{ "FullStudy":{ "Rank":217920, "Study":{ "ProtocolSection":{ "IdentificationModule":{ "NCTId":"NCT01515111", "OrgStudyIdInfo":{ "OrgStudyId":"IDRC-006" }, "SecondaryIdInfoList":{ "SecondaryIdInfo":[ { "SecondaryId":"RITC of IDRC", "SecondaryIdType":"Other Grant/Funding Number", "SecondaryIdDomain":"105068-002" } ] }, "Organization":{ "OrgFullName":"Unidad de Cirugía Cardiovascular", "OrgClass":"OTHER" }, "BriefTitle":"Guatemala Internal Medicine Physicians' Knowledge of Non-communicable Disease Clinical Preventive Services", "OfficialTitle":"Knowledge and Recommendations on Tobacco Cessation and Other Preventive Interventions Among Internal Medicine Staff in Guatemala Teaching Hospitals" }, "StatusModule":{ "StatusVerifiedDate":"January 2012", "OverallStatus":"Completed", "ExpandedAccessInfo":{ "HasExpandedAccess":"No" }, "StartDateStruct":{ "StartDate":"April 2011" }, "PrimaryCompletionDateStruct":{ "PrimaryCompletionDate":"August 2011", "PrimaryCompletionDateType":"Actual" }, "CompletionDateStruct":{ "CompletionDate":"January 2012", "CompletionDateType":"Actual" }, "StudyFirstSubmitDate":"January 13, 2012", "StudyFirstSubmitQCDate":"January 18, 2012", "StudyFirstPostDateStruct":{ "StudyFirstPostDate":"January 23, 2012", "StudyFirstPostDateType":"Estimate" }, "LastUpdateSubmitDate":"January 18, 2012", "LastUpdatePostDateStruct":{ "LastUpdatePostDate":"January 23, 2012", "LastUpdatePostDateType":"Estimate" } }, "SponsorCollaboratorsModule":{ "ResponsibleParty":{ "ResponsiblePartyType":"Principal Investigator", "ResponsiblePartyInvestigatorFullName":"Juan Enrique Corral", "ResponsiblePartyInvestigatorTitle":"Research Fellow", "ResponsiblePartyInvestigatorAffiliation":"Unidad de Cirugía Cardiovascular" }, "LeadSponsor":{ "LeadSponsorName":"Unidad de Cirugía Cardiovascular", "LeadSponsorClass":"OTHER" }, "CollaboratorList":{ "Collaborator":[ { "CollaboratorName":"International Development Research Centre, Canada", "CollaboratorClass":"OTHER_GOV" },{ "CollaboratorName":"Washington University School of Medicine", "CollaboratorClass":"OTHER" } ] } }, "OversightModule":{ "OversightHasDMC":"No" }, "DescriptionModule":{ "BriefSummary":"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.", "DetailedDescription":"A voluntary, anonymous, self-completed, cross-sectional survey was administered to all available internal medicine staff in Guatemalan teaching hospitals.\n\nThe 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.\n\nThe 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.\n\nAnalysis compared recommendation practices within and between hospitals." }, "ConditionsModule":{ "ConditionList":{ "Condition":[ "Non-communicable Diseases" ] }, "KeywordList":{ "Keyword":[ "Non-communicable diseases", "Preventive services", "Medical education", "Guatemala" ] } }, "DesignModule":{ "StudyType":"Observational", "DesignInfo":{ "DesignTimePerspectiveList":{ "DesignTimePerspective":[ "Cross-Sectional" ] } }, "EnrollmentInfo":{ "EnrollmentCount":"394", "EnrollmentType":"Actual" } }, "ArmsInterventionsModule":{ "ArmGroupList":{ "ArmGroup":[ { "ArmGroupLabel":"Internal Medicine Staff", "ArmGroupDescription":"All interns, residents and attendings training (or working) at an Internal Medicine department of a Guatemalan teaching hospital." } ] } }, "OutcomesModule":{ "PrimaryOutcomeList":{ "PrimaryOutcome":[ { "PrimaryOutcomeMeasure":"Recommendations of clinical preventive services for non-communicable diseases.", "PrimaryOutcomeDescription":"Recommendations on eleven clinical preventive services for non-communicable diseases were evaluated considering:\n\nWhether they recommended them or not\nAppropriate frequency and starting age\nPreferred screening method\nAvailability of the service(s) at their hospital", "PrimaryOutcomeTimeFrame":"After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour." } ] }, "SecondaryOutcomeList":{ "SecondaryOutcome":[ { "SecondaryOutcomeMeasure":"Barriers faced in providing adequate services.", "SecondaryOutcomeDescription":"Self-perceived barriers to provide clinical preventive services adequately.", "SecondaryOutcomeTimeFrame":"After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour." },{ "SecondaryOutcomeMeasure":"Opinion on who should implement changes in clinical preventive services provision.", "SecondaryOutcomeDescription":"Participant's opinion on who should be responsible to implement changes in:\n\nChronic disease prevention in national health care\nMedical education in this field.", "SecondaryOutcomeTimeFrame":"After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour." } ] } }, "EligibilityModule":{ "EligibilityCriteria":"Inclusion Criteria:\n\nAll 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.