LearningCLAB1NCT03551106
E-learning Module to Improve Laboratory Prescriptions
An observational study of Learning, run by Hôpital du Valais at 1 site in Switzerland.
Trial summary
Objective: To evaluate the effectiveness of a web based learning module in the prescription of laboratory examens by postgraduate medical students. Background: The internal medicine service of Valais encounters several prescription issues such as overprescription of blood iron or transferrin level determination and… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Learning
- What is being tested?
- Web based learning module
- How many people
- 55 participants
- Where
- 1 siteSwitzerland
- Study dates
- 1 Jun 2018to 31 Oct 2018
- 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
- Healthy volunteers accepted
- Adult, Older adult
Study population: All of the postgraduate medical students of the internal medicine service in Valais.
Who may be able to join
- Post graduate student
- Enrolled in our internal medicine service
Who cannot join
- None
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Can an E-learning Module Improve Prescriptions of Laboratory Examens by Postgraduate Medical Students?
Objective: To evaluate the effectiveness of a web based learning module in the prescription of laboratory examens by postgraduate medical students.
Background: The internal medicine service of Valais encounters several prescription issues such as overprescription of blood iron or transferrin level determination and too rare D vitamine level.
Read more
Methods: The investigators will introduce postgraduate medical students to a single use e-learning module about common deficiencies in hospitalized patients. A quick test will be performed before and after the module, then at 2 and 4 months. Efficiency will be determined by the analysis of the median number of prescriptions of blood iron, transferrin and D vitamine levels 6 months before the module then monthly until completion of the study . It is planned to recruit between 40 and 55 students.
Outcome: The investigators will evaluate efficiency of the web based learning module by analysing the prescription rate 5 months before and 5 months after the intervention. Second outcome will be testing of the efficiency over time by monthly analysis of the prescriptions and results at the test.
Read the detailed description
The internal medicine in Valais (switzerland) service encounters several prescription issues partially caused by semi-automatic informatized software. The more often students are not aware of the costs inherent to unuseful laboratory examens and use the quickest way. Furthermore several older students still use prior recommendations for the determination of patient deficiency status. The investigators wish to determine if a web-based instruction module can improve practice and persist over time.
Objective: To evaluate the effectiveness of a web based learning module in the prescription of laboratory examens by postgraduate medical students.
Methods: A website will be especially designed for the purpose. All postgraduate medical students of the internal medicine service will be introduced to the e-learning module as part of routine medical care. Preceding and following this exposure the investigators will measure how well the students perform to a comprehensive 10-item assessment tool designed by experienced internists in the Department.
40 to 55 students are expected to participate in the study. A quick test will be performed before and after the module, then at 2 and 4 months. Efficiency will be determined by the analysis of the median number of prescriptions of blood iron, transferrin and D vitamine levels 5 months before the module then at the completion of the study.
Pre and post-test will be used to evaluate the efficiency of the short learning module, and test at 2 and 4 months to estimate the persistence of these results over time.
The prescription of B9 and B12 levels as well as the management of the obtained results will also be analysed.
Limitations: This design does not incorporate a comparison group, because of the insufficient number of students for this method. Multicenter study with comparison group will be performed if results are promising.
- Conditions
- Learning
- Being tested
- Web based learning module
- Keywords
- e-learning, web based learning module
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Web based learning moduleOther
Web based learning module available on a especially designed website
| Study group | Role | What they receive |
|---|---|---|
| Web based learning module | Laboratory prescriptions made by postgraduate students who were enrolled to follow the web based modules Receives: Other: Web based learning module |
What is being measured
The primary outcome is the main question the study is designed to answer.
Prescription efficiency
We will evaluate efficiency of the web based learning module by analysing the prescription rate 4 months after the intervention
Measured: 4 months
Secondary outcomes (2)
Mid term impact on prescription
Efficiency over time by monthly analysis of the prescriptions. Prescriptions rate will be evaluated monthly in order to evaluate the persistency of the module.
Measured: 1 month, 2 months, 3 months and 4 months
Web based module validity
Web based module efficiency over time: using a 10-item assessment tool at day 1 (before and after reading of the module) then 2 months and 4 months after the beginning of the study.
Obtained score will be on a scale of 0 to 10, each correct answer allowing 1 point
Measured: 1 day, 2 months and 4 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jun 2018
- Study start1 Jun 2018
- Primary completion31 Oct 2018
- Study completion31 Oct 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for LearningStudies 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
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 55 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hôpital du Valais
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Pierre-Auguste PETIGNAT, MD, Study director, Hôpitaux du ValaisDamien LE PEILLET, MD, Principal investigator, Hôpitaux du Valais
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03551106
- Sponsor's protocol ID
- CLAB1
- Acronym
- CLAB1
- Status last verified
- Nov 2018
- First submitted
- 25 Apr 2018
- Last updated
- 21 Nov 2018
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Keijsers CJ, van Doorn AB, van Kalles A, de Wildt DJ, Brouwers JR, van de Kamp HJ, Jansen PA. Structured pharmaceutical analysis of the Systematic Tool to Reduce Inappropriate Prescribing is an effective method for final-year medical students to improve polypharmacy skills: a randomized controlled trial. J Am Geriatr Soc. 2014 Jul;62(7):1353-9. doi: 10.1111/jgs.12884. Epub 2014 Jun 10.
