ClinicalTrials.gg
CompletedNCT07788690MMC26Updated Sep 4, 2026

Advanced Airway Management Among Primary Care Health

An interventional study of Educative Intervention in Enhance Patient Safety, Nurse Physician Relations and Physician-Nurse Relations, sponsored by Universitat Jaume I. Completed at 1 site in Spain. Open to participants aged 22 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by Universitat Jaume I · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Registered 1 year 11 months after the study started (first participant enrolled Sep 2024, registered Aug 2026).

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Phase
Not applicable
Study type
Interventional
Enrollment
538
Allocation
Not applicable
Ages
22 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 49 studies in Health Education with a site in Spain — 18 open to participants now, 19 under way, none of them phase 3. Health Education · Spain.

Enrollment
8th of 47
538 · median 168
Started
2024
with 6 others
No phase
44 of 49
17 open now
Registered
47th of 49
by date

Among the 49 studies in Health Education with a site in Spain, this one is the 8th largest by enrollment of the 47 interventional ones that give a count, is one of 7 that started in 2024, is one of 44 with no phase, and was the 47th registered.

Health Education

483 studies on the registry are indexed under Health Education; 112 are open to participants now.

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Open to participants now

18 of the 49 studies in Health Education with a site in Spain are open now. Recruiting first, the newest first:

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All 18 open studies →

A study can be open while its sites in Spain have not opened yet or have stopped. Only those recruiting at a site in Spain →

Who these studies take

Of the 46 Health Education studies recruiting now, 29 (63%) set no upper age limit and 14 (30%) stop at 75 or younger; 11 take children under 18; 18 take healthy volunteers.

This study: 22 Years to 65 Years · all sexes · no healthy volunteers.

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02

Study summary

Background: Advanced airway management is a critical component of advanced life support (ALS). Supraglottic airway devices (SADs) represent an effective and safe alternative to endotracheal intubation in emergency settings, particularly in Primary Care (PC), where low exposure to critical situations favors skills decay. The objective is to analyze the baseline level of theoretical knowledge and self-perceived ability regarding SADs management among PC physicians and nurses.

Methods This quantitative cross-sectional study was conducted in primary care (PC) health centers within the Castellón Health Department, Spain. The study included 92 PC healthcare professionals. Data were collected using an ad hoc digital questionnaire that had previously been validated by 14 experts, achieving an overall Scale-level Content Validity Index (S-CVI) of 0.93. Descriptive and bivariate inferential analyses were performed using Pearson's chi-square test, Fisher's exact test, and the Mann-Whitney U test. Statistical significance was set at p ≤ 0.05.

Read the detailed description

BACKGROUND Out-of-hospital cardiopulmonary arrest (CPA) is one of the leading medical emergencies worldwide, with an incidence in Europe of approximately 55 cases per 100,000 inhabitants and an overall survival rate at hospital discharge of close to 8%. In Spain, the estimated incidence is around 25 cases per 100,000 inhabitants, with survival rates that remain moderate and are influenced by delays in the initiation of resuscitation and by the quality of initial advanced life support.

During Advanced Life Support (ALS), rapid and effective airway management is a critical factor in mitigating hypoxic brain injury. Although endotracheal intubation (ETI) has traditionally been considered the gold standard, its performance in out-of-hospital settings by non-anesthesiologists or practitioners with limited technical experience is associated with significant rates of failure, repeated attempts, and prolonged interruptions in chest compressions, which severely compromise coronary and cerebral perfusion. In this scenario, supraglottic devices (SGDs) have emerged as a priority first-line alternative that is safe and quick to insert, offering high success rates and minimizing pauses in cardiopulmonary resuscitation (CPR).

Current recommendations prioritize techniques that ensure effective ventilation while minimizing interruptions in chest compressions.

However, evidence indicates that a significant proportion of healthcare professionals have cognitive and competency deficits in the management of acute care. This situation is particularly relevant in primary care, where acute events are infrequent and opportunities for practical training are limited, which accelerates the phenomenon of skill decay.

Assessing baseline knowledge is a fundamental step in identifying actual training needs and designing tailored educational interventions. However, there is little evidence regarding the cognitive level of primary care professionals with respect to the management of DSG prior to receiving structured training-a key starting point for guiding competency-based programs and ensuring patient safety.

