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Remote-by-Default Care in the COVID-19 Pandemic

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ClinicalTrials.gov Identifier: NCT04435041
Recruitment Status : Active, not recruiting
First Posted : June 17, 2020
Last Update Posted : June 17, 2020
Sponsor:
Collaborators:
University of Plymouth
Nuffield Trust
Information provided by (Responsible Party):
University of Oxford

Brief Summary:
18 month study, funded by ESRC COVID-19 research fund. The aim is to explore and support the rapid shift from face-to-face to remote (telephone and video) conversations in primary care. There are three components: a study of clinical interactions and decision making (micro); four locality-based organisational case studies of new models of care (meso); abd a a study of how digital innovation can support NHS infrastructure and vice versa (macro).

Condition or disease
COVID-19

Detailed Description:

18 month study, funded by ESRC COVID-19 research fund. The aim is to explore and support the rapid shift from face-to-face to remote (telephone and video) conversations in primary care. There are three components: a study of clinical interactions and decision making (micro); four locality-based organisational case studies of new models of care (meso); abd a a study of how digital innovation can support NHS infrastructure and vice versa (macro). The methods are mainly qualitative (interviews, virtual ethnography, analysis of documents, micro-analysis of conversations) and are designed to inform action research.

Key deliverables:

At least two evidence-based assessment tools: qualitative (questions for remote assessment of breathlessness) and quantitative (a COVID-19-specific early warning score)

Transferable lessons about how to achieve rapid spread and scale-up, spread in real time through our extensive intersectoral networks

Strengthened infrastructure for supporting digital innovation in the NHS

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Study Type : Observational [Patient Registry]
Actual Enrollment : 1 participants
Observational Model: Other
Time Perspective: Other
Target Follow-Up Duration: 1 Year
Official Title: Remote-by-Default Care in the COVID-19 Pandemic: Addressing the Micro-, Meso-, and Macro-level Challenges of a Radical New Service Model
Actual Study Start Date : June 1, 2020
Estimated Primary Completion Date : May 31, 2021
Estimated Study Completion Date : November 30, 2021

Group/Cohort
Remote assessment tools
Qualitative methods: semi-structured interviews for approx 40 front line clinical practitioners
RECAP early warning score
Development of disease specific early warning score, building on earlier work through literature review and NEWS2 score
Implementation/Scale up case studies
Study of implementation and scale up of remote-by-default at four different UK sites
Infrastructure strengthening
Theory and data driven change effort involving policymakers, regulators, professional bodies, industry, patients and citizens with a view to overcoming interacting issues impacting success of digital projects.



Primary Outcome Measures :
  1. RECAP Early warning score [ Time Frame: 18 months ]
    Tool for primary care



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Mixed methods study
Criteria

Inclusion Criteria:

-

Exclusion Criteria:

-


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): NCT04435041


Locations
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United Kingdom
University of Oxford
Oxford, United Kingdom
Sponsors and Collaborators
University of Oxford
University of Plymouth
Nuffield Trust
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: University of Oxford
ClinicalTrials.gov Identifier: NCT04435041    
Other Study ID Numbers: 283196
First Posted: June 17, 2020    Key Record Dates
Last Update Posted: June 17, 2020
Last Verified: May 2020

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No