Health-e-Access Telemedicine in Primary Pediatric Care
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ClinicalTrials.gov Identifier: NCT00234806 |
Recruitment Status :
Completed
First Posted : October 7, 2005
Last Update Posted : October 22, 2015
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Tracking Information | ||||
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First Submitted Date ICMJE | October 5, 2005 | |||
First Posted Date ICMJE | October 7, 2005 | |||
Last Update Posted Date | October 22, 2015 | |||
Study Start Date ICMJE | December 2000 | |||
Actual Primary Completion Date | December 2007 (Final data collection date for primary outcome measure) | |||
Current Primary Outcome Measures ICMJE |
Evaluation of the impact of telehealth on utilization and cost of health care | |||
Original Primary Outcome Measures ICMJE |
Evaluation of the impact of telehealth on utilization and cost of health care. | |||
Change History | Complete list of historical versions of study NCT00234806 on ClinicalTrials.gov Archive Site | |||
Current Secondary Outcome Measures ICMJE |
Evaluation of the feasibility and acceptability of integrating telehealth services into 10 primary care practices | |||
Original Secondary Outcome Measures ICMJE |
Evaluate the feasibility and acceptability of integrating telehealth services into 10 primary care practices. | |||
Current Other Pre-specified Outcome Measures | Not Provided | |||
Original Other Pre-specified Outcome Measures | Not Provided | |||
Descriptive Information | ||||
Brief Title ICMJE | Health-e-Access Telemedicine in Primary Pediatric Care | |||
Official Title ICMJE | Health-e-Access: A Study of Telemedicine in Primary Pediatric Care in Rochester, NY | |||
Brief Summary | 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. |
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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. |
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Study Type ICMJE | Interventional | |||
Study Phase ICMJE | Not Applicable | |||
Study Design ICMJE | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Treatment |
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Condition ICMJE |
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Intervention ICMJE | Other: Health-e-Access
telemedicine intervention
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Study Arms ICMJE |
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Publications * | McConnochie KM, Wood NE, Kitzman HJ, Herendeen NE, Roy J, Roghmann KJ. Telemedicine reduces absence resulting from illness in urban child care: evaluation of an innovation. Pediatrics. 2005 May;115(5):1273-82. | |||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | ||||
Recruitment Status ICMJE | Completed | |||
Actual Enrollment ICMJE |
2000 | |||
Original Enrollment ICMJE |
1000 | |||
Actual Study Completion Date ICMJE | December 2007 | |||
Actual Primary Completion Date | December 2007 (Final data collection date for primary outcome measure) | |||
Eligibility Criteria ICMJE | Inclusion Criteria:
Exclusion Criteria:
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Sex/Gender ICMJE |
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Ages ICMJE | 6 Weeks to 18 Years (Child, Adult) | |||
Accepts Healthy Volunteers ICMJE | Yes | |||
Contacts ICMJE | Contact information is only displayed when the study is recruiting subjects | |||
Listed Location Countries ICMJE | United States | |||
Removed Location Countries | ||||
Administrative Information | ||||
NCT Number ICMJE | NCT00234806 | |||
Other Study ID Numbers ICMJE | 8858 AHRQ- R01 HS015165-02 MCHB- 1 R40MC03605-01-00 |
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Has Data Monitoring Committee | Not Provided | |||
U.S. FDA-regulated Product | Not Provided | |||
IPD Sharing Statement ICMJE | Not Provided | |||
Responsible Party | Kenneth McConnochie, University of Rochester | |||
Study Sponsor ICMJE | University of Rochester | |||
Collaborators ICMJE |
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Investigators ICMJE |
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PRS Account | University of Rochester | |||
Verification Date | October 2015 | |||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |