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An Evaluation of Home-Based Telemedicine Services

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ClinicalTrials.gov Identifier: NCT00105846
Recruitment Status : Completed
First Posted : March 18, 2005
Last Update Posted : April 7, 2015
Sponsor:
Information provided by (Responsible Party):
VA Office of Research and Development ( US Department of Veterans Affairs )

Study Description
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Brief Summary:
Tele-home health care, which providers for video interactions between home-based veterans and home care nurses, is a potentially useful adjunct to home care services. However, few randomized trials have been conducted of this technology.

Condition or disease Intervention/treatment Phase
Congestive Heart Failure Chronic Obstructive Pulmonary Disease Diabetes Procedure: Home care telemedicine Phase 2

Detailed Description:

Background:

Tele-home health care, which providers for video interactions between home-based veterans and home care nurses, is a potentially useful adjunct to home care services. However, few randomized trials have been conducted of this technology.

Objectives:

The primary objectives were to determine if tele-home health care patients, compared with patients receiving usual home care, have:1) higher levels of health related quality of life and home care satisfaction; 2) fewer inpatient admissions, hospital stays, and outpatient and emergency room visits; and 3) higher levels of home care access, in terms of the total number of contacts between HBPC nurses and patients.

Methods:

Patients were randomly assigned to the intervention or to the control group. Video tele-health units were installed in patient homes for the intervention group, and control group patients received usual home care services. Baseline and six month follow up surveys included questions on perceived health related quality of life and home care satisfaction. T-tests were used to compare intervention and control group members in terms of six month changes in health related quality of life and satisfaction with home care. Multivariate analyses were used to assess group differences in six month health care service use, with prior service use and survival included as covariates.

Status:

The study is completed, with a final enrollment of 37 patients. Three study manuscrip[ts have been completed (two published and one under review).

Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: An Evaluation of Home-Based Telemedicine Services
Actual Study Completion Date : June 2004
Arms and Interventions
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Arm Intervention/treatment
Arm 1 Procedure: Home care telemedicine


Outcome Measures
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Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

Patients must be enrolled in the home care program at the Indianapolis VAMC and have at least: (a) 6 outpatient visits, one hospitalization, or 2 or more emergency room visits in the last twelve months, (b) a care plan specifying two or more skilled nursing visits per month, (c) an expected need for future home care visits for at least one month.

Exclusion Criteria:

Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00105846


Locations
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United States, Michigan
VA Ann Arbor Healthcare System, Ann Arbor, MI
Ann Arbor, Michigan, United States, 48105
United States, Nebraska
Richard L. Roudebush VA Medical Center, Indianapolis, IN
Indianapolis, Nebraska, United States, 46202-2884
Sponsors and Collaborators
US Department of Veterans Affairs
Investigators
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Principal Investigator: Faith P. Hopp, PhD MA MSW VA Ann Arbor Healthcare System, Ann Arbor, MI
More Information
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Publications of Results:
Hopp F, Woodbridge P, Subramanian U, Copeland L, Smith D. Home telehealth's role in diabetes case management. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2005 Apr 1; 11:220.

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Responsible Party: US Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00105846    
Other Study ID Numbers: TEL 20-015
First Posted: March 18, 2005    Key Record Dates
Last Update Posted: April 7, 2015
Last Verified: February 2007
Additional relevant MeSH terms:
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Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Heart Failure
Heart Diseases
 Cardiovascular Diseases
Lung Diseases
Respiratory Tract Diseases