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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

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Date
17/05/2016
Author
del Cura-González, Isabel
López-Rodríguez, Juan A.
Sanz-Cuesta, Teresa
Rodríguez-Barrientos, Ricardo
Martín-Fernández, Jesús
Ariza-Cardiel, Gloria
Polentinos-Castro, Elena
Román-Crespo, Begoña
Escortell-Mayor, Esperanza
Rico-Blázquez, Milagros
Hernández-Santiago, Virginia
Azcoaga-Lorenzo, Amaya
Ojeda-Ruiz, Elena
González-González, Ana I.
Ávila-Tomas, José F.
Barrio-Cortés, Jaime
Molero-García, José M.
Ferrer-Peña, Raul
Tello-Bernabé, María Eugenia
Trujillo-Martín, Mar
Barral, Araceli Garrido
Moreno, Aurora Fernández
Pérez, Paloma Casado
Barba, Emilio Cervera
Rodríguez Monje, María Teresa
Iturbe, Ana Gorroñogoitia
Crespo, Luis Ignacio Mendibil
Mañeru, M. Eulalia Mariñelarena
de Gómez Barragan, Ma Josefa Gil
Elustondo, Sofía Garrido
Fuertes, Rosario Riesgo
Cabello Ballesteros, Luisa María
Nido, Rocío álvarez
Moreno, Cruz Bartolome
Rojas, Guillermo Cairo
Rivas, Jose Luis Lopez
Pikatza, Amaya Zenarutzabeitia
Celaya, Carmen Sánchez
Montalvo, Mariel Morey
Almeida, Lizzy Paola Cisneros
álamo Rodríguez, Manuel Del
García-Franco, Alberto López
Weismann, Elisa Ceresuela
álvarez, Remedios Martín
Bustillo, Beatriz Medina
del Pozo, Marta Sánchez Celaya
Perruca, Luis Sánchez
Salinero Fort, Miguel ángel
de Burgos Luna, Carmen
SanJuan, Angel Mataix
Educaguia Group
Keywords
Experimental
Games
Health personnel/education
Practice guidelines as a topic
Problem solving
Professional competence
LB Theory and practice of education
RA0421 Public health. Hygiene. Preventive Medicine
Medicine(all)
Health Policy
Health Informatics
Public Health, Environmental and Occupational Health
NDAS
Metadata
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Altmetrics DOI Statistics
Abstract
Background: Clinical practice guidelines (CPGs) have been developed with the aim of helping health professionals, patients, and caregivers make decisions about their health care, using the best available evidence. In many cases, incorporation of these recommendations into clinical practice also implies a need for changes in routine clinical practice. Using educational games as a strategy for implementing recommendations among health professionals has been demonstrated to be effective in some studies; however, evidence is still scarce. The primary objective of this study is to assess the effectiveness of a teaching strategy for the implementation of CPGs using educational games (e-learning EDUCAGUIA) to improve knowledge and skills related to clinical decision-making by residents in family medicine. The primary objective will be evaluated at 1 and 6months after the intervention. The secondary objectives are to identify barriers and facilitators for the use of guidelines by residents of family medicine and to describe the educational strategies used by Spanish teaching units of family and community medicine to encourage implementation of CPGs. Methods/design: We propose a multicenter clinical trial with randomized allocation by clusters of family and community medicine teaching units in Spain. The sample size will be 394 residents (197 in each group), with the teaching units as the randomization unit and the residents comprising the analysis unit. For the intervention, both groups will receive an initial 1-h session on clinical practice guideline use and the usual dissemination strategy by e-mail. The intervention group (e-learning EDUCAGUIA) strategy will consist of educational games with hypothetical clinical scenarios in a virtual environment. The primary outcome will be the score obtained by the residents on evaluation questionnaires for each clinical practice guideline. Other included variables will be the sociodemographic and training variables of the residents and the teaching unit characteristics. The statistical analysis will consist of a descriptive analysis of variables and a baseline comparison of both groups. For the primary outcome analysis, an average score comparison of hypothetical scenario questionnaires between the EDUCAGUIA intervention group and the control group will be performed at 1 and 6months post-intervention, using 95% confidence intervals. A linear multilevel regression will be used to adjust the model. Discussion: The identification of effective teaching strategies will facilitate the incorporation of available knowledge into clinical practice that could eventually improve patient outcomes. The inclusion of information technologies as teaching tools permits greater learning autonomy and allows deeper instructor participation in the monitoring and supervision of residents. The long-term impact of this strategy is unknown; however, because it is aimed at professionals undergoing training and it addresses prevalent health problems, a small effect can be of great relevance. Trial registration: ClinicalTrials.gov: NCT02210442.
Citation
del Cura-González , I , López-Rodríguez , J A , Sanz-Cuesta , T , Rodríguez-Barrientos , R , Martín-Fernández , J , Ariza-Cardiel , G , Polentinos-Castro , E , Román-Crespo , B , Escortell-Mayor , E , Rico-Blázquez , M , Hernández-Santiago , V , Azcoaga-Lorenzo , A , Ojeda-Ruiz , E , González-González , A I , Ávila-Tomas , J F , Barrio-Cortés , J , Molero-García , J M , Ferrer-Peña , R , Tello-Bernabé , M E , Trujillo-Martín , M , Barral , A G , Moreno , A F , Pérez , P C , Barba , E C , Rodríguez Monje , M T , Iturbe , A G , Crespo , L I M , Mañeru , M E M , de Gómez Barragan , M J G , Elustondo , S G , Fuertes , R R , Cabello Ballesteros , L M , Nido , R Á , Moreno , C B , Rojas , G C , Rivas , J L L , Pikatza , A Z , Celaya , C S , Montalvo , M M , Almeida , L P C , álamo Rodríguez , M D , García-Franco , A L , Weismann , E C , álvarez , R M , Bustillo , B M , del Pozo , M S C , Perruca , L S , Salinero Fort , M Á , de Burgos Luna , C , SanJuan , A M & Educaguia Group 2016 , ' 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 ' , Implementation Science , vol. 11 , 71 . https://doi.org/10.1186/s13012-016-0425-3
Publication
Implementation Science
Status
Peer reviewed
DOI
https://doi.org/10.1186/s13012-016-0425-3
ISSN
1748-5908
Type
Journal article
Rights
© 2016 del Cura-González et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Description
This study was funded by the Fondo de Investigaciones Sanitarias FIS Grant Number PI11/0477 ISCIII.-REDISSEC Proyecto RD12/0001/0012 AND FEDER Funding.
Collections
  • University of St Andrews Research
URI
http://hdl.handle.net/10023/12111

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