Building on Existing Tools to Improve Chronic Disease Prevention in Family Practice: The Better Project
| ISRCTN | ISRCTN07170460 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN07170460 |
| Secondary identifying numbers | 2.0 |
- Submission date
- 23/03/2010
- Registration date
- 07/04/2010
- Last edited
- 25/01/2017
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Eva Grunfeld
Scientific
Scientific
500 University Ave.
Suite 352
Toronto
ON M5G 1V7
Canada
Study information
| Study design | Pragmatic randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Other |
| Participant information sheet | Not available in web format, please use contact details to request a patient information sheet |
| Scientific title | The use of patient- and practice-level interventions to improve chronic disease prevention in family practice: A pragmatic randomised controlled trial |
| Study acronym | BETTER |
| Study objectives | 1. In a family practice group setting, to determine if a patient-centred prevention and screening intervention by a well-trained health professional, for adults aged 40 to 65, is effective. 2. In a family practice group setting, to determine if a practice-centred intervention is effective. 3. To determine if either the patient-centred or practice-centred interventions are cost-effective. |
| Ethics approval(s) | 1. University of Alberta Research Ethics Board, 08/04/2010 2. Ontario Cancer Research Ethics Board, 31/05/2010, ref: #10-024 |
| Health condition(s) or problem(s) studied | Chronic disease prevention - specifically cancer, diabetes and cardiovascular diseases |
| Intervention | 1. Patient-level intervention with a trained health care professional during which a plan will be developed for the patient. All recommendations and discussions will be based on the 'BETTER' prevention and screening manoeuvers that are evidence-based best practice manoeuvers. 2. Practice-level intervention will involve a trained Practice Facilitator who will develop a plan for the practice that will focus on how to optimise the use of existing information tools and resources. |
| Intervention type | Other |
| Primary outcome measure | The Summary Quality Index (SQUID), measured at 6 months A reliable and valid composite measure to track quality of care among primary care practice patients that use an electronic medical record (EMR). The primary analysis will be a comparison between the SQUID of the intervention group and the SQUID of the control group. |
| Secondary outcome measures | 1. Assessment of the impact of the intervention in improving the quality of care, comparison made from baseline to 6 months follow-up (intervention group only) 2. Economic evaluation to examine the cost-effectiveness of the interventions Outcomes will be measured at 12 months. |
| Overall study start date | 01/07/2010 |
| Completion date | 01/03/2012 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 1120 |
| Key inclusion criteria | 1. Strata 1: 1.1. Adult patients of the participating Family Physicians who are between the ages of 40 and 65, inclusive 1.2. Written informed consent to participate in the trial 2. Strata 2: Adults with moderate mental illness aged 40 to 65 |
| Key exclusion criteria | 1. Patients who are unable to give written informed consent for reasons of language, literacy or competence 2. Patients who are not able to come to the family practice office 3. Off-site patients or non-active patients (no visit in the last 3 years) of the family physician |
| Date of first enrolment | 01/07/2010 |
| Date of final enrolment | 01/03/2012 |
Locations
Countries of recruitment
- Canada
Study participating centre
500 University Ave.
Toronto
ON M5G 1V7
Canada
ON M5G 1V7
Canada
Sponsor information
Canadian Partnership Against Cancer (Canada)
Charity
Charity
1 University Ave.
#300
Toronto
M5J 2P1
Canada
| Website | http://www.partnershipagainstcancer.ca/ |
|---|---|
"ROR" |
https://ror.org/0488wxv90 |
Funders
Funder type
Charity
Canadian Partnership Against Cancer (Canada)
No information available
Heart and Stroke Foundation of Canada
Government organisation / Trusts, charities, foundations (both public and private)
Government organisation / Trusts, charities, foundations (both public and private)
- Alternative name(s)
- Heart and Stroke Foundation, Heart & Stroke Foundation of Canada, Heart & Stroke, Fondation des maladies du cœur et de l'AVC, Fondation des Maladies du Cœur du Canada, Fondation des maladies du cœur et de l'AVC du Canada, HSFC, HSF
- Location
- Canada
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | 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 | 22/01/2014 | Yes | No | |
| Results article | results | 01/01/2017 | Yes | No |
Editorial Notes
25/01/2017: Publication reference added.
