Introducing Technology in the Home of Elderly Patients With Multimorbidity, a Hybrid Effectiveness Implementation Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- Effectiveness of digital technology
研究概览
简要总结
In this study, the objective is to evaluate available technology designed to support self-care at home of elderly patients with multimorbidity. Of people who are 85 years or older, about 60% have two or more chronic diseases. The symptom burden is extensive, and periods of deterioration often lead to hospitalizations and early readmissions to hospital. A contributing factor for the high consumption of care is that many patients find it difficult to identify signs of deterioration and in time take appropriate action. Technology placed in patients' home are becoming common and have shown to increase quality of life and reduce the need for in-hospital care but few tools are used in regular care.
The investigators want to see which effect technologies placed at home has on; healthcare consumption, self-care, depression, well-being and activity level. Further, the implementation process from both patients, relatives and healthcare personals perspective will be studied using a hybrid design, which makes it possible to study both barriers and facilitators of the implementation and efficacy of the technology.
In phase one participants will be recruited from a care team where an established collaboration between region and municipality has been developed. In phase two, inclusion takes place in an entire municipality without a previously established collaboration. The goal is to increase patients and family members wellbeing, health and functional ability while maintaining or reducing healthcare costs.
详细描述
PURPOSE AND AIMS In this study, the objective is to evaluate available digital technology with remote symptom monitoring designed to support self-care at home of elderly patients with multimorbidity. There are a lot of technology with the possibility to remotely monitor signs and symptoms placed in patients' home available. This technology have been shown to increase quality of life, experiences of security and reduce the need for in-hospital care, but few tools are implemented in routine care of elderly with multimorbidity and extensive needs of coordinated health and community care. Limited collaboration and lack of joint care goals between the different care providers are known barriers of implementation of digital technology with remote symptom monitoring.
The overall aims of the project are:
- To describe the implementation process of digital technology in two different care settings from both patients, family members, and healthcare professional's perspective.
- To evaluate the feasibility of digital technology for remote symptom monitoring and digital consultations with the caregiver in the home of elderly patients with multimorbidity.
- To examine the effectiveness of the technology.
Specific research questions the study is set to answer:
- What effects does the use of digital technology for remote symptom monitoring have on elderly patients with multimorbidity's healthcare consumption, self-care management, depression, experience of control over the disease, well-being and activity level?
- How do patients and informal caregivers perceive that the use of digital technology at home affects the ability to manage the patient's health situation?
- How do physicians, nurses and assistant nurses experience the use of remote monitoring in their daily work?
- Which are the barriers to and facilitators for implementation of digital technology?
- Does digital technology reduce the risk of hospitalisation and healthcare costs in elderly patients with multimorbidity?
研究设计
- 研究类型
- Observational
- 观察模型
- Family Based
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients admitted in the care team and their family members who will have digital technology placed in their home will be asked to participate.
- •All healthcare personal in the care team will be asked to participate
排除标准
- 未提供
结局指标
主要结局
Effectiveness of digital technology
时间窗: December 2021-December 2022
Healthcare consumption will be performed via regions healthcare database.
Implementation process
时间窗: April 2021-December 2021
Healthcare professionals will be asked about potential barriers and facilitators for implementation of the technology, problems associated with the implementation, potential modifications that could be made to maximize implementation, potential implementation strategies, skills or training necessary for healthcare professionals to work with the technology.
次要结局
- Anxiety and depression(December 2021-December 2022)
- Perceived control(December 2021-December 2022)
- Physical activity(December 2021-December 2022)
- Well-being(December 2021-December 2022)
- Experience of digital technology(December 2021-December 2022)
研究者
Maria Liljeroos
Principal Investigator
Sormland County Council, Sweden