Ignite Creation Date:
2024-05-06 @ 2:24 AM
Last Modification Date:
2024-10-26 @ 11:17 AM
Study NCT ID:
NCT02035566
Status:
COMPLETED
Last Update Posted:
2022-01-27
First Post:
2013-01-16
Brief Title:
Telehome Monitoring for Chronic Disease Management
Sponsor:
University of Maryland Baltimore
Organization:
University of Maryland Baltimore
Study Overview
Official Title:
Effectiveness of Telehome Monitoring on Quality of Life and Health Resources Utilization Among People With Chronic Disease Residing in Rural Maryland
Status:
COMPLETED
Status Verified Date:
2022-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
People living in rural areas are at increased risk for poor health outcomes due to long distance to health care facilities less available health care resources such as primary care and specialty services transportation problems higher elderly population poverty high uninsured rates and the lack of timely access to new technologies Called Telehome Care THC in the form of equipment in the home may provide an innovative and potentially cost-effective solution to enhancing chronic disease management services using technology and may influence the reduction in emergency department ED visits and hospitalizations in rural areas However telehealth research is still in its infancy it is not well understood and is often done without an overarching scientific framework The provision of in home health monitoring and health education also may be a potential population based health research tool for chronically ill patients Demonstration of the possible benefits patient acceptance and satisfaction with THC requires a scientific approach as is used in this study
Detailed Description:
While the nations overall health status has improved over the past decade disparities persist among racialethnic minorities low-income whites the medically under-served and rural residents The disparities in disease morbidity and mortality are a compelling crisis and the elimination of such disparities is a national priority With an aging population the changing demographics are increasing the disease burden attributable to chronic diseases
The broad goal of this project is to evaluate the potential value of using THC technology in chronically ill patients in rural Maryland within the broad context of social determinants of health This builds upon a completed pilot research study in Garrett County on a small scale THC program in rural Garrett County Maryland funded by the Maryland Cigarette Restitution Fund CRF supported Other Tobacco Related Diseases OTRD grant CBaquet PI in collaboration with the division of cardiology and department of family medicine This research study will look at whether the THC equipment in the home for 60 days will make a difference in the health of the patients who get the unit in their home compared to the patients who will not receive the unit for 60 days And we will look at whether this technology will support patient monitoring in the home The use of the technology will be evaluated to determine whether patient monitoring using THC equipment will influence the hospitalization rates or emergency department visits for the patients Evaluation of the influence of the THC equipment on medical resource utilization in rural and medically underserved communities will be studied
Telehome care THC may provide augmentation to current face to face monitoring through home visits usual method for Center for Medicaid and Medicare Services CMS billable home health services of chronically ill patients and may provide an innovative and potentially cost-effective solution to improving patients outcomes and health care resource utilization in rural areas THC can support the coordination of care by assessing and monitoring patients in their homes and giving health care providers appropriate feedback to assure patient compliance with discharge instructions such as medication home care and other aspects of recommended treatment regimens Further THC may improve service coordination at discharge and provide ongoing monitoringengagement of patients which is considered essential to prevent re-hospitalizations and emergency department visits Demonstration of the potential benefits on care pathways and patient and provider acceptance and satisfaction with the technology requires systematic larger scale and scientifically rigorous studies
Purpose The projects broad goals are to evaluate the effects of telehome care THC a form of remote patient home monitoringwithin the broad context of social determinants of health for chronic disease management among rural residing minority low-income white and medically underserved patients by a providing an innovative telehome care THC capacity and infrastructure in two Maryland rural and medically underserved communities and b using the THC infrastructure to generate scientifically rigorous and high quality evidence on whether the THC technology improves patient monitoring influences clinical outcomes and has an impact on medical resource utilization NOTE THC uses telecommunication technologies to enable home health agency clinical staff at a rural home health agency to monitor their patients in the home
The major aim for this study are 1 To evaluate the impact of the 60-day in home THC monitoring on medical resource utilization emergency department visits re-hospitalization rates and Quality of Life related to the management of Metabolic SyndromeDiabetes Mellitus DM Chronic Heart Failure CHF Hypertension HTN and Chronic Obstructive Pulmonary Disease COPD compared to those patients that receive only an educational pamphlet Secondary aim hopes to support patient education to enhance acceptability patient independence and satisfaction
