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| Name | Class |
|---|---|
| Servicio Canario de Salud | OTHER |
| Gerencia de Atención Primaria, Madrid | OTHER_GOV |
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The eMPODERA study aims to assess the effectiveness of a Community of Practice (CdP) virtual in improving attitudes of primary care professionals on the empowerment of patients with chronic diseases.
Main Objective: to assess the effectiveness of a Community of Practice (CdP) virtual in improving attitudes of health professionals in primary care on the empowerment of patients with chronic diseases.
Methodology:
Design: cluster randomised controlled.
Scope: primary care centers (PCC) belonging to the Regions of Catalonia, Madrid and Canary Islands.
Population: primary care health professionals (family doctors and nurses).
Sample size: 270 healthcare professionals and 1382 patients.
Randomization: Randomization unit: PCC; unit of analysis: primary care health professionals. 9 pairs of PCC by region will be randomly selected and randomly assigned to the intervention or control group. Randomization will be performed after the selection of professionals and patients.
Intervention: the intervention group will be offered participation for 12 months in a virtual CdP based on a web 2.0 platform. The control group will receive usual training.
Measurements: the primary outcome will be measured by Patient-Provider Orientation Scale (PPOS) questionnaire at baseline and 12 months. Secondary outcomes: sociodemographic of professionals; sociodemographic and clinical characteristics of patients; Patient Activation Measure (PAM) questionnaire for patient activation; outcomes regarding use of the CdP.
Analysis: A linear mixed-effects regression to estimate the effect of participating in the CdP will be estimated. Additionally, an analysis of how the CdP is functioning through techniques of social network analysis and control charts will be performed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | No Intervention | Group of healthcare professionals that NOT receive the intervention (community of practice) | |
| Intervention group | Experimental | Group of healthcare professionals that receive the intervention (community of practice) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Community of Practice | Behavioral | The intervention group will be offered participation for 12 months in a virtual CdP based on a web 2.0 platform. The control group will receive usual training. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Patient-Provider Orientation Scale (PPOS) at 12 months | PPOS is a questionnaire administrated to healthcare professionals | At baseline and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Patient Activation Measure (PAM) at 12 months | PAM is validated questionnaire to measure patient activation (administrated to patients) | Baseline and 12 months |
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Inclusion Criteria:
Clusters:
Healthcare professionals:
Exclusion Criteria:
Clusters:
- Primary Care Centres where its directors do not accept to participate in the trial
Healthcare professionals:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Carola Orrego, PhD | Contact | 34 932076608 | corrego@fadq.org |
| Name | Affiliation | Role |
|---|---|---|
| Carola Orrego, PhD | Avedis Donabedian Research Institute | Principal Investigator |
| Lilisbeth Perestelo, PhD | Servicio de Evaluación del Servicio Canario de la Salud | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38326814 | Derived | Koatz D, Torres-Castano A, Salrach-Arnau C, Perestelo-Perez L, Ramos-Garcia V, Gonzalez-Gonzalez AI, Pacheco-Huergo V, Toledo-Chavarri A, Gonzalez-Pacheco H, Orrego C. Exploring value creation in a virtual community of practice: a framework analysis for knowledge and skills development among primary care professionals. BMC Med Educ. 2024 Feb 7;24(1):121. doi: 10.1186/s12909-024-05061-6. | |
| 35606139 |
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There is not plan to make individual participant data available
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| ID | Term |
|---|---|
| D002908 | Chronic Disease |
| D010358 | Patient Participation |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010342 | Patient Acceptance of Health Care |
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| ID | Term |
|---|---|
| D018479 | Early Intervention, Educational |
| ID | Term |
|---|---|
| D002662 | Child Health Services |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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|
| Ana I Gonzalez, MD |
| Unidad de Apoyo Técnico de la Gerencia Asistencial de Atención Primaria de la Comunidad de Madrid |
| Principal Investigator |
| Carlos Bermejo, RN,Msc | Unidad de Apoyo Técnico de la Gerencia Asistencial de Atención Primaria de la Comunidad de Madrid | Principal Investigator |
| Derived |
| Orrego C, Perestelo-Perez L, Gonzalez-Gonzalez AI, Ballester-Santiago M, Koatz D, Pacheco-Huergo V, Rivero-Santana A, Ramos-Garcia V, Fernandez NM, Torres-Castano A, Bermejo-Caja C. A Virtual Community of Practice to Improve Primary Health Care Professionals' Attitudes Toward Patient Empowerment (e-MPODERA): A Cluster Randomized Trial. Ann Fam Med. 2022 May-Jun;20(3):204-210. doi: 10.1370/afm.2799. |
| 31221215 | Derived | Bermejo-Caja CJ, Koatz D, Orrego C, Perestelo-Perez L, Gonzalez-Gonzalez AI, Ballester M, Pacheco-Huergo V, Del Rey-Granado Y, Munoz-Balsa M, Ramirez-Puerta AB, Canellas-Criado Y, Perez-Rivas FJ, Toledo-Chavarri A, Martinez-Marcos M; e-MPODERA group. Acceptability and feasibility of a virtual community of practice to primary care professionals regarding patient empowerment: a qualitative pilot study. BMC Health Serv Res. 2019 Jun 20;19(1):403. doi: 10.1186/s12913-019-4185-z. |
| 29084597 | Derived | Gonzalez-Gonzalez AI, Orrego C, Perestelo-Perez L, Bermejo-Caja CJ, Mora N, Koatz D, Ballester M, Del Pino T, Perez-Ramos J, Toledo-Chavarri A, Robles N, Perez-Rivas FJ, Ramirez-Puerta AB, Canellas-Criado Y, Del Rey-Granado Y, Munoz-Balsa MJ, Becerril-Rojas B, Rodriguez-Morales D, Sanchez-Perruca L, Vazquez JR, Aguirre A. 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. doi: 10.1186/s13063-017-2232-9. |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D011314 | Preventive Health Services |