PubMed 24916615Maxwell S, Mucklow J. e-Learning initiatives to support prescribing. Br J Clin Pharmacol. 2012 Oct;74(4):621-31. doi: 10.1111/j.1365-2125.2012.04300.x.
PubMed 22509885
Study at a glance
From the registry record, last updated by the sponsor on 21 Nov 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Can an E-learning Module Improve Prescriptions of Laboratory Examens by Postgraduate Medical Students?
- ClinicalTrials.gov ID
- NCT03551106
- Acronym / sponsor ID
- CLAB1 / CLAB1
- Conditions
- Learning
- Keywords
- e-learning, web based learning module
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 55 participants (actual)
- Lead sponsor
- Hôpital du ValaisUniversity, hospital or other
- Study start
- 1 Jun 2018 (actual)
- Primary completion
- 31 Oct 2018 (actual)
- Study completion
- 31 Oct 2018 (actual)
- First posted
- 11 Jun 2018 (actual)
- 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.
Objective: To evaluate the effectiveness of a web based learning module in the prescription of laboratory examens by postgraduate medical students.
Background: The internal medicine service of Valais encounters several prescription issues such as overprescription of blood iron or transferrin level determination and too rare D vitamine level.
Methods: The investigators will introduce postgraduate medical students to a single use e-learning module about common deficiencies in hospitalized patients. A quick test will be performed before and after the module, then at 2 and 4 months. Efficiency will be determined by the analysis of the median number of prescriptions of blood iron, transferrin and D vitamine levels 6 months before the module then monthly until completion of the study . It is planned to recruit between 40 and 55 students.
Outcome: The investigators will evaluate efficiency of the web based learning module by analysing the prescription rate 5 months before and 5 months after the intervention. Second outcome will be testing of the efficiency over time by monthly analysis of the prescriptions and results at the test.
Detailed description
The internal medicine in Valais (switzerland) service encounters several prescription issues partially caused by semi-automatic informatized software. The more often students are not aware of the costs inherent to unuseful laboratory examens and use the quickest way. Furthermore several older students still use prior recommendations for the determination of patient deficiency status. The investigators wish to determine if a web-based instruction module can improve practice and persist over time.
Objective: To evaluate the effectiveness of a web based learning module in the prescription of laboratory examens by postgraduate medical students.
Methods: A website will be especially designed for the purpose. All postgraduate medical students of the internal medicine service will be introduced to the e-learning module as part of routine medical care. Preceding and following this exposure the investigators will measure how well the students perform to a comprehensive 10-item assessment tool designed by experienced internists in the Department.
40 to 55 students are expected to participate in the study. A quick test will be performed before and after the module, then at 2 and 4 months. Efficiency will be determined by the analysis of the median number of prescriptions of blood iron, transferrin and D vitamine levels 5 months before the module then at the completion of the study.
Pre and post-test will be used to evaluate the efficiency of the short learning module, and test at 2 and 4 months to estimate the persistence of these results over time.
The prescription of B9 and B12 levels as well as the management of the obtained results will also be analysed.
Limitations: This design does not incorporate a comparison group, because of the insufficient number of students for this method. Multicenter study with comparison group will be performed if results are promising.
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Web based learning module | – | Other: Web based learning moduleLaboratory prescriptions made by postgraduate students who were enrolled to follow the web based modules |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- All of the postgraduate medical students of the internal medicine service in Valais.
Key inclusion criteria (2 listed)
- Post graduate student
- Enrolled in our internal medicine service
Key exclusion criteria (1 listed)
- None
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Web based learning moduleWeb based learning module available on a especially designed website | Other | Web based learning module |
Primary outcome
Prescription efficiency
Time frame: 4 months
We will evaluate efficiency of the web based learning module by analysing the prescription rate 4 months after the intervention
2 secondary outcomes
Mid term impact on prescription
Time frame: 1 month, 2 months, 3 months and 4 months
Web based module validity
Time frame: 1 day, 2 months and 4 months
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 21 Nov 2018.
- Results publication: PubMed 24916615Keijsers CJ, van Doorn AB, van Kalles A, de Wildt DJ, Brouwers JR, van de Kamp HJ, Jansen PA. Structured pharmaceutical analysis of the Systematic Tool to Reduce Inappropriate Prescribing is an effective method for final-year medical students to improve polypharmacy skills: a randomized controlled trial. J Am Geriatr Soc. 2014 Jul;62(7):1353-9. doi: 10.1111/jgs.12884. Epub 2014 Jun 10.
- Results publication: PubMed 22509885Maxwell S, Mucklow J. e-Learning initiatives to support prescribing. Br J Clin Pharmacol. 2012 Oct;74(4):621-31. doi: 10.1111/j.1365-2125.2012.04300.x.
- Individual participant dataSharing planned: Undecided
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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.
Pierre-Auguste PETIGNAT, MD study director
Hôpitaux du Valais
Damien LE PEILLET, MD principal investigator
Hôpitaux du Valais
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Learning, run by Hôpital du Valais at 1 site in Switzerland.
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 2 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 21 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Switzerland. 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?
Prescription efficiency (time frame: 4 months). 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 NCT03551106, which also lists 2 linked publications.
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 21 Nov 2018.