Digital Outpatient Services - a Controlled Multicenter Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Sponsor
- Enrollment
- 180
- Locations
- 2
- Primary Endpoint
- Change in Health literacy
Study Overview
Brief Summary
More people are living with chronic or long-term disorders together and they live longer, which gives an increase in patients who need health services. Seen in the context of the shorter lengths of stay, and the outpatient clinics' increasing responsibility, there is a need to increase outpatient capacity without leading to more patient readmissions. Further, new services should take into account the patients capacity to benefit from the services, and their level of health literacy is crucial. By developing new services using technology, patients will be able to be followed up closely in their own home with adapted treatment and information, a closer dialogue with the health service where there is a need, and the utilization of scarce resources in the health care system can increase.
The aim of the current study is to evaluate a digital outpatient clinic, and assess any differences over time in health literacy, digital health literacy, quality of life and overall satisfaction with the outpatient services. Furthermore, the investigators will assess the intervention group's satisfaction with the digital outpatient clinic. In addition, the digital services will be tailored and revised throughout the study based on continuous feedback and iterative processes.
The current study is a pragmatic controlled multicenter study with two study arms; one control arm and one intervention arm. In total, eligible participants will be recruited from one of four centers.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients attending the study centers that are cognitively able to use a digital outpatient service with no major conflicting disorders, with one of the following disorders:
- •interstitial lung disease
- •long-term complex pain conditions
Exclusion Criteria
- •under the age of 18
- •any mental or cognitive conditions interfering with their ability to participate
Outcomes
Primary Outcomes
Change in Health literacy
Time Frame: Baseline, 3 months, and 6 months follow-up.
The HLQ is a standardized measure of health literacy, and the investigators will apply five of the nine domains; 1 Feeling understood and supported by healthcare providers; 2 Having sufficient information to manage my health; 3 Actively managing my health; 6 Ability to actively engage with healthcare providers; and 9 Understanding health information well enough to know what to do. the HLQ is is translated and validated in Norwegian. (Osborne et al. 2013; Wahl et al. 2020)
Secondary Outcomes
- Change in Digital health literacy(Baseline, 3 months, and 6 months months follow-up.)
- Change in Perceived safety in a pandemic(Baseline, 3 months, and 6 months follow-up.)
- Change in Health/ quality of life(Baseline, 3 months, and 6 months follow-up.)
- Change in Satisfaction with digital services(3 months, and 6 months follow-up.)
Investigators
Heidi Holmen
Post doctor
Oslo University Hospital