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| Name | Class |
|---|---|
| Fondo de Investigacion Sanitaria | OTHER |
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A multicenter study to evaluate the effectiveness of a teaching strategy based on the incorporation of educational games with simulated settings versus usual practice based on diffusion for the implementation of clinical practice guidelines in Family Medicine Residency Program. The impact of the new strategy will be measured in improving knowledge and skill acquisition in clinical decision making of Family Medicine Residency Program after 6 months. Effectiveness will also be measured a month and 12 months after intervention.
Objective: To evaluate the effectiveness of educational games to implementation practice guidelines to acquire skills in clinical decision-making by family medicine residents in Spain.
Secondary objectives: To describe the strategies utilized in Residency Program in Family Medicine in Spain to teach the use of practice guidelines. To identify barriers and facilitators for the use of practice guidelines for family medicine residents.
Setting: Unit Family Medicine in Spain. Study design: Multicentric cluster randomised controlled clinical trial. Population: Family Medicine Residents of second and third year. Sample size: 394 residents (197 in each arm). The randomization units will be units (clusters). The units of analysis are professionals (residents). Variables: Main outcome variable measured in both groups: assess of skill levels and number of correct answers about clinical questions in diabetes, anxiety disorders, antibiotic prescription and insomnia clinical practice guidelines in primary care.
Sociodemographic variables and educational variables for each subject and variables regarding Residency Program in Family Medicine.
Intervention: EDUCAGUIA plan. Incorporating educational games online for each guideline.
Statistical Analysis: Primary and secondary effectiveness. Adjusting by contextual and individual variables factors with mixed effects models (lineal regression) (dependent variable: points obtained in educational games in each guide).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Educaguia intervention | Experimental | Implementation of practice clinical guidelines with educational games |
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| Control group | Active Comparator | Implementation of clinical practice guidelines with standard practice care |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| educaguia intervention | Behavioral | Health professionals (residents) play with educational games in order to acquire knowledge and skill about management of clinical practice guidelines. |
| Measure | Description | Time Frame |
|---|---|---|
| Assessing clinical decision-making skills | Outcomes of a test designed to assess problem solving and clinical decision making skills about anxiety disorders, diabetes, insomnia and prescription antibiotics prescription after six months after intervention. | Change from Baseline skills at 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Assessing clinical decision-making skills | Outcomes of a test designed to assess problem solving and clinical decision making skills about anxiety disorders, diabetes, insomnia and prescription antibiotics prescription after 1 month and 12 months after intervention. | Change from Baseline at 1 month and 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Isabel del Cura, MD PhD | Reserch Unit. Gerencia de Atención Primaria Madrid, Servicio Madrileño de Salud. Madrid. Spain. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gerencia de Atención Primaria | Madrid | 28035 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27189180 | Background | Del Cura-Gonzalez I, Lopez-Rodriguez JA, Sanz-Cuesta T, Rodriguez-Barrientos R, Martin-Fernandez J, Ariza-Cardiel G, Polentinos-Castro E, Roman-Crespo B, Escortell-Mayor E, Rico-Blazquez M, Hernandez-Santiago V, Azcoaga-Lorenzo A, Ojeda-Ruiz E, Gonzalez-Gonzalez AI, Avila-Tomas JF, Barrio-Cortes J, Molero-Garcia JM, Ferrer-Pena R, Tello-Bernabe ME, Trujillo-Martin M; Educaguia Group. Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project): a clinical trial by clusters. Implement Sci. 2016 May 17;11:71. doi: 10.1186/s13012-016-0425-3. | |
| 36564769 |
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| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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| control group | Other | Health professional will learn how to manage a clinical practice guidelines with standard clinical practice. |
|
| Derived |
| Del Cura-Gonzalez I, Ariza-Cardiel G, Polentinos-Castro E, Lopez-Rodriguez JA, Sanz-Cuesta T, Barrio-Cortes J, Andreu-Ivorra B, Rodriguez-Barrientos R, Avila-Tomas JF, Gallego-Ruiz-de-Elvira E, Lozano-Hernandez C, Martin-Fernandez J; Educaguia Group. Effectiveness of a game-based educational strategy e-EDUCAGUIA for implementing antimicrobial clinical practice guidelines in family medicine residents in Spain: a randomized clinical trial by cluster. BMC Med Educ. 2022 Dec 24;22(1):893. doi: 10.1186/s12909-022-03843-4. |
| D008722 | Methods |