None listed
Conditions
Brief summary
The study is a randomised controlled trial of telehealth remote monitoring for people with multiple chronic illnesses. The patient is provided with equipment and trained to measure their vital signs daily which are then reviewed remotely through a secure website by a nurse. The aim is to promote early intervention to detect deterioration in the client’s condition before they require hospitalisation. It also aims to empower older individuals to take a more active role in managing their chronic illness.
Interventions
The study is a randomised controlled trial of telehealth remote monitoring of people who have two or more chronic conditions, including; diabetes, chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), hypertension and asthma.
Once an individual has consented to take part in the research and been allocated to the telehealth group, the nurse will collect baseline information and assist the participant to complete the research tools. At this time the telehealth nurse will also
The study is a randomised controlled trial of telehealth remote monitoring of people who have two or more chronic conditions, including; diabetes, chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), hypertension and asthma. Once an individual has consented to take part in the research and been allocated to the telehealth group, the nurse will collect baseline information and assist the participant to complete the research tools. At this time the telehealth nurse will also provide the participant with a calendar and instructions on how to record any health service contact that they have during the data collection period. The telehealth nurse will then develop an action management plan with the client designed specifically for their chronic diseases and together they will identify the vital signs and relevant health outcomes that will be monitored. The Telehealth nurse will liaise with the participant’s GP to provide information about the research and provide them with a password to log-in to the monitoring website should they like to review their patient’s daily readings. The telehealth device will then be programmed to reflect the requirements for each individual participant. Following programming of the device, the telehealth nurse will visit the participant again to install the telehealth equipment and train the participant in its use, as well as the correct use of peripheral devices such as blood pressure monitor, thermometer, blood glucose monitor and pulse oximeter. Depending on individual requirements, participants will measure the following daily: blood glucose blood pressure weight heart rate oxygen saturation levels Questions relating to their general state of health and other symptoms depending on individual requirements The values for each measure being monitored will be transmitted automatically via the internet to a secure website that can be accessed only by the telehealth nurse and the participants GP. Each participant’s data will be monitored daily by the telehealth nurse and any change in the vital signs indicating deterioration in health will be managed using established care pathways based on the evidence based guidelines for best practice in the management of their particular chronic illnesses. Participants will monitor their vital signs for a duration of 12 months.
Sponsors
Silver Chain
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
No
Inclusion criteria
Potential participants will need to meet the following criteria: Have a diagnosis of two or more chronic conditions (diabetes, COPD, CHF, hypertension and asthma.) Have been hospitalised at least once in the last 12 months due to their chronic disease or related complications. Live in the community (Not residential care facilities)
Exclusion criteria
Those that have a diagnosis of dementia Those that are recieving palliative care services Those that are not physically able to use the telehealth equipment.
Outcome results
None listed