NCT04399616: ATDOM_SP

Map of Risks in Home Care From Primary Health Care, an Approach From Health Care Quality.

Status unknown NA Last updated 8 May 2024

What this trial tests

NA trial testing Risk Map in Community Health Services in 400 participants. Status unknown.

Timeline

1 January 2025

Primary endpoint
1 June 2025

31 December 2025

Quick facts

Lead sponsor	Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
Phase	NA
Status	Status unknown
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	prevention
Enrollment	400
Start date	1 January 2025
Primary completion	1 June 2025
Estimated completion	31 December 2025
Sites	1 location across Spain

Drugs / interventions tested

• Risk Map

Conditions studied

• Community Health Services — all drugs for Community Health Services →

Sponsor

Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina — full company profile →

Who can join

18 and older, any sex, with Community Health Services. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: Home health care is very complex. The registration of many disassembled information makes it difficult to interpret and does not allow the identification of critical areas for risk management.

Hypothesis / Research question: The availability of a risk map, with visual alerts to identify the critical areas, will facilitate the implementation of safe practices and improve the safety of patients included in the DOMicillary care program (ATDOM).

Objectives: To design and evaluate the effectiveness of the availability of a Visual Risks Map (MRV) in the computerized medical histories of ATDOM patients in the improvement of their safety and quality of life.(QL).

Methods: Once MRV is designed, the investigators will conduct a randomized clinical trial by conglomerates (Primary Care centers) to evaluate whether the fact of having this MRV (intervention) in the medical histories of ATDOM patients reduces avoidable income, falls and wounds and improves QL.

Analysis plan: Baseline description: socio-demographic characteristics, risk's levels in the different areas and other covariates in the control and intervention groups. Chi-square test to compare frequency of outcomes between control and intervention groups. Cox regression model to estimate time until the outcomes appear, adjusting for the different variables.

Expected results: The frequency of avoidable hospital admissions / emergencies' visits, falls and sores / infections will be significantly lower in the group of patients who have MRV in their clinical histories. Their qL wil be better.

Applicability and Relevance: It is a feasible and easy-to-implement project. It provides a practical utility for a lot of information that the investigators record and affects a key aspect of quality of care.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Design, Implementation, and Evaluation of Healthcare Visual Map Tool for Health Workers to Improve Quality of Life of Home Care Patients: Study Protocol.
   Hernández-Vidal N, Pujol-Vidal M, Mengíbar-García Y, Ayala-Villuendas D, et al · · 2025 · PMID 40150476 · DOI 10.3390/healthcare13060626