For all these reasons, the primary objective of this study was to assess the baseline level of theoretical knowledge regarding the management of DSG among primary care healthcare professionals (physicians and nurses) in the Castellón Department of Health. The following were set as secondary objectives:

  1. Describe the sociodemographic, academic, and employment profiles of the staff being evaluated.
  2. Identify specific conceptual gaps and common errors in ALS procedures related to the use of DSG.
  3. Analyze the statistical association between sociodemographic and professional variables and the success rate on the knowledge questionnaire.
  4. Assess professionals' self-perceived competence and compare it with their objective cognitive/theoretical performance.
03

Conditions studied

  • Enhance Patient Safety
  • Nurse Physician Relations
  • Physician-Nurse Relations

Browse trials for

Keywords

  • Primary Health Care
  • Health Education
  • Supraglottic Airway Devices
  • Simulation
  • Airway Management
04

Who can participate

Ages eligible
22 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Physicians and nurses with active employment contracts in primary care in the evaluated department.
  2. An employment contract or appointment lasting more than 6 months.
  3. Voluntary consent to participate

Exclusion criteria

Exclusion Criteria:

  1. Doctors and nurses who were on temporary disability leave or leave of absence at the time of the study.
  2. Questionnaires that were duplicates or had any blank questions.
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
538 participants (actual)

Study arms

  • Other
    Educational intervention with pre-post intra-subject

    This is an educational intervention in which participants were provided with several sessions to recognize and better manage supraglottic devices.

    Other: Educative Intervention

Interventions

  • OtherEducative Intervention

    This is an educational intervention in which participants were provided with several sessions to recognize and better manage supraglottic devices.

06

What researchers measure

Primary outcomes

  1. Change from baseline level of theoretical knowledge regarding the management of DSG

    Change from baseline level of theoretical knowledge regarding the management of DSG among primary care healthcare professionals (physicians and nurses) in the Castellón Department of Health.

    Time frame: From the enrollment to the end of first objective 6 weeks

Secondary outcomes

  1. Sociodemographic characteristics

    Describe the sociodemographic profile of the staff being evaluated.

    Time frame: From the enrollment to the end of the intervention, 4 weeks

  2. Sociodemographic characteristics

    Describe the academic profile of the staff being evaluated.

    Time frame: From the enrollment to the end of the intervention, 4 weeks

  3. Sociodemographic characteristics

    Describe the employment profile of the staff being evaluated.

    Time frame: From the enrollment to the end of the intervention, 4 weeks

  4. gaps and common errors in ALS procedures

    Identify specific conceptual gaps and common errors in ALS procedures related to the use of DSG.

    Time frame: From the enrollment to the end of the intervention 4 weeks

  5. statistical association between sociodemographic and professional variables

    Analyze the statistical association between sociodemographic and professional variables and the success rate on the knowledge questionnaire.

    Time frame: From the enrollment to the end of the intervention, 8 weeks

  6. Comparative

    Assess professionals' self-perceived competence and compare it with their objective cognitive/theoretical performance.

    Time frame: From the enrollment to the end of the intervention, 8 weeks

07

Study locations

1 site
  • Conselleria de Sanitat
    Castellon, Castellón 12003, Spain
08

References and documents

Publications

  • 10.1016/j.resuscitation.2021.02.007

Related links

Individual participant data

Plan to share: Yes — The study is part of a doctoral thesis that will be defended in 2027.

Supporting information: Study protocol, Clinical study report

Time frame: It will be a doctoral thesis, so once defended, it will be available on Thesify indefinitely, as mandated by the doctoral thesis protocol of Spanish universities.

Access criteria: Thesify is an open repository, so anyone wishing to consult the results will be able to do so.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2024 to primary completion in Nov 2025, 14 months.

Of 292 non-industry interventional studies with no phase under Health Education, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 24. This study's 14 months is above that.

Counting every sponsor, half of 293 studies reached it within 11 months; a quarter within 3 and three quarters within 24.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 15, 2026
First posted
Aug 26, 2026
StartActual
Sep 1, 2024
Primary completionActual
Nov 30, 2025
CompletionActual
Nov 30, 2025
Last update
Sep 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07788690
Lead sponsor
Universitat Jaume I
Collaborators
Universitat Jaume I, Spain, Generalitat Valenciana
Responsible party
Isabel Almodóvar Fernández (Principal Investigator, Universitat Jaume I) — Principal investigator
First posted
Aug 26, 2026
Start date
Sep 1, 2024
Primary completion
Nov 30, 2025
Completion
Nov 30, 2025
Last update
Sep 4, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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