RT Journal Article T1 Effectiveness of a virtual intervention for primary healthcare professionals aimed at improving attitudes towards the empowerment of patients with chronic diseases: study protocol for a cluster randomized controlled trial (e-MPODERA project) A1 González-González, Ana Isabel A1 Orrego, Carola A1 Perestelo-Perez, Lilisbeth A1 Bermejo-Caja, Carlos Jesús A1 Mora, Nuria A1 Koatz, Débora A1 Ballester, Marta A1 del Pino, Tasmania A1 Pérez-Ramos, Jeannet A1 Toledo-Chavarri, Ana A1 Robles, Noemí A1 Pérez Rivas, Francisco Javier A1 Ramírez-Puerta, Ana Belén A1 Canellas-Criado, Yolanda A1 del Rey-Granado, Yolanda A1 Muñoz-Balsa, Marcos José A1 Becerril-Rojas, Beatriz A1 Rodríguez-Morales, David A1 Sánchez-Perruca, Luis A1 Vázquez, José Ramón A1 Aguirre, Armando AB BackgroundCommunities of practice are based on the idea that learning involves a group of people exchanging experiences and knowledge. The e-MPODERA project aims to assess the effectiveness of a virtual community of practice aimed at improving primary healthcare professional attitudes to the empowerment of patients with chronic diseases.MethodsThis paper describes the protocol for a cluster randomized controlled trial. We will randomly assign 18 primary-care practices per participating region of Spain (Catalonia, Madrid and Canary Islands) to a virtual community of practice or to usual training. The primary-care practice will be the randomization unit and the primary healthcare professional will be the unit of analysis. We will need a sample of 270 primary healthcare professionals (general practitioners and nurses) and 1382 patients. We will perform randomization after professionals and patients are selected. We will ask the intervention group to participate for 12 months in a virtual community of practice based on a web 2.0 platform. We will measure the primary outcome using the Patient-Provider Orientation Scale questionnaire administered at baseline and after 12 months. Secondary outcomes will be the sociodemographic characteristics of health professionals, sociodemographic and clinical characteristics of patients, the Patient Activation Measure questionnaire for patient activation and outcomes regarding use of the virtual community of practice. We will calculate a linear mixed-effects regression to estimate the effect of participating in the virtual community of practice.DiscussionThis cluster randomized controlled trial will show whether a virtual intervention for primary healthcare professionals improves attitudes to the empowerment of patients with chronic diseases.Trial registration: ClicalTrials.gov, NCT02757781. Registered on 25 April 2016.Protocol Version. PI15.01 22 January 2016. PB BioMed Central Ltd SN 1745-6215 YR 2017 FD 2017-10-30 LK https://hdl.handle.net/20.500.14352/120708 UL https://hdl.handle.net/20.500.14352/120708 LA eng NO González-González AI, Orrego C, Perestelo-Perez L, Bermejo-Caja CJ, Mora N, Koatz D, et al. Effectiveness of a virtual intervention for primary healthcare professionals aimed at improving attitudes towards the empowerment of patients with chronic diseases: Study protocol for a cluster randomized controlled trial (e-MPODERA project). Trials. 2017;18(1). NO Este estudio fue cofinanciado por el Fondo Europeo de Desarrollo Regional y el Fondo de Investigaciones Sanitarias. Instituto de Salud Carlos III. Ministerio de Economía y Competitividad. Gobierno de España. (PI15/00164, PI15/00586 y PI15/00566). La fuente de financiación no tuvo ningún papel en el diseño del estudio, la recopilación de datos, el análisis o la interpretación, ni en la redacción del manuscrito. Los investigadores mantienen total independencia en la realización del estudio. El comité de evaluación del FIS inspeccionará anualmente el progreso del estudio y el cumplimiento del protocolo del estudio. DS Docta Complutense RD 26 dic 2025