In this study remote in-home patient monitoring using a THC system from VitelNet telehealth equipment vendor will provide patient monitoring remotely or non billable services for the experimental study arm for this project in addition to routine billable home health services This project does not substitute billable in-home monitoring of patients which is a prerequisite for enrollment into this studyconventional home health services but provides remote monitoring for the study arm in addition to conventionalbillable services delivered
Patients are randomized to either THC use for 60 days with 60 90 day follow up or usual care with 60 90 day follow up
In addition new knowledge will be generated by this study on methods for conduct of health disparities research and training of non-research clinical personnel who are community based in data collection and research ethics
The broad goal of this project is to evaluate the potential value of using THC technology in chronically ill patients in rural Maryland within the broad context of social determinants of health This builds upon a completed pilot research study in Garrett County on a small scale THC program in rural Garrett County Maryland funded by the Maryland Cigarette Restitution Fund CRF supported Other Tobacco Related Diseases OTRD grant CBaquet PI in collaboration with the division of cardiology and department of family medicine This research study will look at whether the THC equipment in the home for 60 days will make a difference in the health of the patients who get the unit in their home compared to the patients who will not receive the unit for 60 days And we will look at whether this technology will support patient monitoring in the home The use of the technology will be evaluated to determine whether patient monitoring using THC equipment will influence the hospitalization rates or emergency department visits for the patients Evaluation of the influence of the THC equipment on medical resource utilization in rural and medically underserved communities will be studied
Telehome care THC may provide augmentation to current face to face monitoring through home visits usual method for Center for Medicaid and Medicare Services CMS billable home health services of chronically ill patients and may provide an innovative and potentially cost-effective solution to improving patients outcomes and health care resource utilization in rural areas THC can support the coordination of care by assessing and monitoring patients in their homes and giving health care providers appropriate feedback to assure patient compliance with discharge instructions such as medication home care and other aspects of recommended treatment regimens Further THC may improve service coordination at discharge and provide ongoing monitoringengagement of patients which is considered essential to prevent re-hospitalizations and emergency department visits Demonstration of the potential benefits on care pathways and patient and provider acceptance and satisfaction with the technology requires systematic larger scale and scientifically rigorous studies
Purpose The projects broad goals are to evaluate the effects of telehome care THC a form of remote patient home monitoringwithin the broad context of social determinants of health for chronic disease management among rural residing minority low-income white and medically underserved patients by a providing an innovative telehome care THC capacity and infrastructure in two Maryland rural and medically underserved communities and b using the THC infrastructure to generate scientifically rigorous and high quality evidence on whether the THC technology improves patient monitoring influences clinical outcomes and has an impact on medical resource utilization NOTE THC uses telecommunication technologies to enable home health agency clinical staff at a rural home health agency to monitor their patients in the home
The major aim for this study are 1 To evaluate the impact of the 60-day in home THC monitoring on medical resource utilization emergency department visits re-hospitalization rates and Quality of Life related to the management of Metabolic SyndromeDiabetes Mellitus DM Chronic Heart Failure CHF Hypertension HTN and Chronic Obstructive Pulmonary Disease COPD compared to those patients that receive only an educational pamphlet Secondary aim hopes to support patient education to enhance acceptability patient independence and satisfaction
In this study remote in-home patient monitoring using a THC system from VitelNet telehealth equipment vendor will provide patient monitoring remotely or non billable services for the experimental study arm for this project in addition to routine billable home health services This project does not substitute billable in-home monitoring of patients which is a prerequisite for enrollment into this studyconventional home health services but provides remote monitoring for the study arm in addition to conventionalbillable services delivered
Patients are randomized to either THC use for 60 days with 60 90 day follow up or usual care with 60 90 day follow up
In addition new knowledge will be generated by this study on methods for conduct of health disparities research and training of non-research clinical personnel who are community based in data collection and research ethics
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| RC2MD004800 | NIH | None | httpsreporternihgovquickSearchRC2MD004800 |