Peripheral Arterial Disease, Personal Satisfaction, Telemedicine
Conditions
Brief summary
The current increase in chronic diseases calls for changes to the health system. It is necessary to promote expert patient in chronic disease. The expansion of new technologies gives us new tools to face new challenges, providing efficiency, expertise and autonomy. The characteristics of peripheral arterial disease make possible to promote expert patient and the self-management. In order to bring these concepts together the telemedicine program was created to promote expert patient for increasing the quality of life and satisfaction of patients and improving the efficiency of the health system. Methods: Randomized clinical trial on patients with peripheral arterial disease in intermittent claudication grade. They were randomized into two groups: intervention arm (IA) using CONTECI program for self-managing and control arm (CA), followed as usual vascular visits.
Interventions
OTHERSelfmanage with the help of telemedicine program
The intervention group patients were not followed by the usual protocol, but it used the program CONTECI (and test different directions) to guide the patient monitoring. Both groups used antiplatelets and statines as usual protocol (these were not the interventions) We did not use drugs or device for the intervention, only a Telemedicine programme
Sponsors
Consorci Sanitari del Maresme
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient with confirmed PAD * Over 18 years old * Informed Consent * Internet Access (patient or family) * Spanish or Catalan fluidity
Exclusion criteria
* Cognitive impairment * Previous patency arterial surgery * Sever chronic obstructive pulmonary disease (GOLD III/ IV) * Patients with decreased survival of 12 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| satisfaction. Analogical scale 0-100. To compare the satisfaction in the new model control and the model before | 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical features. Pateint who turned to grade 3 or 4 of Le Fontaine classification, number of surgeries. | 6 and 12 months | PAD grade 3 and 4, surgeries |
| Health resources consumption: rate of Emergency visits, scheduled visits, extra visits, Mail per participant | 6 and 12 months | — |
| Quality of life. EuroQol5D were used. Change from baseline Quality of line at 12 months. | 12 months | — |
Outcome results
None listed