Non-communicable DiseasesNCT01515111
Guatemala Internal Medicine Physicians' Knowledge of Non-communicable Disease Clinical Preventive Services
An observational study of Non-communicable Diseases, run by Unidad de Cirugía Cardiovascular at 10 sites in Guatemala.
Trial summary
A national cross-sectional survey was conducted to evaluate recommendations on clinical preventive services and additional information on non-communicable disease prevention. Trained surveyors interviewed interns, residents and attendings of the Internal Medicine departments of all teaching hospitals in Guatemala. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-communicable Diseases
- How many people
- 394 participants
- Where
- 10 sitesGuatemala
- Study dates
- Apr 2011to Jan 2012
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Internal medicine interns, residents or attendings of any of the teaching hospitals in Guatemala.
Who may be able to join
- All interns, internal medicine residents and attendings (including department director, unit directors and regular attendings) that are currently training or working in an Internal Medicine department in any of the ten teaching hospitals in Guatemala.
Who cannot join
- Staff that is on vacations, on sick leave or suspended by any reason.
Trial locations and contacts
10 sites in 1 country.
10 sites in 1 country
Guatemala10 sites
Hospital Nacional Pedro Bethancourt
Antigua Guatemala, Departamento de Sacatepéquez
Hospital Nacional de Escuintla
Escuintla, Departamento de Escuintla
Hospital Universitario Esperanza
Guatemala City, Departamento de Guatemala, 01010
Hospital Hermano Pedro
Guatemala City, Departamento de Guatemala, 01011
Hospital Roosevelt
Guatemala City, Departamento de Guatemala, 01011
Unidad de Cirugía Cardiovascular
Guatemala City, Departamento de Guatemala, 01011
Hospital Centro Médico Militar
Guatemala City, Departamento de Guatemala, 01016
Hospital General San Juan de Dios
Guatemala City, Departamento de Guatemala, 0101
Hospital General de Enfermedad Común - IGSS
Guatemala City, Departamento de Guatemala, 0109
Hospital Regional de Occidente, San Juan de Dios
Quetzaltenango, Departamento de Quetzaltenango
About this study
Official title: Knowledge and Recommendations on Tobacco Cessation and Other Preventive Interventions Among Internal Medicine Staff in Guatemala Teaching Hospitals
A national cross-sectional survey was conducted to evaluate recommendations on clinical preventive services and additional information on non-communicable disease prevention. Trained surveyors interviewed interns, residents and attendings of the Internal Medicine departments of all teaching hospitals in Guatemala. Analysis compared recommendation practices within and between hospitals.
Read the detailed description
A voluntary, anonymous, self-completed, cross-sectional survey was administered to all available internal medicine staff in Guatemalan teaching hospitals.
The questionnaire included: physician's demographics, work time dedicated to outpatients, knowledge of leading causes of death in Guatemala, guidelines used for non-communicable disease prevention, simulated cases asking for recommendation(s) on different preventive services for asymptomatic adults (i.e. whether they recommended them or not, appropriate frequency and starting age, preferred screening method, and availability of the service(s) at their hospital). The survey also assessed barriers faced in providing adequate services, and opinions on who should implement changes in national health care and in medical education.
The answers given by the internal medicine staff were compared with the United States Preventive Services Task Forces (USPSTF) Recommendations and Guatemalan Ministry of Health Guidelines.
Analysis compared recommendation practices within and between hospitals.
- Conditions
- Non-communicable Diseases
- Keywords
- Non-communicable diseases, Preventive services, Medical education, Guatemala
- Medical subject headings
- Noncommunicable Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Internal Medicine Staff | All interns, residents and attendings training (or working) at an Internal Medicine department of a Guatemalan teaching hospital. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recommendations of clinical preventive services for non-communicable diseases.
Recommendations on eleven clinical preventive services for non-communicable diseases were evaluated considering:
- Whether they recommended them or not
- Appropriate frequency and starting age
- Preferred screening method
- Availability of the service(s) at their hospital
Measured: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.
Secondary outcomes (2)
Barriers faced in providing adequate services.
Self-perceived barriers to provide clinical preventive services adequately.
Measured: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.
Opinion on who should implement changes in clinical preventive services provision.
Participant's opinion on who should be responsible to implement changes in:
- Chronic disease prevention in national health care
- Medical education in this field.
