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Assessment of the COPD risktest in the general practice.


- candidate number12158
- NTR NumberNTR3391
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR30-mrt-2012
- Secondary IDs12N36 METC Heerlen, The Netherlands
- Public TitleAssessment of the COPD risktest in the general practice.
- Scientific TitleImplementation of the COPD risktest in general practice.
- ACRONYMnone
- hypothesisThere is underdiagnosis of COPD. To solve this problem, we want to check healthy persons after a questionnaire on high risk of COPD.
- Healt Condition(s) or Problem(s) studiedRisc, Chronic Obstructive Pulmonary Disease (COPD), Questionnaires, General practitioner, Underdiagnosis
- Inclusion criteriaAll healthy persons from 40 till 70 years old.
- Exclusion criteriaAll persons having COPD or astma or bronchitis or immobile or having a terminal disease like cancer, or having severe comorbidities.
- mec approval receivedyes
- multicenter trialno
- randomisedno
- groupParallel
- TypeSingle arm
- Studytypeobservational
- planned startdate 16-apr-2012
- planned closingdate9-jul-2012
- Target number of participants10
- InterventionsThe intervention in this survey is to implement early detection of COPD as a structural inbedded method in daily general practice work. The COPD risktest as a health questionnaire will be used and send to all patients of one age cohort year (between 40 and 70 years) in a month. After response workload and time aspects will be assessed. There will be used questionnaires for health workers: the Barrier and Facilitator Assessment Instrument; in-depth interviews; time capacity checklist; practice characteristics.
- Primary outcome1. Inventarisation of workload in general practice during implementation of the COPD risktest;
2. To detect the barriers and beneficial factors during implementation;
3. To help to construct and enroll a national guideline for implementation of the COPD risktest.
- Secondary outcome1. To detect differences between lower and higher social class respondents;
2. Measuring attitudes and opinions of the health workers in a general practice.
- TimepointsPreparation of the study: January,February, March 2012.
Data collection: April,May and June 2012.
Working out and writing and making conclusions in a report: July and August 2012.
- Trial web siteN/A
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIESMD. PhD. Jean Muris
- CONTACT for SCIENTIFIC QUERIES H. Tange
- Sponsor/Initiator Astmafonds Foundation
- Funding
(Source(s) of Monetary or Material Support)
CAPHRI, The Research Institute of the University Maastricht
- Publications1.Dirven JAM, Muris JWM, Schayck CP van. COPD Screening in General Practice Using a Telephone Questionnaire. Journal of Chronic Obstructive Pulmonary Disease, 2010, 7:352–359.
2.Van Schayck CP, Loozen JM, Wagena E et al. Detecting patients at a high risk of developing chronic obstructive pulmonary disease in general practice: cross sectional case finding study. BMJ 2002; 324: 1370.
3.Price DB, Tinkelman DG, Halbert RJ et al. Symptom-based questionnaire for identifying COPD in smokers. Respiration 2006; 73: 285-295.
- Brief summaryRationale:
In the general practice there is COPD underdiagnosis. Early detection of COPD can delay the pathological process of the disease. We know the COPD Respiratory Screening Health Questionnaire as validated risktest to find COPD patients at risk. The Dutch Association of General Practitioners is going to develop a program for GP’s to launch the pilot of the “COPD Prevention Consultation Program”, where the COPD risktest is used. This research protocol includes an assessment of this program.

Objective:
How will the “COPD prevention consultation program” influence the workload in a general practice? Which barriers will be met?

Study design:
An observational survey among health care workers using mixed methods. (quantitative questionnaires and in-depth interviews).

Study population:
All health care workers who are involved in the “COPD Prevention Consultation Program” in the general practice surgery.

Intervention:
Not applicable.

Main study parameters/endpoints:
The expirienced workload for health care workers. Barriers and beneficial factors.
- Main changes (audit trail)
- RECORD30-mrt-2012 - 21-apr-2012


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