Telemedicine To Provide Inflammatory Bowel Disease Outpatient Care
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Purpose
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.
| Condition | Intervention | Phase |
|---|---|---|
|
Inflammatory Bowel Disease Ulcerative Colitis Crohn's Disease |
Device: Collaborative Imaging |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | A Randomized Controlled Pilot: Use of Telemedicine To Provide Inflammatory Bowel Disease Outpatient Care |
- Patient Clinical Experience [ Time Frame: Clinic Visit ] [ Designated as safety issue: No ]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.
- Clinic Appointment Duration [ Time Frame: Clinic Visit ] [ Designated as safety issue: No ]The investigators recorded appointment duration in minutes.
- Clinic Appointment Wait Time [ Time Frame: Clinic Visit ] [ Designated as safety issue: No ]The investigators recorded clinic appointment wait time duration in minutes
| Enrollment: | 34 |
| Study Start Date: | October 2009 |
| Study Completion Date: | June 2010 |
| Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Standard encounter
Standard "in-house" clinical visit between patient and physician.
|
|
|
Experimental: Telemedicine Encounter
Remote clinical appointment between patient and physician.
|
Device: Collaborative Imaging
Hardware and software communication tools to provide clinical care from a distance.
Other Name: Telemedicine
|
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.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult (> 18 years old) outpatient IBD patients in the Veterans Affairs medical system
Exclusion Criteria:
- VA patients without IBD
- Hospitalized IBD patients
Contacts and Locations| United States, California | |
| Veterans Affairs Palo Alto | |
| Palo Alto, California, United States, 94304 | |
| Principal Investigator: | Tonya Kaltenbach, MD MS | VA Palo Alto Health Care System |
More Information
Additional Information:
Publications:
| Responsible Party: | Roy Soetikno, Clinical Professor, Chief of Endoscopy, VA Palo Alto Health Care System |
| ClinicalTrials.gov Identifier: | NCT01296841 History of Changes |
| Other Study ID Numbers: | TELEMED PA |
| Study First Received: | February 15, 2011 |
| Results First Received: | January 15, 2012 |
| Last Updated: | February 6, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by VA Palo Alto Health Care System:
|
telemedicine remote consultation telehealth |
ehealth image archiving inflammatory bowel disease |
Additional relevant MeSH terms:
|
Colitis Colitis, Ulcerative Crohn Disease Inflammatory Bowel Diseases Intestinal Diseases Ulcer |
Gastroenteritis Gastrointestinal Diseases Digestive System Diseases Colonic Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 16, 2013