The Actuate-CBC Study

Recruiting

• Conditions: Telemedicine
• Interventions: Behavioral: Tool kit

• Registration Number: NCT05917652
• Lead Sponsor: University of Pennsylvania

Brief Summary

The study team will use implementation science to accelerate the uptake of teleconsultationfor burn patients by 1) examining the relationships between clinician perceptions of acceptability, feasibility, intention to use, and actual use of burn teleconsultation 2) identifying the optimal process for burn teleconsultation and the barriers and facilitators for its use during a crisis or prolonged care situation, and 3) designing and testing the effectiveness of a specific, tailored burn teleconsultation toolkit intervention to increase burn teleconsultation use.

Detailed Description

The principal investigator's central hypothesis is that a tailored implementation intervention (toolkit) that integrates the known advantages of using telemedicine for burn consultation with new knowledge regarding clinician perceptions and the setting in which they work will improve the feasibility, acceptance, intention to use, and uptake of burn teleconsultation. The implementation intervention will enable rapid burn teleconsultation implementation under crisis circumstances and assist clinicians to virtually connect the person caring for a burn patient anywhere to the entire burn team's expertise. The study results will lead to more robust national crisis, wartime, and disaster response plans, improve quality of burn care, and decrease morbidity and mortality from serious burn injury, regardless of injury location.

Study Timeline

• Study Start: 2023-01-04
• Study First Submitted: 2023-01-20
• Study First Submitted QC: 2023-06-14
• Study First Posted: 2023-06-26
• Status Verified: 2024-06
• Last Update Submitted: 2024-06-28
• Last Update Posted: 2024-07-01
• Primary Completion: 2026-06-30
• Study Completion: 2027-06-15

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 2183

Inclusion Criteria

• 18 years of age or older and
• are providing burn care to patients at the 4 burn centers and the non-burnhospitals are eligible for inclusion.

Exclusion Criteria

• do not meet inclusion criteria,
• decline to participate or do not give consent to participate in the study, •
• directly express uneasiness about the participation

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Interviews	Tool kit	The study team plans to do about 18-23 one-on-one interviews with clinicians (burn care nurses, physicians, advanced practice providers, therapists) or will progress until data saturation is reached.
RedCap surverys	Tool kit	The study team will use REDCap to send an IRB approved secure electronic survey

Primary Outcome Measures

Name	Time	Method
Examine the relationships between clinician perceptions of feasibility, acceptability, intention to use, and the actual use of acute burn teleconsultation.	4 years	The study team will look at the differences in opinions between the Aim 1 and 2 interviews and surveys as well as the referral numbers being collected and compare that to the Aim 3 data from interviews and surveys as well as actual referral data to see if there is an increase in the use of telemedicine.

Trial Locations

Locations (4)

UCI Health Regional Burn Center; 🇺🇸 Orange, California, United States

Massachusetts General Hospital Sumner Redstone Burn Center; 🇺🇸 Boston, Massachusetts, United States

University of Michigan; 🇺🇸 Ann Arbor, Michigan, United States

Regions Hospital Burn Center; 🇺🇸 Saint Paul, Minnesota, United States