Evaluating the effectiveness of a Diabetes Needs Assessment Tool (DNAT): a randomised controlled trial

ISRCTN	ISRCTN67215088
DOI	https://doi.org/10.1186/ISRCTN67215088
Protocol serial number	N/A
Sponsor	BMJ Group (UK)
Funders	Merck Sharp and Dohme Regional Business Support Center (MSD RBSC) GmbH (Germany) - involved in design of study but no access to data or statistical analyses, BMJ Group (UK) - not involved in statistical analyses

Submission date: 29/01/2009
Registration date: 30/01/2009
Last edited: 11/01/2018

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Nutritional, Metabolic, Endocrine

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Dean Jenkins
Scientific

Cardiff Medicentre
Heath Park
Cardiff
CF14 4UJ
United Kingdom

Phone	+44 (0)2920 757744
Email	DJenkins@bmjgroup.com

Study information

Primary study design	Interventional
Study design	Multicentre randomised controlled trial
Secondary study design	Randomised controlled trial
Study type	Participant information sheet
Scientific title	Evaluating the effectiveness of using a Diabetes Needs Assessment Tool (DNAT) on health professionals' knowledge of diabetes and self-reported changes in clinical practice: a randomised controlled trial
Study objectives	Amended as of 26/03/2009: Aims: 1. To evaluate the effectiveness of using a new online Diabetes Needs Assessment Tool (DNAT) to improve knowledge of how to manage diabetes 2. To evaluate the acceptability of this format of learning 3. To evaluate self-reported changes in clinical practice as a result of this learning Hypotheses: 1. Four months after being administered the online learning materials, learners in the intervention group will show greater diabetes knowledge and report higher levels of acceptability of the learning materials than learners in the control group 2. Five months after being administered the online learning materials, learners in the intervention group will report more changes to their clinical practice than learners in the control group Initial information at the time of registration: Aims: 1. To evaluate the effectiveness of using a new online Diabetes Needs Assessment Tool (DNAT) to improve knowledge of how to manage diabetes 2. To evaluate the acceptability of this format of learning 3. To evaluate self-reported changes in clinical practice as a result of this learning Hypotheses: 1. Four months after being administered the online learning materials, learners in the intervention group will show greater knowledge change and report higher levels of acceptability of the learning materials than learners in the control group 2. Five months after being administered the online learning materials, learners in the intervention group will report more changes to their clinical practice than learners in the control group
Ethics approval(s)	As of 11/02/2009 the REC for Wales has confirmed that the study does not require full ethical review
Health condition(s) or problem(s) studied	Diabetes
Intervention	Both the control group and the intervention group will be given access to the same online Diabetes Learning Modules during a 4-month learning period. The Diabetes Learning Modules include: 1. Current evidence-based guidelines (particularly those of the European Society of Cardiology and the European Association for the Study of Diabetes [ESC-EASD] Guidelines on Diabetes, Pre-diabetes and Cardiovascular Disease) 2. Important clinical areas and common difficulties in practice 3. Type 1, Type 2, diabetes in pregnancy and secondary causes of diabetes All content of these learning modules is applicable to European practice and material comes from BMJ Learning, Elsevier Health Sciences and the International Diabetes Federation. In addition to the Diabetes Learning Modules, the intervention group will be administered the Diabetes Needs Assessment Tool (DNAT). The DNAT is a computerised adaptive test comprised of clinically rich case problems. On completion of the DNAT, a personalised learning report is created for each learner identifying their learning needs alongside individualised recommendations of the most appropriate Diabetes Learning Modules to meet those needs. At any stage this personalised report can be viewed listing the performance of the learner at that point.
Intervention type	Other
Primary outcome measure(s)	Amended as of 26/03/2009: Diabetes knowledge as measured by the Diabetes Knowledge Test at four months. Initial information at the time of registration: Change in knowledge scores on the Diabetes Knowledge Test from baseline (randomisation) to 4 months after administration of learning materials.
Key secondary outcome measure(s)	1. Acceptability of the learning materials measured by an electronic survey 4 months after being administered the learning materials 2. Self-reported changes in clinical practice measured by an electronic survey 5 months after being administered the learning materials
Completion date	25/09/2009

Eligibility

Participant type(s)	Patient
Age group	Adult
Sex	All
Target sample size at registration	200
Key inclusion criteria	Participants must be either English or German speaking practising doctors or nurses (approximately 20 - 65 years, either sex) managing at least one patient with diabetes a week.
Key exclusion criteria	Doctors and nurses not managing at least one patient with diabetes a week.
Date of first enrolment	06/02/2009
Date of final enrolment	25/09/2009

Locations

Countries of recruitment

United Kingdom
Wales
Germany

Study participating centre

Cardiff Medicentre

Cardiff
CF14 4UJ
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results	16/06/2011		Yes	No
Protocol article	protocol	30/07/2009		Yes	No
Participant information sheet	Participant information sheet	11/11/2025	11/11/2025	No	Yes

Editorial Notes

11/01/2018: publication ref added.