\n\nExclusion Criteria:\n\nStaff that is on vacations, on sick leave or suspended by any reason.", "HealthyVolunteers":"No", "Gender":"All", "MinimumAge":"18 Years", "StdAgeList":{ "StdAge":[ "Adult", "Older Adult" ] }, "StudyPopulation":"Internal medicine interns, residents or attendings of any of the teaching hospitals in Guatemala.", "SamplingMethod":"Non-Probability Sample" }, "ContactsLocationsModule":{ "OverallOfficialList":{ "OverallOfficial":[ { "OverallOfficialName":"Joaquin Barnoya, M.D. MPH.", "OverallOfficialAffiliation":"Unidad de Cirugía Cardiovascular", "OverallOfficialRole":"Study Chair" } ] }, "LocationList":{ "Location":[ { "LocationFacility":"Hospital Nacional Pedro Bethancourt", "LocationCity":"Antigua Guatemala", "LocationState":"Sacatepequez", "LocationCountry":"Guatemala" },{ "LocationFacility":"Hospital Nacional de Escuintla", "LocationCity":"Escuintla", "LocationCountry":"Guatemala" },{ "LocationFacility":"Hospital Universitario Esperanza", "LocationCity":"Guatemala", "LocationZip":"01010", "LocationCountry":"Guatemala" },{ "LocationFacility":"Hospital Hermano Pedro", "LocationCity":"Guatemala", "LocationZip":"01011", "LocationCountry":"Guatemala" },{ "LocationFacility":"Hospital Roosevelt", "LocationCity":"Guatemala", "LocationZip":"01011", "LocationCountry":"Guatemala" },{ "LocationFacility":"Unidad de Cirugía Cardiovascular", "LocationCity":"Guatemala", "LocationZip":"01011", "LocationCountry":"Guatemala" },{ "LocationFacility":"Hospital Centro Médico Militar", "LocationCity":"Guatemala", "LocationZip":"01016", "LocationCountry":"Guatemala" },{ "LocationFacility":"Hospital General San Juan de Dios", "LocationCity":"Guatemala", "LocationZip":"0101", "LocationCountry":"Guatemala" },{ "LocationFacility":"Hospital General de Enfermedad Común - IGSS", "LocationCity":"Guatemala", "LocationZip":"0109", "LocationCountry":"Guatemala" },{ "LocationFacility":"Hospital Regional de Occidente, San Juan de Dios", "LocationCity":"Quetzaltenango", "LocationCountry":"Guatemala" } ] } }, "ReferencesModule":{ "ReferenceList":{ "Reference":[ { "ReferencePMID":"23119077", "ReferenceType":"derived", "ReferenceCitation":"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." } ] } } }, "DerivedSection":{ "MiscInfoModule":{ "VersionHolder":"April 22, 2020" }, "ConditionBrowseModule":{ "ConditionMeshList":{ "ConditionMesh":[ { "ConditionMeshId":"D000073296", "ConditionMeshTerm":"Noncommunicable Diseases" } ] }, "ConditionAncestorList":{ "ConditionAncestor":[ { "ConditionAncestorId":"D000002908", "ConditionAncestorTerm":"Chronic Disease" },{ "ConditionAncestorId":"D000020969", "ConditionAncestorTerm":"Disease Attributes" },{ "ConditionAncestorId":"D000010335", "ConditionAncestorTerm":"Pathologic Processes" } ] }, "ConditionBrowseLeafList":{ "ConditionBrowseLeaf":[ { "ConditionBrowseLeafId":"M1156", "ConditionBrowseLeafName":"Noncommunicable Diseases", "ConditionBrowseLeafAsFound":"Non-communicable Diseases", "ConditionBrowseLeafRelevance":"high" },{ "ConditionBrowseLeafId":"M4730", "ConditionBrowseLeafName":"Chronic Disease", "ConditionBrowseLeafRelevance":"low" },{ "ConditionBrowseLeafId":"M21284", "ConditionBrowseLeafName":"Disease Attributes", "ConditionBrowseLeafRelevance":"low" } ] }, "ConditionBrowseBranchList":{ "ConditionBrowseBranch":[ { "ConditionBrowseBranchAbbrev":"BC23", "ConditionBrowseBranchName":"Symptoms and General Pathology" },{ "ConditionBrowseBranchAbbrev":"All", "ConditionBrowseBranchName":"All Conditions" } ] } } } } } }