Cancer, Chronic Obstructive Pulmonary Disease, Heart Failure, Neurological Diseases
Conditions
Keywords
Palliative care, Palliation, Platform, Quality of life
Brief summary
This project has focus on patients in palliation testing a digital platform TelePal.dk.
Detailed description
The aim of the RCT study is to: • Test, implement, and evaluate a telepalliation program for patients receiving palliative care (cancer, heart failure (HF), COPD, and motor neuron disease) from a clinical, psychosocial, inter-organizational, and health economic perspective.
Interventions
OTHERTelepalliation
Telepalliation platform Telepal.dk
Sponsors
Palliative Team,Hospital of South West Jutland
Center for Innovative Medical Technologies (CIMT), Odense University Hospital
Danish Cancer Society
Laboratory of Welfare Technology, Department of Health Science and Technology, Aalborg University
Aalborg University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Mixed method randomised control trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Over 18 years * Live in Esbjerg, Varde, Billund, Fanø or Vejen Municipality * Cancer, heart failure, chronic obstructive pulmonary disease (COPD), and motor neuron disease (neurological diseases) referred to the Palliation Team at Southwest Jutland Hospital * Basic computer skills or a relative who has basic computer skills
Exclusion criteria
* Delirium at enrolment based on CAM score * Active psychiatric history (as noted in the medical record) other than depression or anxiety related to the main diagnosis referred to palliative care * Lack of ability to cooperate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Quality of life | At baseline, week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, and 26 | Measured by the European Organization for Research and Treatment of Cancer, questionnaire regarding quality of life in palliative cancer care patients (EORTC QLQ-C15-PAL). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in feeling of security | At baseline, twice every week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, and 26 | Measured on a likert scale |
| Experiences of pain | At baseline, week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, and 26 | Numerical Rating Scale (NRS) |
| Experience of pain (brief) | At baseline, week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, and 26 | Brief Pain Inventory, short form (BPI-sf) |
| Experiences of patients on the actual use of the TelePal.dk platform and their experiences of being a part of a telepalliation program | Week 4 | Qualitative interviews |
| Experiences of relatives on the actual use of the TelePal.dk platform and their experiences of being a part of a telepalliation program | Week 4 and 3 months | Qualitative interviews |
| Changes in medicine | At enrolment and week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, and 26 | Information on medicine for both groups will be collected at enrolment and every week from the electronic patient record (EPR). Changes in medicine over time will be analyzed. |
| Perceptions on usability of a cross-sector communication platform and telerehabilitation program by patients, relatives and health care professionals | 12 months | Qualitative interviews |
| Observations on usability of a cross-sector communication platform and telerehabilitation program by patients, relatives and health care professionals | 12 months | Observations |
| Health related quality of life | week 1 and week 4 | Measured by EQ-5D Health Questionnaire |
| Cost of healthcare services | 24 months | Cost-effectiveness analysis ((number of phone/video calls, equipment, driving, personal use in palliative care (video and home visits), visits to general practitioner and outpatient clinic, hospitalizations, readmissions and length of stay, visits from palliative team)) |
| Experiences of health care professionals on the actual use of the TelePal.dk platform and their experiences of being a part of a telepalliation program | 6 months and 12 months | Qualitative interviews |
Countries
Denmark
Contacts
Primary ContactBirthe Dinesen, MSc, PhD
Backup ContactJarl Voss Andersen Sigaard, MD
Outcome results
None listed