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Trial record 17 of 1347 for:    rural

Teledermatology Solution Through Mobile Phone in Rural Mongolia

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ClinicalTrials.gov Identifier: NCT02193854
Recruitment Status : Completed
First Posted : July 18, 2014
Last Update Posted : July 18, 2014
Sponsor:
Collaborator:
Health Science University of Mongolia
Information provided by (Responsible Party):
Taipei Medical University

Brief Summary:

Objective This study is aimed to estimate the distance, time and the cost of travel saved by patients who are seeking tele-dermatology (TD) service though smart mobile phones in the resource poor settings at the rural clinics of Mongolia.

Methods A cluster-randomised trial was conducted for six months at the 20 rural health clinics selected from three districts in Mongolia. With a computer-generated sequence, health clinics were randomly allocated either to the intervention group, in which all general practitioners (GPs) received TD consultation through Sana system, or the control group, in which GPs referred patients to the dermatologist at district hospital whenever needed. The primary outcome was to estimate the distance traveled, times spend and the cost of travel required in receiving dermal care for patients in rural Mongolia. Analysis was done to estimate the difference between the aforementioned parameters among intervention and control groups.


Condition or disease Intervention/treatment Phase
Social Distance Device: Mobile Phone Not Applicable

Detailed Description:
The investigators used Sana system, that is a mobile phone-based, open source software platform for telemedicine services. The Android-based system supports multimedia, location-based data, and text. In the village health clinic, a healthcare worker will interact with a patient and collects data through a step-by-step clinical questionnaire on a smart mobile phone. As patients' data is uploaded to an open source electronic medical record system (OpenMRS) with a diagnosis-specific information and images. The consultant can access the clinical information about the patient and make appropriate diagnoses and treatment recommendations from the secondary hospital.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 441 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Teledermatology Solution Through Mobile Phone in Rural Mongolia
Study Start Date : September 2013
Actual Primary Completion Date : January 2014
Actual Study Completion Date : January 2014

Arm Intervention/treatment
Experimental: Mobile phone

General practitioners (GPs) received TD consultation through Sana system.

Mobile phones with Sana system installed were provided to 10 rural GPs from three different districts of Mongolia.

Device: Mobile Phone
Investigators used Sana system, that is a mobile phone-based, open source software platform for telemedicine services. The Android-based system supports multimedia, location-based data, and text. In the village health clinic, a healthcare worker will interact with a patient and collects data through a step-by-step clinical questionnaire on a smart mobile phone. As patients' data is uploaded to an open source electronic medical record system (OpenMRS) with a diagnosis-specific information and images. The consultant can access the clinical information about the patient and make appropriate diagnoses and treatment recommendations from the secondary hospital.




Primary Outcome Measures :
  1. Comparison between the number of referrals in the control and intervention groups [ Time Frame: up to 5 months ]
    Outcome measures are the number of referrals done in the control and in the intervention groups. We compared the difference in the number of referrals with Sana system and without.


Secondary Outcome Measures :
  1. Satisfaction by physicians and patients by questionnaire [ Time Frame: up to 5 months ]
    Both physicians and patients who were in the intervention group were satisfied by the Sana system.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients aged 18-98 years visiting with dermal problem.

Exclusion Criteria:

  • Patients who do not need dermal care.
  • Patients who are already under treatment for dermal problem.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02193854


Locations
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Taiwan
Shabbir Syed Abdul
Taipei, Taiwan, 11031
Sponsors and Collaborators
Taipei Medical University
Health Science University of Mongolia
Investigators
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Principal Investigator: Yu-Chuan Li, MD., PhD. Taipei Medical University

Additional Information:
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Responsible Party: Taipei Medical University
ClinicalTrials.gov Identifier: NCT02193854     History of Changes
Other Study ID Numbers: TaipeiMU
First Posted: July 18, 2014    Key Record Dates
Last Update Posted: July 18, 2014
Last Verified: July 2014
Keywords provided by Taipei Medical University:
Telemedicine
Mobile phone
Rural physicians
Mongolia