ISRCTN41238563
Completed
未知
Randomized controlled trial of a mobile phone-based telemonitoring application for self-management and clinical decision support for patients with complex chronic conditions
niversity Health Network0 sites96 target enrollmentAugust 9, 2016
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Heart failure (HF), chronic obstructive pulmonary disease (COPD), chronic kidney disease (CKD), uncontrolled hypertension, diabetes
- Sponsor
- niversity Health Network
- Enrollment
- 96
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
2017 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/29162557 protocol 2021 Preprint results in https://doi.org/10.2196/31754 results in preprint (added 20/12/2021)
Investigators
Eligibility Criteria
Inclusion Criteria
- •All participants:
- •1\. Adults (age 18 years or older)
- •2\. Diagnosed with HF, COPD, CKD, and/or uncontrolled hypertension (individuals with diabetes who require blood glucose monitoring will be included as a co\-morbidity only if patients have at least one of the above four chronic illnesses, and will be in the form of self\-care support only)
- •3\. Patient or their caregiver speaks and reads English adequately to provide informed consent and understand the text prompts in the application
- •4\. Ability to comply with using the telemonitoring system (e.g, able to stand on the weight scale, able to answer symptom questions, etc)
- •Primary chronic disease\-specific criteria:
- •1\. Patients with HF as the primary chronic disease: with reduced ejection fraction (EF\<0\.40\)
- •2\. Patients with COPD as the primary chronic disease: spirometrically confirmed diagnosis of COPD of GOLD Stage II or higher (defined as post\-bronchodilator FEV1 \< 80% predicted and FEV1/FVC ratio \< 70%); smoking history of \= 20 pack\-years or homozygous alpha\-1 antitrypsin deficiency; and prescribed an action plan for the early self\-treatment of acute exacerbations
- •3\. Patients with CKD as the primary chronic disease: Grade 3\-5 (eGFR \< 60mL/1\.73 m2\)
- •4\. Patients with uncontrolled hypertension as the primary chronic disease: For non\-diabetics: blood pressure \>\=140/90 mmHg auscultatory (manual measurement) or \>\=135/85 mmHg oscillometric (automated measurement). For diabetics: blood pressure \>\=130/80 mmHg
Exclusion Criteria
- •1\. Patients on mechanical circulatory support
- •2\. Patients on the heart transplant list
- •3\. Terminal diagnosis with life expectancy \< 1 year
- •4\. Dementia or uncontrolled psychiatric illness
- •5\. Resident of a long\-term care facility
Outcomes
Primary Outcomes
Not specified
Similar Trials
Completed
Not Applicable
Assessing the impact of mobile health technologies in resource limited areasISRCTN61479659American Society of Echocardiography286
Completed
Not Applicable
A SMARTphone-based study to proMOte physical actiVity in primary carESmartphone for positive behavioural change/promotion of physical activityMental and Behavioural DisordersISRCTN99944116Implementing Transnational Telemedicine Solutions [ITTS] (UK)80
Completed
Not Applicable
Randomized Controlled Trial of the Impact of Mobile Phone Delivered Reminders and Travel Subsidies to Improve Childhood Immunization Coverage Rates and Timeliness in Western KenyaDiphtheriaTetanusPertussisHepatitis BHaemophilus Influenzae Type bMeaslesNCT01878435Johns Hopkins Bloomberg School of Public Health2,018
Completed
Not Applicable
A Mobile Phone Self-Monitoring Tool to Increase Emotional Self-Awareness and Reduce Depression in Young PeopleDepressionNCT00794222Murdoch Childrens Research Institute118
Completed
Not Applicable
Study Protocol for a Smartphone Application-based Intervention for Subthreshold DepressionSubthreshold DepressionNCT04136041Kibi International University32