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Health-e-Access Telemedicine in Primary Pediatric Care

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ClinicalTrials.gov Identifier: NCT00234806
Recruitment Status : Completed
First Posted : October 7, 2005
Last Update Posted : October 22, 2015
Sponsor:
Collaborators:
Information provided by (Responsible Party):

Study Description
Brief Summary:

This study aims to take the existing model from the pilot of Telemedicine in Daycare and expand it to other suburban childcare centers and both urban and suburban elementary schools.

An assessment of the value of telehealth in the child programs will then be initiated to detail the impact of utilization and costs.

An assessment of the value of integrating telehealth into primary care practice will also be evaluated. The impact of continuity of care, well child visit rates, and immunization status will be among the various measures used in this evaluation.


Condition or disease Intervention/treatment
Common Childhood Illnesses Non-emergent Care Other: Health-e-Access

Detailed Description:

This involves estimating the impact of reduced absence due to illness on parents and their employers and estimating the value of a telehealth visit to these stakeholders. An interview instrument was developed to administer before experience with telehealth and again after a family has had experience with the program. In addition program attendance (childcare or school) records will be collected to document changes in absenteeism pre and post telehealth service implementation.

This study involves a before and after research design including both historical and concurrent controls comparing a detailed utilization of health services including telehealth visits, emergency department services and illness related office visits. Analyses will include center-level analyses of service utilization on a weekly basis pre and post as well as a child-level analyses including utilization before enrollment in a participating childcare center or school through program participation and, eventually, telehealth participation.

This is a descriptive observational study of the feasibility and acceptability of integrating telehealth service into 10 primary care pediatric practices. This study will document the integration process by maintaining a log of key communications relating to decision making (meeting minutes, memos, written agreements, protocols) and by interviewing key staff such as residents, nurse practitioners, attending physicians, staff nurses, and administrative leaders following the study period.


Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 2000 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Health-e-Access: A Study of Telemedicine in Primary Pediatric Care in Rochester, NY
Study Start Date : December 2000
Primary Completion Date : December 2007
Study Completion Date : December 2007
Arms and Interventions

Arm Intervention/treatment
Experimental: Telemedicine intervention group Other: Health-e-Access
telemedicine intervention
Placebo Comparator: Control group Other: Health-e-Access
telemedicine intervention


Outcome Measures

Primary Outcome Measures :
  1. Evaluation of the impact of telehealth on utilization and cost of health care

Secondary Outcome Measures :
  1. Evaluation of the feasibility and acceptability of integrating telehealth services into 10 primary care practices

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   6 Weeks to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • All children at participating childcare centers and elementary schools.

Exclusion Criteria:

  • Foster care children, children whose parents have refused participation, or children whose parents are unable to appropriately comprehend the program for any reason.
Contacts and Locations

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): NCT00234806


Locations
United States, New York
University of Rochester
Rochester, New York, United States, 14642
Sponsors and Collaborators
University of Rochester
United States Department of Commerce
Robert Wood Johnson Foundation
Investigators
Principal Investigator: Kenneth McConnochie, MD, MPH University of Rochester
More Information

Publications:
Responsible Party: Kenneth McConnochie, Professor, University of Rochester
ClinicalTrials.gov Identifier: NCT00234806     History of Changes
Other Study ID Numbers: 8858
AHRQ- R01 HS015165-02
MCHB- 1 R40MC03605-01-00
First Posted: October 7, 2005    Key Record Dates
Last Update Posted: October 22, 2015
Last Verified: October 2015

Keywords provided by Kenneth McConnochie, University of Rochester:
telehealth
telemedicine