Ignite Creation Date:
2024-05-05 @ 4:42 PM
Last Modification Date:
2024-10-26 @ 9:23 AM
Study NCT ID:
NCT00295529
Status:
COMPLETED
Last Update Posted:
2014-12-05
First Post:
2006-02-09
Brief Title:
GenetiKiT Evaluation of an Educational Intervention on the Delivery of Genetics Services by Family Physicians
Sponsor:
University of Toronto
Organization:
University of Toronto
Study Overview
Official Title:
GenetiKiT Evaluation of the Impact of a Multifaceted Intervention to Enhance the Delivery of Genetics Services by Family Physicians
Status:
COMPLETED
Status Verified Date:
2014-12
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:
There is an urgent need for a knowledge translation strategy to facilitate the integration of genetics into family medicine to improve the low knowledge base of most Canadian family physicians ensure that the needs are met of those in the population who could benefit from genetic assessment and facilitate evidence-based decision-making in the face of increasing patient demand
We have developed a multi-faceted intervention incorporating three distinct knowledge translation strategies interactive educational sessions a portfolio of tools for use in clinical practice and an innovative efficient information technology-based knowledge service designed to provide timely just-in-time information which reflects both topical genetics issues and the pattern of users queries a so-called push-pull approach
We hypothesize that a multi-faceted knowledge translation intervention will improve the delivery of genetics services by family physicians
We have developed a multi-faceted intervention incorporating three distinct knowledge translation strategies interactive educational sessions a portfolio of tools for use in clinical practice and an innovative efficient information technology-based knowledge service designed to provide timely just-in-time information which reflects both topical genetics issues and the pattern of users queries a so-called push-pull approach
We hypothesize that a multi-faceted knowledge translation intervention will improve the delivery of genetics services by family physicians
Detailed Description:
The intervention will be evaluated using a randomized controlled trial in which family physicians will be allocated to receive the active or control interventions with pre-intervention data collected 1 month prior and post-intervention outcome data 6 months following the intervention
A list of practicing family physicians will be obtained from the chiefs of Family Medicine at local hospitals in Toronto Ottawa Timmins and Thunder Bay We will develop a sampling frame for each site reflecting the proportion of solo and group practitioners in the community A statistician independent of the study will generate a random number sequence to allocate practitioners to the control or intervention groups There is a potential danger of contamination if two family physicians are recruited from the same group practice and randomized to different study arms therefore only one physician per practice will be invited to participate in the study Once one family physician has been recruited from a practice all other physicians from the same practice will be deleted from the sampling frame
Our intervention has three components an interactive educational workshop a portfolio of tools for family physicians to use in their day to day clinical practice and a new IT-based knowledge service
The workshop will deal with practical medical genetics knowledge risks benefits and limitations of genetic testing including psychosocial risks confidentiality and insurance issues as well as a critical appraisal framework by which to assess genetic tests The workshop will be 60 minutes in length and offered at several times and dates to facilitate attendance The College of Family Physicians of Canada educational credit of 1 hour is available for participation in this project
Several tools will be presented at the workshop
A A family history tool B Genetics Pearls C Physician risk triage and management cards for familial cancer covering risk assessment and management of hereditary breast and colorectal cancer
D A table outlining the possible consequences of genetic test results E Patient information aids to help patients self-identify their risk of hereditary cancer F GeneMessenger is designed primarily to address knowledge gaps about specific genetics issues in the news about which family physicians may feel ill-equipped to form confident opinions The research team will scan the mainstream print media for headlines or stories that relate to medical genetics discoveries or topics Supported by a geneticist and an expert family physician a genetic counselor will appraise the discoveries tests or interventions for their relevance to family practice She will prepare a definitive short review for participants within 1-2 weeks but where appropriate and possible will prepare a preliminary comment for rapid communication within 1-2 days Communication will be by email or fax as chosen by the participant Family physicians will be able to contact the service to suggest questions or topics they would like to see addressed This service will not provide professional advice on specific cases or patients and referrals to genetics clinics would continue in the usual fashion Physicians would be free to seek telephone advice from geneticists or counselors regarding specific patients but these would not be addressed as part of this service
Data will be collected one month before and six months after the intervention by postal survey to the participating physicians Changes in intention to refer to genetics services in response to 10 clinical vignettes will be compared between the control and intervention group
A list of practicing family physicians will be obtained from the chiefs of Family Medicine at local hospitals in Toronto Ottawa Timmins and Thunder Bay We will develop a sampling frame for each site reflecting the proportion of solo and group practitioners in the community A statistician independent of the study will generate a random number sequence to allocate practitioners to the control or intervention groups There is a potential danger of contamination if two family physicians are recruited from the same group practice and randomized to different study arms therefore only one physician per practice will be invited to participate in the study Once one family physician has been recruited from a practice all other physicians from the same practice will be deleted from the sampling frame
Our intervention has three components an interactive educational workshop a portfolio of tools for family physicians to use in their day to day clinical practice and a new IT-based knowledge service
The workshop will deal with practical medical genetics knowledge risks benefits and limitations of genetic testing including psychosocial risks confidentiality and insurance issues as well as a critical appraisal framework by which to assess genetic tests The workshop will be 60 minutes in length and offered at several times and dates to facilitate attendance The College of Family Physicians of Canada educational credit of 1 hour is available for participation in this project
Several tools will be presented at the workshop
A A family history tool B Genetics Pearls C Physician risk triage and management cards for familial cancer covering risk assessment and management of hereditary breast and colorectal cancer
D A table outlining the possible consequences of genetic test results E Patient information aids to help patients self-identify their risk of hereditary cancer F GeneMessenger is designed primarily to address knowledge gaps about specific genetics issues in the news about which family physicians may feel ill-equipped to form confident opinions The research team will scan the mainstream print media for headlines or stories that relate to medical genetics discoveries or topics Supported by a geneticist and an expert family physician a genetic counselor will appraise the discoveries tests or interventions for their relevance to family practice She will prepare a definitive short review for participants within 1-2 weeks but where appropriate and possible will prepare a preliminary comment for rapid communication within 1-2 days Communication will be by email or fax as chosen by the participant Family physicians will be able to contact the service to suggest questions or topics they would like to see addressed This service will not provide professional advice on specific cases or patients and referrals to genetics clinics would continue in the usual fashion Physicians would be free to seek telephone advice from geneticists or counselors regarding specific patients but these would not be addressed as part of this service
Data will be collected one month before and six months after the intervention by postal survey to the participating physicians Changes in intention to refer to genetics services in response to 10 clinical vignettes will be compared between the control and intervention group
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