[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100553007":3},{"organization":4,"armGroups":7,"interventions":47,"overallOfficials":74,"centralContacts":79,"locations":53,"responsibleParty":88,"collaborators":53,"id":92,"slug":93,"hasResults":94,"nctId":95,"briefTitle":96,"officialTitle":97,"acronym":98,"eligibilityCriteria":99,"healthyVolunteers":94,"sex":100,"minAge":101,"maxAge":102,"enrollmentInfo":103,"targetDuration":53,"studyType":106,"phases":107,"briefSummary":109,"conditions":110,"keywords":113,"overallStatus":117,"whyStopped":53,"lastUpdateSubmitDate":118,"lastUpdatePostDateStruct":119,"startDateStruct":122,"completionDateStruct":124,"leadSponsor":126,"locationsCount":53},{"fullName":5,"class":6},"Southern Medical University, China","OTHER",[8,16,21,26,31,35,39,43],{"label":9,"type":10,"description":11,"interventionNames":12},"Face to face by researchers with peer comparision","EXPERIMENTAL","Feedback will be provided face-to-face by the researchers by visiting health facilities. The feedback report will include peer comparison data.",[13,14,15],"Behavioral: Feedback provided face to face","Behavioral: Feedback provided by researchers","Behavioral: Feedback provided with peer comparision",{"label":17,"type":10,"description":18,"interventionNames":19},"Face to face by authoritative bodies with peer comparision","Feedback will be provided face-to-face by the authoritative bodies by visiting health facilities. The feedback report will include peer comparison data.",[13,20,15],"Behavioral: Feedback provided by authoritative bodies",{"label":22,"type":10,"description":23,"interventionNames":24},"Face to face by researchers without peer comparision","Feedback will be provided face-to-face by the researchers by visiting health facilities. The feedback report will not include peer comparison data.",[13,14,25],"Behavioral: Feedback provided without peer comparision",{"label":27,"type":10,"description":28,"interventionNames":29},"Electronic mail by researchers with peer comparision","Feedback will be provided through electronic mail by the researchers. The feedback report will include peer comparison data.",[30,14,15],"Behavioral: Feedback provided by electronic mail",{"label":32,"type":10,"description":33,"interventionNames":34},"Face to face by authoritative bodies without peer comparision","Feedback will be provided face-to-face by the authoritative bodies by visiting health facilities. The feedback report will not include peer comparison data.",[13,20,25],{"label":36,"type":10,"description":37,"interventionNames":38},"Electronic mail by authoritative bodies with peer comparision","Feedback will be provided through electronic mail by the authoritative bodies. The feedback report will include peer comparison data.",[30,20,15],{"label":40,"type":10,"description":41,"interventionNames":42},"Electronic mail by researchers without peer comparision","Feedback will be provided through electronic mail by the researchers. The feedback report will not include peer comparison data.",[30,14,25],{"label":44,"type":10,"description":45,"interventionNames":46},"Electronic mail by authoritative bodies without peer comparision","Feedback will be provided through electronic mail by the authoritative bodies. The feedback report will not include peer comparison data.",[30,20,25],[48,54,58,62,66,70],{"type":49,"name":50,"description":51,"armGroupLabels":52,"otherNames":53},"BEHAVIORAL","Feedback provided face to face","Feedback will be provided face-to-face.",[17,32,9,22],null,{"type":49,"name":55,"description":56,"armGroupLabels":57,"otherNames":53},"Feedback provided by electronic mail","Feedback will be provided by electronic mail.",[36,44,27,40],{"type":49,"name":59,"description":60,"armGroupLabels":61,"otherNames":53},"Feedback provided by researchers","Feedback will be provided by researchers.",[27,40,9,22],{"type":49,"name":63,"description":64,"armGroupLabels":65,"otherNames":53},"Feedback provided by authoritative bodies","Feedback will be provided by authoritative bodies.",[36,44,17,32],{"type":49,"name":67,"description":68,"armGroupLabels":69,"otherNames":53},"Feedback provided with peer comparision","Feedback will be provided with peer comparison.",[36,27,17,9],{"type":49,"name":71,"description":72,"armGroupLabels":73,"otherNames":53},"Feedback provided without peer comparision","Feedback will be