Medical Telemonitoring Plus Individual Teleconsultation in Elderly

Not Applicable

Completed

• Conditions: Telemedicine
• Interventions: Other: Telemonitoring and Teleconsultation

• Registration Number: NCT02196428
• Lead Sponsor: University of Zurich

Brief Summary

The aim of this study is to explore the requirements and conditions of medical teleconsultation and remote diagnostics (telemonitoring) of older people in the residential environment with an emphasis on the need for adaptation, feasibility and acceptance of telemedicine services to a web based documentation and communication platform (Ambient Assisted Living Wizard).

Detailed Description

The technical development of the so-called "AAL Wizard" is basis for the study. The AAL-Wizard is an IHE(Integrating the Healthcare Enterprise)-compliant, web based documentation and communication platform with an integrated electronic patient record, which can be used by the study participants during the study. Vital parameters are collected with the help of certified medical products according to the guidelines "93/42/EEC(European Economic Community) on medical devices" (e.g. blood pressure devices, scales, pedometers), transmitted electronically, documented and archived directly in the system. Vital parameters out of range will be prioritized displayed in the AAL Wizard (e.g. traffic light system, short message notification, pop-up function, etc.) and the study participant will be contacted by the tele doctor (teleconsultation) . The decision on the necessary intervention (e.g. contact of the in-house home care, therapeutic and diagnostic recommendations or recommendation of a primary care consultation /hospital submission) are in the responsibility of the tele doctor based on the communication with the patient and the family doctor's recommendations for the treatment of his patient.

At the beginning of the study, the tele doctors of the Clinical Telemedicine at the University Hospital Zurich (USZ) perform an appointment with the respective study participants. The electronic patient record will be set up and the process of the telemonitoring will be defined.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2014-07-17
• Study First Submitted QC: 2014-07-17
• Study First Posted: 2014-07-22
• Study Start: 2014-09
• Primary Completion: 2015-11
• Study Completion: 2015-11
• Status Verified: 2015-12
• Last Update Submitted: 2015-12-03
• Last Update Posted: 2015-12-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• german speaking
• voluntary participation
• written consent of the trial participant after enlightenment

Exclusion criteria:

• apply to health conditions (physical and / or psychological) when verbal communication and / or the operation of the AAL Wizard and an independent living in their own living area is not possible.

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Telemonitoring and Teleconsultation	Telemonitoring and Teleconsultation	-

Primary Outcome Measures

Name	Time	Method
User profile of medical telemonitoring and teleconsultation	10 months	Objective criteria: Age, sex, weight, height, education, civil status, diagnosis, medical history, medication, alcohol and tabacco consumption using interval, nominal and ordinal scales.; Subjective criteria: 1. Subjective state of health : German questionnaire Short Form (SF)-36/SF-12; 2. Integration into social networks and assessment of social support, self-management skills: 10-item questionnaire using 5-point Likert scale responses do not apply at all (1) to apply (5).; 3. Health literacy: 13-item questionnaire using 4-point Likert scale responses do not apply (1) to apply (4).
Acceptance medical telemonitoring and teleconsultation	10 months	1. Observed acceptance in relation to the intervention; * compliance using inducive category development; * quality of service : 3-item questionnaire using 5-point Likert scale responses do not apply at all (1) to apply (5); 2. Acceptance of user using inducive category development
Demand of health information	10 months	Text analysis with inductive category developement of teleconsultation services via telephone, video and online consultation and telemonitoring

Secondary Outcome Measures

Name	Time	Method
Acceptance and demand of health information of secondary end users of telemedical services	10 months	Acceptance and demand of health information of telemedical service of secondary end users (family practitioner, other caregivers, family) using text analysis with inductive category developement and open structured, inductive questionnaires.

Trial Locations

Locations (1)

Clinical Telemedicine, University Hospital Zurich; 🇨🇭 Zurich, Switzerland