Pilot Study of Video and Telephone Primary Care Visits
- Conditions
- Telemedicine
- Interventions
- Other: Internet-connected computer tablet
- Registration Number
- NCT04496713
- Lead Sponsor
- Johns Hopkins University
- Brief Summary
The inability to access and use smartphones or camera-outfitted internet-connected devices during the COVID-19 pandemic relegates certain patients to receive audio-only telemedicine instead of audio/video-based telemedicine. The investigators are conducting a randomized controlled trial in order to characterize patient and provider attitudes towards these two modalities of care and to test the feasibility of a new model to make tablets for video-based care accessible to those who need that. The investigators hypothesize that patient and provider satisfaction will be higher with video-based telehealth when compared to phone-based telehealth.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 15
- Adult patients scheduled for telephone-based visits who are doing so because of a lack of ability to conduct a video visit (i.e. no tablet/laptop; no access to internet) who live in Baltimore City
- Patients with significant visual or hearing impairment
- Patients that have legal guardians or who are marked as lacking healthcare decision-making capacity
- Patients that have not selected English as their preferred language
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Telemedicine - Audio/Video Internet-connected computer tablet Patients will be given an internet-connected tablet to have their upcoming visit with their physician by audio/video. A survey can be completed on the tablet. The devices will be sent back to the research time after their single use.
- Primary Outcome Measures
Name Time Method Provider rating as assessed by the Consumer Assessment of Healthcare Providers and Systems question on provider rating Within 2 weeks of the study visit Provider rating will be assessed with the Consumer Assessment of Healthcare Providers and Systems question on provider rating of 0-10; 0 being worst provider possible and 10 being best provider possible.
- Secondary Outcome Measures
Name Time Method Satisfaction with telemedicine visit for patient as assessed by a Likert scale Within 2 weeks of the study visit Satisfaction with telemedicine visit for patient will be assessed with Likert-scale questions related to satisfaction.
Satisfaction (1=strongly disagree to 5=strongly agree).
1. In general, I was satisfied with using a video or phone call for this visit
2. I could explain my medical problems well enough
3. Talking to the doctor was as satisfying as talking in person
Overall score 3 to 15 with higher scores signifying better satisfaction.Provider time spent as assessed by yes/no question Within 2 weeks of the study visit Provider time spent will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire relating to time spent during the clinical encounter.
Did this provider spend enough time with you? Yes/NoProvider communication as assessed by yes/no question Within 2 weeks of the study visit The ability of a provider to communicate will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire related to communication.
Did this provider explain things in a way that was easy to understand? Yes/NoSatisfaction with telemedicine visit for provider as assessed by a Likert scale Within 2 weeks of the study visit Satisfaction with telemedicine visit for provider will be assessed with Likert-scale questions related to satisfaction.
\[1=Strongly Disagree. 5=Strongly Agree\].
1. In general, I was satisfied with using telemedicine for this visit
2. Talking to the patient was as satisfying as talking in person.
Overall score 2 to 10 with higher scores signifying better satisfaction.Efficacy of telemedicine visit for provider as assessed by a Likert scale Within 2 weeks of the study visit Efficacy of telemedicine visit for provider will be assessed with Likert-scale questions related to efficacy.
\[1=Strongly Disagree. 5=Strongly Agree\]. b. I was able to understand the patient's explanation of their medical problems well enough.
c. In general, this telemedicine visit was effective in improving this patient's medical care d. An in-person visit would likely have provided additional clinically-relevant information e. An in-person visit would likely have led to a change in managementProvider listening as assessed by yes/no question Within 2 weeks of the study visit Provider listening will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire related to listening.
Did this provider listen carefully to you? Yes/NoProvider respect as assessed by yes/no question Within 2 weeks of the study visit Provider respect will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire relating to respect.
Did this provider show respect for what you had to say? Yes/NoPatient health rating as assessed by a likert scale Within 2 weeks of the study visit Patient health will be assessed with Likert-scale questions related to patient health.
In general, how would you rate your overall health?
1. Excellent
2. Very good
3. Good
4. Fair
5. Poor
In general, how would you rate your overall mental or emotional health?
1. Excellent
2. Very good
3. Good
4. Fair
5. Poor
Overall score 2 to 10 with lower scores signifying better health.
Trial Locations
- Locations (1)
Johns Hopkins Outpatient Center
🇺🇸Baltimore, Maryland, United States