No registrations found.
ID
Source
Brief title
Health condition
The scarse use of scientific evidence in medical disability advises.
Sponsors and support
Coronel Institute for Occupational and Environmental Health
PO Box 22700
NL-1100 DE Amsterdam
The Netherlands
Intervention
Outcome measures
Primary outcome
1. The quality of the medical disability advice;
2. Use of evidence in clinical practice.
Secondary outcome
1. Knowledge and skills in EBM;
2. Attitude towards EBM;
3. Attitude towards own profession;
4. Professional performance of insurance physicians.
Background summary
To study the effectiveness of an Evidence-Based Medicine (EBM) implementation programme to increase knowledge and skills, and EBM behaviour in a non-clinical setting (insurance physicians), a cluster-randomized clinical trial is conducted. A course in EBM for five and a half day, with in between practical case method solving, will be given to the intervention group (N=100). The control group (N=100) will receive care as usual. The main outcome measures will be the EBM behavior: use of evidence in factual reports in disability evaluations and the quality of the disability advise to a clinical vignette. Secondary outcomes will be knowledge, skills and attitude.
Study objective
EBM for insurance physicians will lead to better use of evidence in work disability assessments, and more quality of te medical disability advice compared to a control group.
Study design
1. Before the EBM intervention (baseline);
2. After day 3 of the course (2 months);
3. At the end of the EBM course (6 months);
4. 6 months after the end of the course (12 months).
Intervention
Five and half day of didactic EBM Course with case-method learning sessions of 10-12 peers. Control group: no intervention during study period.
Coronel Institute for Occupational and Environmental Health,
PO Box 22700
R. Kok
Amsterdam 1100 DE
The Netherlands
+31 (0)20 5663903
r.kok@amc.uva.nl
Coronel Institute for Occupational and Environmental Health,
PO Box 22700
R. Kok
Amsterdam 1100 DE
The Netherlands
+31 (0)20 5663903
r.kok@amc.uva.nl
Inclusion criteria
Insurance physicians doing medical disability assessments.
Exclusion criteria
N/A
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL1666 |
| NTR-old | NTR1767 |
| Other | : N/A |
| ISRCTN | ISRCTN wordt niet meer aangevraagd |