a virtual intervention for primary healthcare professionals aimed at improving attitudes towards the empowerment of patients with chronic diseases: study protocol for a cluster randomized controlled trial (e-MPODERA project).
Trials. 2017 Oct 30; 18(1):505.T

Abstract

BACKGROUND

Communities of practice are based on the idea that learning involves a group of people exchanging experiences and knowledge. The e-MPODERA project aims to assess the effectiveness of a virtual community of practice aimed at improving primary healthcare professional attitudes to the empowerment of patients with chronic diseases.

METHODS

This paper describes the protocol for a cluster randomized controlled trial. We will randomly assign 18 primary-care practices per participating region of Spain (Catalonia, Madrid and Canary Islands) to a virtual community of practice or to usual training. The primary-care practice will be the randomization unit and the primary healthcare professional will be the unit of analysis. We will need a sample of 270 primary healthcare professionals (general practitioners and nurses) and 1382 patients. We will perform randomization after professionals and patients are selected. We will ask the intervention group to participate for 12 months in a virtual community of practice based on a web 2.0 platform. We will measure the primary outcome using the Patient-Provider Orientation Scale questionnaire administered at baseline and after 12 months. Secondary outcomes will be the sociodemographic characteristics of health professionals, sociodemographic and clinical characteristics of patients, the Patient Activation Measure questionnaire for patient activation and outcomes regarding use of the virtual community of practice. We will calculate a linear mixed-effects regression to estimate the effect of participating in the virtual community of practice.

DISCUSSION

This cluster randomized controlled trial will show whether a virtual intervention for primary healthcare professionals improves attitudes to the empowerment of patients with chronic diseases.

TRIAL REGISTRATION

ClicalTrials.gov, NCT02757781 . Registered on 25 April 2016. Protocol Version. PI15.01 22 January 2016.

Authors+Show Affiliations

Centro de Salud Vicente Muzas, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Calle Vicente Muzas 8, 28043, Madrid, Spain. aisabel.gonzalezg@salud.madrid.org.Instituto Universitario Avedis Donabedian, Universidad Autónoma de Barcelona, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Calle Provença 293 pral, 08037, Barcelona, Spain.Servicio de Evaluación y Planificación, Dirección del Servicio Canario de la Salud, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Camino Candelaria s/n. Centro de Salud El Chorrillo, 38109 El Rosario, Santa Cruz de Tenerife, Spain.Unidad de Apoyo Técnico, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Calle San Martín de Porres 6, 28035, Madrid, Spain.Instituto Universitario Avedis Donabedian, Universidad Autónoma de Barcelona, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Calle Provença 293 pral, 08037, Barcelona, Spain.Instituto Universitario Avedis Donabedian, Universidad Autónoma de Barcelona, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Calle Provença 293 pral, 08037, Barcelona, Spain.Instituto Universitario Avedis Donabedian, Universidad Autónoma de Barcelona, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Calle Provença 293 pral, 08037, Barcelona, Spain.Fundación Canaria de Investigación y Salud, Hospital Universitario de Canarias, Pl. -1. Crta. La Cuesta-Taco, 38320, La Laguna, Tenerife, Spain.Fundación Canaria de Investigación y Salud, Hospital Universitario de Canarias, Pl. -1. Crta. La Cuesta-Taco, 38320, La Laguna, Tenerife, Spain.Fundación Canaria de Investigación y Salud, Hospital Universitario de Canarias, Pl. -1. Crta. La Cuesta-Taco, 38320, La Laguna, Tenerife, Spain.Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Calle Roc Boronat 81-95, 08005, Barcelona, Spain.Dirección Técnica de Procesos y Calidad, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Facultad de Enfermería de la Universidad Complutense de Madrid, Calle San Martín de Porres 6, 28035, Madrid, Spain.Centro de Salud Vicente Muzas, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Calle Vicente Muzas 8, 28043, Madrid, Spain.Centro de Salud Monóvar, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Calle Monóvar 11, 28033, Madrid, Spain.Unidad de Apoyo Técnico, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Calle San Martín de Porres 6, 28035, Madrid, Spain.Unidad de Apoyo Técnico, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Calle San Martín de Porres 6, 28035, Madrid, Spain.Unidad de Apoyo Técnico, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Calle San Martín de Porres 6, 28035, Madrid, Spain.Área de Cronicidad, Subdirección General de Continuidad Asistencial, Servicio Madrileño de Salud, Calle San Martín de Porres 6, 28035, Madrid, Spain.Dirección Técnica de Sistemas de Información Sanitaria, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Calle San Martín de Porres 6, 28035, Madrid, Spain.Gerencia de Atención Primaria de Tenerife del Servicio Canario de la Salud, Calle Monteverde 45, 38003, Tenerife, Spain.Hospital Universitario Nuestra Señora de la Candelaria, Ctra. Gral. del Rosario 145, 38010, Tenerife, Spain.

