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Trial record 50 of 5441 for:    veterans

Tablet-Enabled Video Telehealth to Enhance Veterans' Access and Care

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ClinicalTrials.gov Identifier: NCT03089801
Recruitment Status : Completed
First Posted : March 24, 2017
Last Update Posted : November 14, 2018
Sponsor:
Collaborators:
US Department of Veterans Affairs
Veterans Affairs Office of Connected Care
Information provided by (Responsible Party):
Donna Zulman, VA Palo Alto Health Care System

Brief Summary:

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:

  1. 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.
  2. 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.
  3. Identify implementation barriers and facilitators to tablet distribution and use through interviews with clinicians and staff in a purposive sample of VA facilities
  4. 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

  Show Detailed Description

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Study Type : Observational
Actual Enrollment : 32186 participants
Observational Model: Cohort
Time Perspective: Other
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

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Tablet Recipients
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

Usual Care
Veteran patients who match tablet recipients based on sociodemographic/clinical characteristics but have not received a VA-issued tablet.



Primary Outcome Measures :
  1. 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


Secondary Outcome Measures :
  1. 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

  2. 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

  3. Communication with Providers [ Time Frame: Baseline and 6 months follow-up after receipt of tablet ]
    Survey-based measure of patient perceived communication with providers

  4. 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



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All participants are Veterans who have received care at a VA facility in the past year.
Criteria

Inclusion Criteria:

  • Must be a Veteran enrolled in a Veterans Affairs Health Care System, currently receiving care
  • Must have a geographic, clinical, or social barrier that impedes access to in-person clinical and mental health services
  • Veterans are referred for VA-issued tablets by their provider

Exclusion Criteria: All Veterans who receive VA-issued tablets will be included in the evaluation. Veterans may opt out of the survey.


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): NCT03089801


Locations
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United States, California
VA Palo Alto Health Care System
Palo Alto, California, United States, 94304
Sponsors and Collaborators
VA Palo Alto Health Care System
US Department of Veterans Affairs
Veterans Affairs Office of Connected Care
Investigators
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Principal Investigator: Donna M Zulman, MD, MS VA Palo Alto Health Care System

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Responsible Party: Donna Zulman, Principal Investigator, VA Palo Alto Health Care System
ClinicalTrials.gov Identifier: NCT03089801     History of Changes
Other Study ID Numbers: 1
First Posted: March 24, 2017    Key Record Dates
Last Update Posted: November 14, 2018
Last Verified: November 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Donna Zulman, VA Palo Alto Health Care System:
health care access
eHealth
telehealth

Additional relevant MeSH terms:
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Chronic Disease
Mental Disorders
Disease Attributes
Pathologic Processes