Contact information
Type
Scientific
Primary contact
Dr David Wyatt Johnson
ORCID ID
Contact details
Alberta Children's Hospital
Room 1562
1820 Richmond Road SW
Calgary
T2T 5C7
Canada
+1 403 943 7507
david.johnson@calgaryhealthregion.ca
Additional identifiers
EudraCT number
ClinicalTrials.gov number
NCT00147849
Protocol/serial number
MCT-63141
Study information
Scientific title
A cluster controlled trial comparing three methods of disseminating practice guidelines for children with croup
Acronym
CPG
Study hypothesis
To determine which of the three intervention strategies are most effective at lowering the rate of hospital days per 1000 disease episodes. To determine which of the three dissemination strategies are most effective at increasing the use of therapies of known benefit.
Ethics approval
University of Calgary Health Research Ethics Board approved on the 7th December 2000
Study design
Cluster controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Hospitals
Trial type
Treatment
Patient information sheet
Condition
Croup
Intervention
Group 1: Mailing of printed educational materials (the 'Standard intervention')
Group 2: Mailing plus a combination of interactive educational meetings, educational outreach visits, and reminders (a 'Saturn intervention')
Group 3: A combination of mailing, interactive sessions, outreach visits, reminders plus identification of local opinion leaders and establishment of local consensus processes (a 'Cadillac intervention')
Intervention type
Other
Phase
Not Applicable
Drug names
Primary outcome measure
The rate of hospital days per 1000 disease episodes.
Secondary outcome measures
1. Proportion of patients treated in the Emergency Department (ED) and hospital with a corticosteroid
2. Proportion of patients evaluated in ED for at least 3 hours after treatment with corticosteroids before the decision to admit to hospital is made
3. Time to treatment with corticosteroids in both ED and hospital patients
Overall trial start date
01/12/2001
Overall trial end date
31/03/2006
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
1. Alberta hospitals were rank ordered based on their rate of hospitalisation and the size of their patient population. The administrative, nursing, and medical staff from the 36 highest ranking hospitals were approached and asked to participate. 24 agreed and 12 refused
2. Children with croup aged 28 days to 9 years, either sex were the subject of the disseminated guidelines
Participant type
Patient
Age group
Child
Gender
Both
Target number of participants
24
Participant exclusion criteria
Does not meet inclusion criteria
Recruitment start date
01/12/2001
Recruitment end date
31/03/2006
Locations
Countries of recruitment
Canada
Trial participating centre
Alberta Children's Hospital
Calgary
T2T 5C7
Canada
Sponsor information
Organisation
Alberta Children's Hospital (Canada)
Sponsor details
1820 Richmond Road S.W.
Calgary
T2T 5C7
Canada
+1 403 229 7211
david.johnson@calgaryhealthregion.ca
Sponsor type
Hospital/treatment centre
Website
http://www.childrenshospital.ab.ca/albertachildrenshospital.html
Funders
Funder type
Research organisation
Funder name
Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-63141)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
Alberta Medical Association Medical Services Budget Innovation Fund (Canada)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
Alberta Medical Association Clinical Practice Guideline Program (Canada)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Basic results (scientific)
Publication list
2006 protocol in http://www.ncbi.nlm.nih.gov/pubmed/16722541
Publication citations
-
Protocol
Johnson DW, Craig W, Brant R, Mitton C, Svenson L, Klassen TP, A cluster randomized controlled trial comparing three methods of disseminating practice guidelines for children with croup [ISRCTN73394937]., Implement Sci, 2006, 1, 10, doi: 10.1186/1748-5908-1-10.