provided without peer comparision.",[44,40,32,22],[75],{"name":76,"affiliation":77,"role":78},"Dong Xu","Southern Medical Univerity","STUDY_DIRECTOR",[80,85],{"name":81,"role":82,"phone":83,"phoneExt":53,"email":84},"Huanyuan Luo","CONTACT","+8618215827985","huanyuanluo33@gmail.com",{"name":76,"role":82,"phone":86,"phoneExt":53,"email":87},"+8613910988979","romanxu@i.smu.edu.cn",{"type":89,"investigatorFullName":90,"investigatorTitle":91,"investigatorAffiliation":5,"oldNameTitle":53,"oldOrganization":53},"PRINCIPAL_INVESTIGATOR","Dr. Huanyuan Luo","Post Doctoral Researcher","100553007","optimize-audit-and-feedback-to-implement-evidence-based-practices-in-primary-health-care-100553007",false,"NCT06480487","Optimize Audit and feedbaCk To Implement eVidence-based prAcTices in Primary Health carE","Optimize Audit and feedbaCk To Implement eVidence-based prAcTices in Primary Health carE in Nepal, Mozambique, Tanzania and China: a Factorial Trial (ACTIVATE Trial)","ACTIVATE","Inclusion Criteria:\n\n* In Mozambique, the inclusion criteria are nurses, technicians of general medicine and doctors in public primary healthcare facilities.\n* In Zanzibar, Tanzania, the inclusion criteria are clinical officers, nurses and doctors in public primary healthcare facilities.\n* In Nepal, the inclusion criteria are doctors, health assistants, and senior auxiliary health workers in public primary healthcare facilities.\n* In China, the inclusion criteria are doctors practicing in public primary healthcare facilities.\n\nExclusion Criteria:\n\n-The exclusion criteria are endocrinologists or diabetes specialists, interns, or students working during the time of visit.","ALL","18 Years","80 Years",{"count":104,"type":105},344,"ESTIMATED","INTERVENTIONAL",[108],"NA","The investigators will use two phases of Multiphase Optimization Strategy (MOST) - preparation and optimization phases. In the preparation phase, Audit and Feedback (AnF) intervention will be prepared. First, the investigators will use scoping review to develop conceptual frameworks for AnF components. The outcome indicators and resource constraints for intervention will be identified based on the literature reviews. Second, an expert consultation meeting will be conducted to develop a set of candidate components for the AnF intervention. Around 10 relevant scholars and primary healthcare workers will be invited to rank the components that researchers conclude from the literature. The top 7 ranked components will be assessed by Best-Worst Scaling (BWS) questionnaires to finally identify 3 key components for AnF intervention.\n\nIn the optimization phase, the investigators will identify AnF intervention that will lead to the best desired results within key resource constraints in terms of effectiveness , efficiency, economy and scalability. First, the investigators will realistically and comprehensively assess the quality of care provided by primary healthcare facilities of the four Low and Middle Income countries (LMICs) using USP. Second, a 2×2×2 factorial design (RCT) will be conducted to determine how the results of quality of care can be fed back to primary healthcare workers in the four LMICs in order to optimize the impact of improving healthcare quality. To achieve this goal, the factorial trial will involve the 3 identified key AnF components at 2 levels each, for a total of 8 intervention groups (i.e. 8 different ways to conduct audit and feedback). By randomly assigning healthcare facilities to one of these 8 different ways to conduct audit and feedback, the investigators can obtain the change in the quality of care after implementing audit and feedback interventions in these facilities. Then, through statistical analysis, the investigators can estimate main and interaction effects for AnF components on improving the quality of primary health care. After that, the optimal combination of AnF components will be determined by trade off of the effects of AnF components and resource constraints in local primary healthcare implementation settings. Study details are as follows.",[111,112],"Hypertension","Diabetes",[114,115,116],"Audit and feedback","Quality of care","Primary health care","NOT_YET_RECRUITING","2025-04-23",{"date":120,"type":121},"2025-04-27","ACTUAL",{"date":123,"type":105},"2025-05",{"date":125,"type":105},"2025-10-31",{"name":5,"class":6}]