NCT00119925

'SPRING'-Study: "Subfertility Guidelines: Patient Related Implementation in the Netherlands Among Gynaecologists"

Cost Effectiveness of Two Different Strategies to Implement the NVOG Guideline Programme on Subfertility

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 5,200 (estimated)
• Sponsor: Radboud University Medical Center · Academic / Other
• Sex: All
• Age: 18 Years – 80 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to compare two different strategies to implement the existing Guideline programme on Subfertility, as issued by the Dutch Society of Obstetrics and Gynaecology (NVOG). Therefore, an innovative patient-directed strategy will be compared to a control strategy and effectiveness, costs and feasibility of both strategies will be assessed.

Detailed description

The Dutch Society of Obstetrics and Gynaecology (NVOG) has developed a guideline programme on Subfertility, including 9 guidelines concerning diagnosis and treatment of subfertility and a national IVF protocol. However, guidelines in general do not implement themselves; large gaps consists between best evidence (as described in the guidelines) and practice, resulting in a large variation between professionals. Our study will compare an innovative patient-directed strategy with a (minimal intervention) control strategy, and effectiveness, costs and feasibility of both will be assessed. We eventually aim at the most cost-effective strategy to implement the existing subfertility guideline programme. Please Note: In our protocol, we consider only 'couples' undergoing fertility treatment; therefore, we aim at gathering information from approximately 5200 records, of both male and female participants. When reporting eventually on their treatment, we will consider them only as couples, resulting in reported numbers of approximately 2600 participating couples.

Conditions

• Male Infertility
• Female Infertility
• Ovarian Hyperstimulation Syndrome
• Premature Ovarian Failure
• Endometriosis

Interventions

Type	Name	Description
BEHAVIORAL	patient education	patient leaflets about national guideline contents
BEHAVIORAL	professional audit and feedback (guideline adherence)	feedback on current practice according to quality indicators
BEHAVIORAL	professional education (communication/shared decision making)	educational tools for professionals concerning communication and shared decision making
OTHER	information tools	tools and checklists to improve information provision

Timeline

• Start date: 2005-10-01
• Primary completion: 2009-02-01
• Completion: 2009-05-01
• First posted: 2005-07-14
• Last updated: 2008-10-29

Locations

16 sites across 1 country: Netherlands