Telemedicine Enabling Patients in Self-care Behaviors
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Arrythmia
- Sponsor
- University of Michigan
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Time of recognition of an arrhythmia
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The purpose of the study is to see if monthly telemedicine computer visits (visits using the computer) improve the time it takes to identify and treat an arrhythmia. The second purpose is to see if monthly telemedicine computer visits improves the participant's understanding of the arrhythmia and improves how the participant feels with daily activities.
Detailed Description
Study will utilize the Telemedicine group and the Standard Visit group (30 patients each group) to determine Endpoints: 1. Time of recognition, time of diagnosis and time of intervention for arrhythmia. These times will be noted for each patient in each group and look for any difference in these times based upon gaining information from telemedicine visits versus 6 month follow up visit. 2. Three surveys of patient Self efficacy of medications, activity, and arrhythmia knowledge utilizing three surveys in each group. Surveys will be answered at the start of the study and end of the study by every patient within each group. Surveys: MUSE- Medication Understanding and Self Efficacy Tool Shortened FSES- Functioning self efficacy scale ASTA- Arrhythmia specific symptoms and health related quality of life in connection with heart rhythm disturbance
Investigators
Kathleen Fasing
Nurse Practioner
University of Michigan
Eligibility Criteria
Inclusion Criteria
- •Read and speak English
- •18 years of age or older
- •Have a cardiac arrhythmia diagnosis
- •Are willing to participate in the study and answer a pre and post survey.
Exclusion Criteria
- •Any difficulty in understanding the study
- •Does not have internet or a cell phone data plan
- •Any life threatening arrhythmias
- •Objection to working with nurse practitioners and physician assistants
Outcomes
Primary Outcomes
Time of recognition of an arrhythmia
Time Frame: Up to 6 months
Patient recognition of a probable arrhythmia
Time of diagnosis of arrhythmia
Time Frame: Up to 6 months
Time of diagnosis of arrhythmia by medical staff- at what point is the diagnosis present.
Time to treatment initiation of arrhythmia
Time Frame: Up to 6 months
The time- what point in time is the treatment plan innitiated
Secondary Outcomes
- Change in functioning self efficacy score as measured by the 13 Item Shortened Function Self-efficacy Scale (FSES)(Baseline, 6 months)
- Change in self-efficacy of arrhythmia management score as measured by the Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmias (ASTA) survey(Baseline, 6 months)
- Change in self efficacy in medication use score as measured by the Medication Self Efficacy Tool (MUSE) survey(Baseline, 6 months)