A Trial of an Audit and Feedback Report to Improve Colonoscopy Performance

S

Sunnybrook Health Sciences Centre

Status

Completed

Conditions

Colorectal Polyps

Treatments

Other: Individualized A/F report
Other: A/F report plus a low intensity intervention
Other: A/F report plus a high intensity intervention
Other: A/F report alone

Study type

Interventional

Funder types

Other

Identifiers

NCT02595775
477-2014

Details and patient eligibility

About

This project aims to measure the impact of a physician report card (also called an audit & feedback report) on colonoscopy performance. Endoscopists in Ontario will be randomly assigned to either receive the endoscopist report card or to no feedback. Using Ontario health administrative data, the quality of colonoscopy will be compared between those who received the report card and those who do not. The investigators will also measure the effect of receiving endoscopist report card on colonoscopy performance amongst endoscopists who perform poorly at baseline compared to those who do not. Further, the acceptability of two educational interventions that aim to improve the quality of colonoscopy will be evaluated by conducting one-on-one interviews with select participants. This study is critical to ensure that Canadians have access to the highest quality colonoscopy possible.

Enrollment

833 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

All practising endoscopists in Ontario who performed at least 5 colonoscopies in 2014

Exclusion criteria

-

Trial design

Primary purpose

Other

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

833 participants in 4 patient groups

Round 1: Intervention arm
Experimental group
Description:
Half of the endoscopists in Ontario will receive an individualized audit & feedback report. Individualized A/F report.
Treatment:
Other: Individualized A/F report
Round 1: Control
No Intervention group
Description:
Half of the endoscopists in Ontario will NOT receive an individualized audit & feedback report.
Round 2: Month 12
Other group
Description:
All endoscopists in Ontario will receive an individualized audit & feedback report at month 12. Individualized A/F report
Treatment:
Other: Individualized A/F report
Round 2: Poor performers
Other group
Description:
In Round 2, selected 60 poorer performers will be randomly assigned to receive one of the following interventions at month 12: A/F report plus a high intensity intervention A/F report plus a low intensity intervention A/F report alone
Treatment:
Other: A/F report alone
Other: A/F report plus a high intensity intervention
Other: A/F report plus a low intensity intervention

Trial contacts and locations

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Data sourced from clinicaltrials.gov

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