Tele-patient-reported Outcomes (telePRO) in Clinical Practice - Effect of Patient-initiated Versus Fixed Interval telePRO Based Outpatient Follow-up
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 593
- 试验地点
- 2
- 主要终点
- Number of contacts
研究概览
简要总结
The aim of this study is to compare quality of care and patient experiences in two outpatients follow-up activities: 1) Standard telePRO (fixed interval telePRO follow-up) and 2) Open Access telePRO (patient-initiated telePRO follow-up)
详细描述
The traditional system of routine outpatient follow-up of chronic disease in secondary care may involve a waste of resources if patients are well. The use of patient-reported outcomes (PRO) could support more flexible, cost-saving follow-up activities. AmbuFlex is a PRO system used in outpatient follow-up in the Central Denmark Region. PRO questionnaires are sent to patients at fixed intervals. The clinicians use the PRO data to decide whether a patient needs a visit or not (standard telePRO). PRO may make patients become more involved in their own care pathway, which may improve their self-management. Better self-management may also be achieved by letting patients initiate contact. The aim of this study is to obtain data on the effects of patient-initiated follow-up (open access telePRO) on resource utilisation, quality of care, and the patient perspective.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Males and females from Age 15 years
- •Diagnosis of epilepsy
- •Referred to standard telePRO by a clinician
- •Access to internet (web-responders in standard telePRO)
- •Can speak and understand Danish
排除标准
- •Paper responders
- •Referred to telePRO proxy questionnaire
研究组 & 干预措施
Open Access telePRO
Intervention: In open access, contact to the outpatient clinic is initiated by the patient by filling in a PRO questionnaire.
干预措施: Open Access telePRO (Other)
Standard telePRO
No intervention: In standard telePRO, outpatient follow-up activity is determined by a clinician and patients receive a questionnaire at fixed intervals.
干预措施: Standard telePRO (Other)
结局指标
主要结局
Number of contacts
时间窗: 18 months
Number of contacts includes all contacts with the outpatient clinic in the study follow-up period
次要结局
- Mortality(18 months)
- Health literacy will be assessed by The Health Literacy Questionnaire (sub scale 4, 6, and 9)(18 months)
- Self-efficacy will be assessed by The General Self-Efficacy Scale(18 months)
- Safety will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire(18 months)
- General health will be assessed by items from the SF-36 questionnaire(18 months)
- Well-being wil be assessed by the WHO-5 Well-being Index(18 months)
- Number of seizures(18 months)
- Confidence will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire(18 months)
- Side effects(18 months)
- Satisfaction will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire(18 months)