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Trial registered on ANZCTR
Registration number
ACTRN12607000488404
Ethics application status
Approved
Date submitted
7/09/2007
Date registered
21/09/2007
Date last updated
21/09/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
DOES EXTERNAL PROFICIENCY TESTING AND METHOD INTERVENTION IMPROVE INTER-SCORER AND INTER-LABORATORY POLYSOMNOGRAM SCORING RELIABILITY?
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Scientific title
DOES EXTERNAL PROFICIENCY TESTING AND METHOD INTERVENTION IMPROVE INTER-SCORER AND INTER-LABORATORY POLYSOMNOGRAM SCORING RELIABILITY?
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Measurement reliability in Polysomnographic scoring
2346
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Condition category
Condition code
Respiratory
2451
2451
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0
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Sleep apnoea
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1. External Proficiency Testing (2 cycles of EPT at 3 and 6 months)
2. External proficiency testing (2 cycles of EPT at 3 and 6 months) plus method alignment (at 1,2,4 and 5 months)
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Intervention code [1]
2068
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Other interventions
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Comparator / control treatment
No intervention
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Control group
Active
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Outcomes
Primary outcome [1]
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Intraclass correlation coefficient (ICC) for apnoea hypopnoea index (AHI)
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Assessment method [1]
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Timepoint [1]
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Baseline, 3 and 6 months
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Secondary outcome [1]
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ICC for Arousal Index (ArI), ICC for Total Sleep Time (TST), event by event agreement for sleep stages, arousals and respiratory events.
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Assessment method [1]
5569
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Timepoint [1]
5569
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Baseline, 3 and 6 months
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Eligibility
Key inclusion criteria
Experienced scorers. Availability for duration of study. Study compatable equipment
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Minimum age
N/A
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Maximum age
N/A
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Nil.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The allocation schedule was centrally administered
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Recruited laboratories were randomly assigned to the three groups by pulling numbers out of a hat.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/01/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
423
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NA
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Recruitment outside Australia
Country [1]
600
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New Zealand
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State/province [1]
600
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NA
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Funding & Sponsors
Funding source category [1]
2603
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Other Collaborative groups
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Name [1]
2603
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Australasian Sleep Trials Network
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Address [1]
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c/- Adelaide Institute for Sleep Health
Repatriation General Hospital Daws Road, Daw Park,
South Australia 5041
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Country [1]
2603
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Australasian Sleep Trials Network
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Address
c/- Adelaide Institute for Sleep Health
Repatriation General Hospital Daws Road, Daw Park,
South Australia 5041
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
2355
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health Human Research Ethics Committee (HREC)
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Ethics committee address [1]
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Studley Rd Heidelberg, 3084
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Ethics committee country [1]
4524
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Australia
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Date submitted for ethics approval [1]
4524
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Approval date [1]
4524
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22/12/2006
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Ethics approval number [1]
4524
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H2006/02714
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Summary
Brief summary
Polysomnography (PSG) is a clinical test that is used to diagnose breathing disorders that occur during sleep. The most common of this type of disorder is Obstructive Sleep Apnoea (OSA). People with OSA experience periods of partial or complete obstruction of the throat during sleep. It is a serious disorder when severe, with good treatments available. Accurate diagnostic tests are therefore very important. The main outcome measures from the PSG test are the number of obstructions per hour of sleep, the number of arousals from sleep and the amount and quality of sleep. Scoring these features from PSG recordings relies heavily on visual pattern recognition by trained observers applying pre-defined rules. The recognition of features and application of the rules is therefore subject to interpretation by individual scorers and this has the potential to affect measurement reliability. Inter-scorer variations in PSG outcome measures may affect the accuracy of clinical evaluation of individual patients and also decrease statistical power in research studies, particularly multicentre research studies. Several studies have examined the reliability of scoring PSGs. All have demonstrated significant variability in scoring of PSGs and there is therefore a strong incentive to investigate sources of inter-scorer variability and to develop methods aimed at achieving improvements. Our group has recently developed methods that allow measurement of PSG scoring reliability to be assessed and potentially improved through external proficiency testing (EPT). They rely on distributing test PSGs to participating laboratories and determining the consistency of scoring using a purpose-written computer application. However, there are no studies that evaluate whether applying the principles of EPT to PSG scoring is effective in improving scoring consistency. If EPT proves to be ineffective, then it is likely that an active process that aims to align scorer technique will be necessary. The purposes of this study are therefore to: 1. Evaluate whether a program of EPT improves scorer consistency 2. Evaluate whether an active process for identifying and correcting causes of discordance (alignment process) in addition to EPT further improves scorer consistency The demonstration of effective methods for improving scorer consistency will have important benefits for both patient care and research.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Peter Rochford
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Address
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Austin Health
Studley rd
Heidelberg
Vic 3084
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Country
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Australia
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Phone
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0394963673
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Peter Rochford
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Address
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Austin Health
Studley rd
Heidelberg
Vic 3084
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Country
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Australia
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Phone
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0394963673
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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