Can We Reduce Hospital Attendance Without Compromising Care by the Use of Telephone Consultation

This study has been completed.
Sponsor:
Information provided by:
Imperial College London
ClinicalTrials.gov Identifier:
NCT00129701
First received: August 11, 2005
Last updated: September 15, 2006
Last verified: August 2005
  Purpose

Consultation time in busy respiratory clinics is inevitably limited and attendance is often disruptive to patients’ lives; involves time, expense, travel, and waiting; and can have effects upon occupation. Published work suggests that patient satisfaction with telephone consultations is high and this subject has recently been extensively reviewed by one of the study investigators. In respiratory medicine there is United States (US) data to suggest that the regular telephoning of adolescents with asthma by a specialist nurse can reduce unscheduled use of health service resources. In the United Kingdom (UK), a randomised, controlled trial in primary care has shown that, compared to face to face consultations, use of the telephone can enable greater numbers of patients with asthma to be reviewed. Another of the study investigators has undertaken a feasibility study in a general respiratory clinic and has shown the concept of alternating face to face consultation with telephone consultation to be acceptable to over 80% of patients. Over one third were assessed to be suitable in that they did not need to attend the clinic for either physical examination or for investigations. It is therefore proposed to evaluate the feasibility, acceptability, time savings and safety of the use of telephone consultation in 3 respiratory clinics in the Department of Respiratory Medicine at Charing Cross Hospital.


Condition Intervention
Asthma
COPD
Sleep Apnea Syndromes
Interstitial Lung Diseases
Bronchiectasis
Procedure: Telephone consultation

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Educational/Counseling/Training
Official Title: Proposal to Study Whether We Can Reduce Hospital Attendance by Those With Respiratory Conditions Without Compromising Care by the Use of Telephone Consultation

Resource links provided by NLM:


Further study details as provided by Imperial College London:

Primary Outcome Measures:
  • Patient satisfaction
  • Number of those telephoned needing expedited follow up
  • Patient costs associated with traditional face to face consultation
  • Any differences between diseases

Estimated Enrollment: 500
Study Start Date: November 2003
Estimated Study Completion Date: January 2006
  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years to 90 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Patients who had already attended a respiratory clinic on at least two occasions and in whom it was perceived that there was a need for continued follow up in a hospital clinic with review needed more often than once per year
  • Patients with no need for physical examinations or investigations such as chest X-rays, blood tests or lung function tests at every attendance
  • Patients who had access to a confidential telephone line
  • Patients who had no mental, hearing or linguistic problems
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00129701

Locations
United Kingdom
NHLI Imperial College
London, United Kingdom, W6 8RF
Sponsors and Collaborators
Imperial College London
Investigators
Principal Investigator: Martyn R Partridge, MD FRCP NHLI Imperial College
  More Information

Publications:
ClinicalTrials.gov Identifier: NCT00129701     History of Changes
Other Study ID Numbers: NHLICX3510
Study First Received: August 11, 2005
Last Updated: September 15, 2006
Health Authority: United Kingdom: Research Ethics Committee

Additional relevant MeSH terms:
Asthma
Bronchiectasis
Lung Diseases
Sleep Apnea Syndromes
Lung Diseases, Interstitial
Bronchial Diseases
Respiratory Tract Diseases
Lung Diseases, Obstructive
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Hypersensitivity
Immune System Diseases
Apnea
Respiration Disorders
Sleep Disorders, Intrinsic
Dyssomnias
Sleep Disorders
Nervous System Diseases

ClinicalTrials.gov processed this record on April 23, 2014