Measured: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jan 2012 (estimated)
- Study startApr 2011
- Primary completionAug 2011
- Study completionJan 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Non-communicable DiseasesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Time perspective
- Cross-sectional
- Enrolment
- 394 participants (actual)
Sponsor and investigators
- Lead sponsor
- Unidad de Cirugía Cardiovascular
- Sponsor type
- University, hospital or other
- Collaborators
- International Development Research Centre, Canada, Washington University School of Medicine
- Responsible party
- Principal investigator, Juan Enrique Corral, Unidad de Cirugía Cardiovascular
- Investigators
- Joaquin Barnoya, M.D. MPH., Study chair, Unidad de Cirugía Cardiovascular
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01515111
- Sponsor's protocol ID
- IDRC-006
- Other IDs
- RITC of IDRC
- Status last verified
- Jan 2012
- First submitted
- 13 Jan 2012
- Last updated
- 23 Jan 2012
- Results posted
- No
- Data monitoring committee
- No
Publications
Corral JE, Arnold LD, Argueta EE, Ganju A, Barnoya J. Clinical preventive services in Guatemala: a cross-sectional survey of internal medicine physicians. PLoS One. 2012;7(10):e48640. doi: 10.1371/journal.pone.0048640. Epub 2012 Oct 31.
PubMed 23119077
Study at a glance
From the registry record, last updated by the sponsor on 23 Jan 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Knowledge and Recommendations on Tobacco Cessation and Other Preventive Interventions Among Internal Medicine Staff in Guatemala Teaching Hospitals
- ClinicalTrials.gov ID
- NCT01515111
- Acronym / sponsor ID
- IDRC-006
- Conditions
- Non-communicable Diseases
- Keywords
- Non-communicable diseases, Preventive services, Medical education, Guatemala
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 394 participants (actual)
- Lead sponsor
- Unidad de Cirugía CardiovascularUniversity, hospital or other
- Collaborators
- International Development Research Centre, Canada, Washington University School of Medicine
- Study start
- Apr 2011
- Primary completion
- Aug 2011 (actual)
- Study completion
- Jan 2012 (actual)
- First posted
- 23 Jan 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A national cross-sectional survey was conducted to evaluate recommendations on clinical preventive services and additional information on non-communicable disease prevention. Trained surveyors interviewed interns, residents and attendings of the Internal Medicine departments of all teaching hospitals in Guatemala. Analysis compared recommendation practices within and between hospitals.
Detailed description
A voluntary, anonymous, self-completed, cross-sectional survey was administered to all available internal medicine staff in Guatemalan teaching hospitals.
The questionnaire included: physician's demographics, work time dedicated to outpatients, knowledge of leading causes of death in Guatemala, guidelines used for non-communicable disease prevention, simulated cases asking for recommendation(s) on different preventive services for asymptomatic adults (i.e. whether they recommended them or not, appropriate frequency and starting age, preferred screening method, and availability of the service(s) at their hospital). The survey also assessed barriers faced in providing adequate services, and opinions on who should implement changes in national health care and in medical education.
The answers given by the internal medicine staff were compared with the United States Preventive Services Task Forces (USPSTF) Recommendations and Guatemalan Ministry of Health Guidelines.
Analysis compared recommendation practices within and between hospitals.
Study design
- Time perspective
- Cross-sectional
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Internal Medicine Staff | – | –All interns, residents and attendings training (or working) at an Internal Medicine department of a Guatemalan teaching hospital. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Internal medicine interns, residents or attendings of any of the teaching hospitals in Guatemala.
Key inclusion criteria (1 listed)
- All interns, internal medicine residents and attendings (including department director, unit directors and regular attendings) that are currently training or working in an Internal Medicine department in any of the ten teaching hospitals in Guatemala.
Key exclusion criteria (1 listed)
- Staff that is on vacations, on sick leave or suspended by any reason.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Recommendations of clinical preventive services for non-communicable diseases.
Time frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.
Recommendations on eleven clinical preventive services for non-communicable diseases were evaluated considering: * Whether they recommended them or not * Appropriate frequency and starting age * Preferred screening method * Availability of the service(s) at their hospital
2 secondary outcomes
Barriers faced in providing adequate services.
Time frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.
Opinion on who should implement changes in clinical preventive services provision.
Time frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jan 2012.
- Derived from this study: PubMed 23119077Corral JE, Arnold LD, Argueta EE, Ganju A, Barnoya J. Clinical preventive services in Guatemala: a cross-sectional survey of internal medicine physicians. PLoS One. 2012;7(10):e48640. doi: 10.1371/journal.pone.0048640. Epub 2012 Oct 31.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Joaquin Barnoya, M.D. MPH. study chair
Unidad de Cirugía Cardiovascular
10 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Non-communicable Diseases, run by Unidad de Cirugía Cardiovascular at 10 sites in Guatemala.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Jan 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 10 sites in Guatemala. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Recommendations of clinical preventive services for non-communicable diseases. (time frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01515111, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2012.