Non-functioning Pituitary Adenoma, Renal Transplant Recipients
Conditions
Keywords
Symptom assessment, eHealth, Implementation, Communication, Shared decision making
Brief summary
The purpose with this study is to test a digital patient-provider communication tool for symptom and needs management among patients with chronic health conditions.
Detailed description
Living with chronic health conditions affects all areas of life. Fatigue, sleeping problems, pain and loneliness are common. In addition to troublesome symptoms that vary in intensity, many experience worry and uncertainty. There is a need to improve the quality of follow-up of patients with chronic health conditions. A digital patient-provider communication tool, which supports shared decision making, can be one way to improve quality. The digital tool (InvolveMe) will provide patients with the opportunity to complete and submit a symptom and need assessment prior to out-patient visits at the hospital. Also, patients will have the opportunity to use secure e-mail for follow-up from health care providers in between hospital visits. The assessment will allow patient to prioritize what is important to talk with their health care providers about. Such a tool can help to make changes in symptoms more visible to both patients and health care providers, as well as make it easier to ask for information and guidance to deal with the individual difficulties patients' experience. The goal is to better address symptoms and concerns and to enhance follow up and coordination between consultations as well as increase the quality of life and reduce illness related stress. The digital communication tool is tested in a feasibility pilot study, including 23 patients with non-functioning pituitary adenomas. Participants will be given the opportunity to use the digital communication tool with baseline measures and following measures after 3 months.
Interventions
An eHealth application that allows participants to report symptoms and needs prior to out-patient visits at the hospital. The application creates a summary that allows patients to prioritize what is important to talk with their health care providers about. Health care providers can use the summary to prepare the consultation.
Sponsors
Study design
Intervention model description
All participants get access to the ehealth application
Eligibility
Inclusion criteria
* Patients with Non functioning pituitary adenomas (NFPA) * Able to read and speak Norwegian * Have access to a Smart-phone or tablet * Have their own secure access device (BankID).
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in SF-36 Item Short Form Health Survey (RAND-36 version) | Baseline and 3 months | 36 item scale measuring health related quality of life (HRQoL). The scale has 8 subscales and 1 single item score. Scale and single item range: 0 to 100. Higher scores indicate higher HRQoL. |
| Change in The Hospital Anxiety and Depression Scale (HADS) | Baseline and 3 months | 14 item scale measuring anxiety and depression. The Scale has a total score with a scale range of 0 to 42 and an anxiety (HADS-A) and a depression (HADS-D) subscale, both with scale range of 0 to 21. Higher scores indicate higher levels of anxiety and depression |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health Literacy Questionnaire (HLQ) | Baseline and 3 months | 44 item scale measuring health literacy. The scale consists of 9 subscales that covers distinct areas of health literacy. The scores for the first 5 scales range from 1 to 4, and the scores for scale 6-9 range from 1 to 5. Higher scores indicate better health literacy. |
Other
| Measure | Time frame | Description |
|---|---|---|
| System Usability Scale (SUS) | 3 months | 10 item scale measuring system usability. The scale has a total score with a range from 0 to 100. Higher scores indicate higher system usability. |
Countries
Norway