Telemedicine To Provide Inflammatory Bowel Disease Outpatient Care

Phase 2

Completed

• Conditions: Inflammatory Bowel Disease; Ulcerative Colitis; Crohn's Disease
• Interventions: Device: Collaborative Imaging

• Registration Number: NCT01296841
• Lead Sponsor: VA Palo Alto Health Care System

Brief Summary

The investigators hypothesize that outpatient clinical care of Inflammatory Bowel Disease patients may be provided using a new computerized system over standard network - called Collaborative Imaging - with similar patient experience compared to a conventional clinic visit.

Detailed Description

Significant advances in gastroenterology have led the field to grow into a number of advanced subspecialties: inflammatory bowel disease (IBD), motility, therapeutic endoscopy, and transplant hepatology. Telemedicine, the application of information technology in support of health care delivery from a distance, has been employed with good success in various chronic conditions with excellent patient satisfaction.

Primary Aim: Our primary study endpoint was measuring patient clinical experience between two groups: A telemedicine remote clinic visit and a standard "in-house" visit.

Secondary Aim: To compare standard clinic metrics including clinic wait time, patient throughput, and appointment time between the two groups.

Study Timeline

• Study Start: 2009-10
• Primary Completion: 2010-06
• Study Completion: 2010-06
• Study First Submitted: 2011-02-15
• Study First Submitted QC: 2011-02-15
• Study First Posted: 2011-02-16
• Results First Submitted: 2012-01-15
• Results First Submitted QC: 2013-01-06
• Results First Posted: 2013-02-07
• Status Verified: 2017-01
• Last Update Submitted: 2017-01-17
• Last Update Posted: 2017-03-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• Adult (> 18 years old) outpatient IBD patients in the Veterans Affairs medical system

Exclusion Criteria

• VA patients without IBD
• Hospitalized IBD patients

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Telemedicine Encounter	Collaborative Imaging	Remote clinical appointment between patient and physician.

Primary Outcome Measures

Name	Time	Method
Patient Clinical Experience	Clinic Visit	We used a validated Ware Specific Visit Questionnaire to assess patients' satisfaction with their clinic-visit encounter. This is a 14-item questionnaire on doctor-patient interaction including factors such as attention to complaints, technical skills, and personal manner (courtesy,and ease of appointment scheduling and is based on a five-point Likert scale (1 excellent to 5 poor). Patients completed the questionnaire at the time of the visit. The 14 item scores were individually scored and then averaged to provide the final overall value.

Secondary Outcome Measures

Name	Time	Method
Clinic Appointment Wait Time	Clinic Visit	The investigators recorded clinic appointment wait time duration in minutes
Clinic Appointment Duration	Clinic Visit	The investigators recorded appointment duration in minutes.

Trial Locations

Locations (1)

Veterans Affairs Palo Alto; 🇺🇸 Palo Alto, California, United States