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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)

机译:针对主要医疗保健专业人员的虚拟干预措施的有效性,旨在改善对慢性病患者赋权的态度:一项集群随机对照试验的研究方案(e-MPODERA项目)

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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. 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. 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. ClicalTrials.gov, NCT02757781 . Registered on 25 April 2016. Protocol Version. PI15.01 22 January 2016.
机译:实践社区基于这样的思想,即学习涉及一群交流经验和知识的人。 e-MPODERA项目旨在评估虚拟实践社区的有效性,该实践社区旨在改善初级保健专业人士对慢性病患者赋权的态度。本文介绍了群集随机对照试验的方案。我们将在西班牙的每个参与地区(加泰罗尼亚,马德里和加那利群岛)随机分配18种初级保健实践到虚拟实践社区或常规培训。初级保健实践将是随机单位,而初级保健专业人员将是分析单位。我们将需要270名初级保健专业人员(全科医生和护士)和1382名患者的样本。选择专业人员和患者后,我们将进行随机分组。我们将要求干预小组参加基于Web 2.0平台的虚拟实践社区12个月。我们将在基线和12个月后使用患者提供者取向量表调查主要结局。次要结果将是卫生专业人员的社会人口统计学特征,患者的社会人口统计学和临床​​特征,用于患者激活的患者激活度量问卷以及有关使用虚拟实践社区的结果。我们将计算线性混合效应回归,以估计参与虚拟实践社区的效果。这项整群随机对照试验将显示对初级保健专业人员的虚拟干预是否可以改善对赋予慢性病患者能力的态度。 ClicalTrials.gov,NCT02757781。 2016年4月25日注册。协议版本。 PI15.01 2016年1月22日。

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