Tablet-Enabled Video Telehealth to Enhance Veterans' Access and Care
|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.|
|ClinicalTrials.gov Identifier: NCT03089801|
Recruitment Status : Completed
First Posted : March 24, 2017
Last Update Posted : November 14, 2018
In order to enhance access to clinical and mental health services for Veterans who have geographic, clinical, or social barriers to in-person care, VA Offices of Connected Care and Rural Health began distributing 5,000 tablets to Veterans with access barriers in 2016. The objective of this Quality Improvement evaluation is to:
- Understand characteristics of Veterans who received tablets, the frequency and ways in which they used the tablets, and the effects of tablet use on access to VA services.
- Through a survey of Veterans, evaluate patient experiences using the tablets, and determine how tablets influenced patients' experiences with VA care, including their satisfaction, communication with providers, and access to needed services.
- Identify implementation barriers and facilitators to tablet distribution and use through interviews with clinicians and staff in a purposive sample of VA facilities
- Evaluate the effects of tablet use on chronic medical condition outcomes (e.g., hypertension, diabetes) and mental health treatment initiation and engagement (e.g., for depression, PTSD, and substance use).
|Condition or disease||Intervention/treatment|
|Chronic Disease, Mental Illness||Other: Tablet-Enabled Video Telehealth|
|Study Type :||Observational|
|Actual Enrollment :||32186 participants|
|Official Title:||Making Connections: Tablet-Enabled Video Telehealth to Enhance Veterans' Access and Care|
|Actual Study Start Date :||May 2016|
|Actual Primary Completion Date :||September 2018|
|Actual Study Completion Date :||September 2018|
Veteran patients who have received a VA-issued tablet for tablet-enabled video telehealth.
Other: Tablet-Enabled Video Telehealth
Veterans referred for tablet-enabled video telehealth will receive a VA-issued tablet that can be used to communicate via video with health care providers (e.g., for chronic disease management, mental health treatment, palliative care).
Other Name: eHealth
Veteran patients who match tablet recipients based on sociodemographic/clinical characteristics but have not received a VA-issued tablet.
- Utilization of VA Services [ Time Frame: Up to 1 year after receipt of tablet ]Changes in patient use of VA services before/after receiving tablet
- Satisfaction with VA Care [ Time Frame: Baseline and 6 months follow-up after receipt of tablet ]Survey-based measure of patient satisfaction with VA care
- Access to VA Care [ Time Frame: Baseline and 6 months follow-up after receipt of tablet ]Survey-based measure of patient perceived access to needed services
- Communication with Providers [ Time Frame: Baseline and 6 months follow-up after receipt of tablet ]Survey-based measure of patient perceived communication with providers
- Evaluate feedback from the facilities that implement the tablet program [ Time Frame: Beginning 1 year after initial implementation of the program during 2017-2018 ]Assessment: Interview and survey questions on CFIR implementation constructs
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): NCT03089801
|United States, California|
|VA Palo Alto Health Care System|
|Palo Alto, California, United States, 94304|
|Principal Investigator:||Donna M Zulman, MD, MS||VA Palo Alto Health Care System|