Can we Reduce Hospital Attendance Without Compromising Care by the Use of Telephone Consultation

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00129701
Recruitment Status : Completed
First Posted : August 12, 2005
Last Update Posted : May 28, 2015
Information provided by:
Imperial College London

Brief Summary:
Consultation time in busy respiratory clinics is inevitably limited and attendance is often disruptive to patients' lives; involves time, expense, travel, and waiting; and can have effects upon occupation. Published work suggests that patient satisfaction with telephone consultations is high and this subject has recently been extensively reviewed by one of the study investigators. In respiratory medicine there is United States (US) data to suggest that the regular telephoning of adolescents with asthma by a specialist nurse can reduce unscheduled use of health service resources. In the United Kingdom (UK), a randomised, controlled trial in primary care has shown that, compared to face to face consultations, use of the telephone can enable greater numbers of patients with asthma to be reviewed. Another of the study investigators has undertaken a feasibility study in a general respiratory clinic and has shown the concept of alternating face to face consultation with telephone consultation to be acceptable to over 80% of patients. Over one third were assessed to be suitable in that they did not need to attend the clinic for either physical examination or for investigations. It is therefore proposed to evaluate the feasibility, acceptability, time savings and safety of the use of telephone consultation in 3 respiratory clinics in the Department of Respiratory Medicine at Charing Cross Hospital.

Condition or disease Intervention/treatment Phase
Asthma COPD Sleep Apnea Syndromes Interstitial Lung Diseases Bronchiectasis Procedure: Telephone consultation Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Enrollment : 500 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Official Title: Proposal to Study Whether we Can Reduce Hospital Attendance by Those With Respiratory Conditions Without Compromising Care by the Use of Telephone Consultation
Study Start Date : November 2003
Study Completion Date : January 2006

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Primary Outcome Measures :
  1. Patient satisfaction
  2. Number of those telephoned needing expedited follow up
  3. Patient costs associated with traditional face to face consultation
  4. Any differences between diseases

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 90 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Patients who had already attended a respiratory clinic on at least two occasions and in whom it was perceived that there was a need for continued follow up in a hospital clinic with review needed more often than once per year
  • Patients with no need for physical examinations or investigations such as chest X-rays, blood tests or lung function tests at every attendance
  • Patients who had access to a confidential telephone line
  • Patients who had no mental, hearing or linguistic problems

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 identifier (NCT number): NCT00129701

United Kingdom
NHLI Imperial College
London, United Kingdom, W6 8RF
Sponsors and Collaborators
Imperial College London
Principal Investigator: Martyn R Partridge, MD FRCP NHLI Imperial College