Actively Recruiting
Evaluate the Effectiveness of a Virtual Community of Practice
Led by Gerencia de Atención Primaria, Madrid · Updated on 2025-03-12
240
Participants Needed
3
Research Sites
130 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Objective: To evaluate and compare the effectiveness and cost-effectiveness of a Virtual Community of Practice (VCoP) via a web-based application versus individual and self-administered online education to improve the activation of middle-aged people with multimorbidity. Design: Randomized controlled pragmatic clinical trial with two parallel arms and 18 months follow-up. Setting: Primary health centres and hospitals (Catalonia, Madrid, and the Canary Islands). Population: Middleaged people (30-60 years old) with multimorbidity (≥=2 chronic diseases). Sample size: 240 patients. Randomization: all participants will be randomly assigned to the intervention (VCoP) or the active control group. Data analysis will be blinded to intervention allocation. Intervention: The intervention group will be offered participation for 12 months in a VCoP based on a gamified web-based application. The control group will receive individual, content-focused education through a web platform that will cover the same topics as the VCoP but will be self-administered and without social interaction within the platform. Measurements: The main variable will be measured using the Patient Activation Measure (PAM) questionnaire at baseline, 6, 12 and 18 months. Secondary variables: participant sociodemographics, depression (PHQ-9), anxiety (HADS-A), treatment burden (TBQ), quality of life (EQ-5D-5L), variables related to the use of health resources and to the use of the VCoP. Analysis: Mixed-effects linear regression will be used to determine the effects of the VCoP on the changes in patient activation. Scores at baseline, 6, 12 and 18 months will be included as a fixed effect variable, and the patient and health professional as random effect variables. Analyses will be performed on an intention-to-treat basis. An economic evaluation will be carried out to analyze the cost-effectiveness of the VCoP compared to active control, from the National Health System and social perspectives.
CONDITIONS
Official Title
Evaluate the Effectiveness of a Virtual Community of Practice
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Middle-aged people between 30 and 60 years old
- Diagnosed with two or more chronic diseases
- Have access to a computer, tablet, or smartphone with internet
- Able to follow the study requirements and sign informed consent
You will not qualify if you...
- Low likelihood of cooperating with the study
- Being transient, displaced, institutionalized, or having a terminal illness
- Physical or mental disability that prevents completing questionnaires correctly
- No available contact phone number or email in the healthcare database
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 3 locations
1
Gerencia Asistencial Atención Primaria
Madrid, Madrid, Spain, 28035
Actively Recruiting
2
Gerencia Asistencial Atención Primaria
Madrid, Madrid, Spain, 28035
Actively Recruiting
3
González Atención González
Madrid, Madrid, Spain, 28035
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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