Ignite Creation Date:
2024-05-05 @ 11:23 AM
Last Modification Date:
2024-10-26 @ 9:06 AM
Study NCT ID:
NCT00013104
Status:
COMPLETED
Last Update Posted:
2015-04-07
First Post:
2001-03-14
Brief Title:
Implementation of Ischemic Heart Disease Clinical Practice Guidelines
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Implementation of Ischemic Heart Disease Clinical Practice Guidelines
Status:
COMPLETED
Status Verified Date:
2005-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to design and evaluate targeted implementation strategies to fully integrate the VHA clinical practice guidelines for ischemic heart disease into VHA clinical practice Effectively implementing the guideline will enhance the quality appropriateness timeliness and cost effectiveness of care delivered to veterans with ischemic heart disease
Detailed Description:
Background
The purpose of this study is to design and evaluate targeted implementation strategies to fully integrate the VHA clinical practice guidelines for ischemic heart disease into VHA clinical practice Effectively implementing the guideline will enhance the quality appropriateness timeliness and cost effectiveness of care delivered to veterans with ischemic heart disease
Objectives
The long-term objective of this study is to identify the best strategies for implementing the IHD guidelines to improve guideline adherence and provider acceptance The specific objectives of the study are to 1 describe the temporal aspects of guideline acceptance and adherence over three periods of time pre-implementation post-implementation of general strategies and post- implementation of targeted strategies 2 assess the relative effectiveness of targeted intervention strategies on guideline adherence 3 identify the relationships among provider beliefs attitudes and their intentions to use guidelines 4 identify the costs associated with implementation of general and targeted implementation strategies and 5 describe provider satisfaction with targeted implementation strategies
Methods
Qualitative focus groups interviews with key informants and quantitative methods surveys chart reviews are used to address study objectives A survey will be sent to providers to measure beliefs and attitudes that predict provider acceptance to clinical practice guidelines Patient level data will be collected from reviews of charts from each facility Based on provider focus groups we will design targeted strategies to overcome system barriers and address needs identified by providers to support clinical practice guideline implementation A randomized trial will be conducted to assess the relative effectiveness of the targeted intervention strategies
Status
Data collection has ended We are currently evaluating adherence data at all sites following introduction of case management to determine if the intervention increases adherence to the guidelines
The purpose of this study is to design and evaluate targeted implementation strategies to fully integrate the VHA clinical practice guidelines for ischemic heart disease into VHA clinical practice Effectively implementing the guideline will enhance the quality appropriateness timeliness and cost effectiveness of care delivered to veterans with ischemic heart disease
Objectives
The long-term objective of this study is to identify the best strategies for implementing the IHD guidelines to improve guideline adherence and provider acceptance The specific objectives of the study are to 1 describe the temporal aspects of guideline acceptance and adherence over three periods of time pre-implementation post-implementation of general strategies and post- implementation of targeted strategies 2 assess the relative effectiveness of targeted intervention strategies on guideline adherence 3 identify the relationships among provider beliefs attitudes and their intentions to use guidelines 4 identify the costs associated with implementation of general and targeted implementation strategies and 5 describe provider satisfaction with targeted implementation strategies
Methods
Qualitative focus groups interviews with key informants and quantitative methods surveys chart reviews are used to address study objectives A survey will be sent to providers to measure beliefs and attitudes that predict provider acceptance to clinical practice guidelines Patient level data will be collected from reviews of charts from each facility Based on provider focus groups we will design targeted strategies to overcome system barriers and address needs identified by providers to support clinical practice guideline implementation A randomized trial will be conducted to assess the relative effectiveness of the targeted intervention strategies
Status
Data collection has ended We are currently evaluating adherence data at all sites following introduction of case management to determine if the intervention increases adherence to the guidelines
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None