Health-e-Access Telemedicine in Primary Pediatric Care

The recruitment status of this study is unknown because the information has not been verified recently.
Verified October 2005 by University of Rochester.
Recruitment status was  Recruiting
Sponsor:
Collaborators:
United States Department of Commerce
Robert Wood Johnson Foundation
Information provided by:
University of Rochester
ClinicalTrials.gov Identifier:
NCT00234806
First received: October 5, 2005
Last updated: June 15, 2012
Last verified: October 2005
  Purpose

This study aims to take the existing model from the pilot of Telemedicine in Daycare and expand it to other suburban childcare centers and both urban and suburban elementary schools.

An assessment of the value of telehealth in the child programs will then be initiated to detail the impact of utilization and costs.

An assessment of the value of integrating telehealth into primary care practice will also be evaluated. The impact of continuity of care, well child visit rates, and immunization status will be among the various measures used in this evaluation.


Condition Intervention
Common Childhood Illnesses
Non-emergent Care
Procedure: Health-e-Access

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Bio-availability Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Health-e-Access: A Study of Telemedicine in Primary Pediatric Care in Rochester, NY

Further study details as provided by University of Rochester:

Primary Outcome Measures:
  • Evaluation of the impact of telehealth on utilization and cost of health care

Secondary Outcome Measures:
  • Evaluation of the feasibility and acceptability of integrating telehealth services into 10 primary care practices

Estimated Enrollment: 1000
Study Start Date: December 2000
Estimated Study Completion Date: August 2008
Detailed Description:

This involves estimating the impact of reduced absence due to illness on parents and their employers and estimating the value of a telehealth visit to these stakeholders. An interview instrument was developed to administer before experience with telehealth and again after a family has had experience with the program. In addition program attendance (childcare or school) records will be collected to document changes in absenteeism pre and post telehealth service implementation.

This study involves a before and after research design including both historical and concurrent controls comparing a detailed utilization of health services including telehealth visits, emergency department services and illness related office visits. Analyses will include center-level analyses of service utilization on a weekly basis pre and post as well as a child-level analyses including utilization before enrollment in a participating childcare center or school through program participation and, eventually, telehealth participation.

This is a descriptive observational study of the feasibility and acceptability of integrating telehealth service into 10 primary care pediatric practices. This study will document the integration process by maintaining a log of key communications relating to decision making (meeting minutes, memos, written agreements, protocols) and by interviewing key staff such as residents, nurse practitioners, attending physicians, staff nurses, and administrative leaders following the study period.

  Eligibility

Ages Eligible for Study:   6 Weeks to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • All children at participating childcare centers and elementary schools.

Exclusion Criteria:

  • Foster care children, children whose parents have refused participation, or children whose parents are unable to appropriately comprehend the program for any reason.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00234806

Contacts
Contact: Kenneth McConnochie, MD, MPH 585-273-4119 ken_mcconnochie@urmc.rochester.edu
Contact: Neil Herendeen, MD 585-273-4140 neil_herendeen@urmc.rochester.edu

Locations
United States, New York
University of Rochester Recruiting
Rochester, New York, United States, 14642
Contact: Nancy Wood, CCRA    585-275-4451    nancy_wood@urmc.rochester.edu   
Contact: Tina Cabisca, BSN    585-273-4597    tina_Cabisca@urmc.rochester.edu   
Sponsors and Collaborators
University of Rochester
United States Department of Commerce
Robert Wood Johnson Foundation
Investigators
Principal Investigator: Kenneth McConnochie, MD, MPH University of Rochester
  More Information

Publications:
ClinicalTrials.gov Identifier: NCT00234806     History of Changes
Other Study ID Numbers: 8858, AHRQ- R01 HS015165-02, MCHB- 1 R40MC03605-01-00
Study First Received: October 5, 2005
Last Updated: June 15, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by University of Rochester:
telehealth
telemedicine

ClinicalTrials.gov processed this record on April 16, 2014