Pub Type(s)

Journal Article
Multicenter Study
Pragmatic Clinical Trial
Randomized Controlled Trial

Language

eng

PubMed ID

29084597

Citation

González-González, Ana Isabel, et al. "Effectiveness of a Virtual Intervention for Primary Healthcare Professionals Aimed at Improving Attitudes Towards the Empowerment of Patients With Chronic Diseases: Study Protocol for a Cluster Randomized Controlled Trial (e-MPODERA Project)." Trials, vol. 18, no. 1, 2017, p. 505.
González-González AI, Orrego C, Perestelo-Perez L, et al. Effectiveness of a virtual intervention for primary healthcare professionals aimed at improving attitudes towards the empowerment of patients with chronic diseases: study protocol for a cluster randomized controlled trial (e-MPODERA project). Trials. 2017;18(1):505.
González-González, A. I., Orrego, C., Perestelo-Perez, L., Bermejo-Caja, C. J., Mora, N., Koatz, D., Ballester, M., Del Pino, T., Pérez-Ramos, J., Toledo-Chavarri, A., Robles, N., Pérez-Rivas, F. J., Ramírez-Puerta, A. B., Canellas-Criado, Y., Del Rey-Granado, Y., Muñoz-Balsa, M. J., Becerril-Rojas, B., Rodríguez-Morales, D., Sánchez-Perruca, L., ... Aguirre, A. (2017). Effectiveness of a virtual intervention for primary healthcare professionals aimed at improving attitudes towards the empowerment of patients with chronic diseases: study protocol for a cluster randomized controlled trial (e-MPODERA project). Trials, 18(1), 505. https://doi.org/10.1186/s13063-017-2232-9
González-González AI, et al. Effectiveness of a Virtual Intervention for Primary Healthcare Professionals Aimed at Improving Attitudes Towards the Empowerment of Patients With Chronic Diseases: Study Protocol for a Cluster Randomized Controlled Trial (e-MPODERA Project). Trials. 2017 Oct 30;18(1):505. PubMed PMID: 29084597.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of a virtual intervention for primary healthcare professionals aimed at improving attitudes towards the empowerment of patients with chronic diseases: study protocol for a cluster randomized controlled trial (e-MPODERA project). AU - González-González,Ana Isabel, AU - Orrego,Carola, AU - Perestelo-Perez,Lilisbeth, AU - Bermejo-Caja,Carlos Jesús, AU - Mora,Nuria, AU - Koatz,Débora, AU - Ballester,Marta, AU - Del Pino,Tasmania, AU - Pérez-Ramos,Jeannet, AU - Toledo-Chavarri,Ana, AU - Robles,Noemí, AU - Pérez-Rivas,Francisco Javier, AU - Ramírez-Puerta,Ana Belén, AU - Canellas-Criado,Yolanda, AU - Del Rey-Granado,Yolanda, AU - Muñoz-Balsa,Marcos José, AU - Becerril-Rojas,Beatriz, AU - Rodríguez-Morales,David, AU - Sánchez-Perruca,Luis, AU - Vázquez,José Ramón, AU - Aguirre,Armando, Y1 - 2017/10/30/ PY - 2017/03/25/received PY - 2017/10/04/accepted PY - 2017/11/1/entrez PY - 2017/11/1/pubmed PY - 2018/6/26/medline KW - Empowerment KW - Healthcare professional attitudes KW - Primary healthcare KW - Virtual system SP - 505 EP - 505 JF - Trials JO - Trials VL - 18 IS - 1 N2 - BACKGROUND: Communities of practice are based on the idea that learning involves a group of people exchanging experiences and knowledge. The e-MPODERA project aims to assess the effectiveness of a virtual community of practice aimed at improving primary healthcare professional attitudes to the empowerment of patients with chronic diseases. METHODS: This paper describes the protocol for a cluster randomized controlled trial. We will randomly assign 18 primary-care practices per participating region of Spain (Catalonia, Madrid and Canary Islands) to a virtual community of practice or to usual training. The primary-care practice will be the randomization unit and the primary healthcare professional will be the unit of analysis. We will need a sample of 270 primary healthcare professionals (general practitioners and nurses) and 1382 patients. We will perform randomization after professionals and patients are selected. We will ask the intervention group to participate for 12 months in a virtual community of practice based on a web 2.0 platform. We will measure the primary outcome using the Patient-Provider Orientation Scale questionnaire administered at baseline and after 12 months. Secondary outcomes will be the sociodemographic characteristics of health professionals, sociodemographic and clinical characteristics of patients, the Patient Activation Measure questionnaire for patient activation and outcomes regarding use of the virtual community of practice. We will calculate a linear mixed-effects regression to estimate the effect of participating in the virtual community of practice. DISCUSSION: This cluster randomized controlled trial will show whether a virtual intervention for primary healthcare professionals improves attitudes to the empowerment of patients with chronic diseases. TRIAL REGISTRATION: ClicalTrials.gov, NCT02757781 . Registered on 25 April 2016. Protocol Version. PI15.01 22 January 2016. SN - 1745-6215 UR - https://www.unboundmedicine.com/medline/citation/29084597/Effectiveness_of_a_virtual_intervention_for_primary_healthcare_professionals_aimed_at_improving_attitudes_towards_the_empowerment_of_patients_with_chronic_diseases:_study_protocol_for_a_cluster_randomized_controlled_trial__e_MPODERA_project__ L2 - https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-017-2232-9 DB - PRIME DP - Unbound Medicine ER -