Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Integrated Care for Inflammatory Bowel Disease Patients in the Netherlands With the Novel Telemedicine Tool myIBDcoach: a Randomized Controlled Trial
Brief Summary: Inflammatory bowel diseases (IBD) is an invalidating disease mainly diagnosed in young people. The disease is characterized by a heterogenic phenotype and the disease course by flares and remissions. As in most chronic diseases the economic burden of IBD is important due to direct health care costs and disability. Health care reorganization for IBD patients in the Netherlands is necessary for several reasons. First chronic (sub)clinical mucosal inflammation results in irreversible bowel damage and complications and none of the presently available drugs is effective for all patients and many drugs have possible severe side effects. To prevent complications of the disease and side effects IBD should be monitored carefully. In the Netherlands however there is a shortage of gastroenterologists where the incidence of IBD is rising. Secondly evidence exists that direct involvement of health care workers, patient empowerment and integrated care can improve the outcome of chronic diseases. Thirdly many clinically relevant aspects (e.g. malnutrition) of this complex disease are not systematically followed in routine care. Finally the government demands registration of efficacy endpoints for expensive drugs in the near future. Therefore the investigators developed a web-based Telemedicine tool for IBD patients in collaboration with the Dutch IBD patient's organization (CCUVN). "myIBcoach" contains E-learning modules, monitors disease activity, disability, quality of life, adherence, infections, smoking status, side effects, stress and malnutrition on fixed time points with validated questionnaires, allows the patient to communicate with health care workers and gives feedback to the back office and the patient. A feasibility study in 30 IBD patients in 3 centres showed a high satisfaction and compliance of IBD-patients and health care workers with this telemedicine tool.

The aim of this study is to compare standard care for IBD patients in 3 hospitals with a care via the telemedicine tool myIBDcoach.


Options:
A: Arm Label: Wait List; Type: OTHER; Interventions: Behavioral: Wait list comparison group | Arm Label: 2 phone sessions; Type: EXPERIMENTAL; Interventions: Behavioral: 2 Family-based problem solving phone sessions | Arm Label: 4 phone sessions; Type: EXPERIMENTAL; Interventions: Behavioral: 4 Family-based problem solving phone intervention sessions | Intervention Type: BEHAVIORAL; Name: 2 Family-based problem solving phone sessions; Assigned to Arm(s): 2 phone sessions | Intervention Type: BEHAVIORAL; Name: 4 Family-based problem solving phone intervention sessions; Assigned to Arm(s): 4 phone sessions | Intervention Type: BEHAVIORAL; Name: Wait list comparison group; Assigned to Arm(s): Wait List
B: Arm Label: face-to-face consultations; Type: ACTIVE_COMPARATOR; Interventions: Other: face-to-face consultations | Arm Label: telephone consultations; Type: EXPERIMENTAL; Interventions: Other: telephone consultations | Intervention Type: OTHER; Name: telephone consultations; Assigned to Arm(s): telephone consultations | Intervention Type: OTHER; Name: face-to-face consultations; Assigned to Arm(s): face-to-face consultations
C: Arm Label: Telemedicine group; Type: EXPERIMENTAL; Interventions: Device: Telemedicine | Arm Label: Telephone support group; Type: EXPERIMENTAL; Interventions: Device: Telephone | Arm Label: Control group; Type: ACTIVE_COMPARATOR; Interventions: Other: Conventional care | Intervention Type: DEVICE; Name: Telemedicine; Assigned to Arm(s): Telemedicine group | Intervention Type: DEVICE; Name: Telephone; Assigned to Arm(s): Telephone support group | Intervention Type: OTHER; Name: Conventional care; Assigned to Arm(s): Control group
D: Arm Label: Standard care; Type: ACTIVE_COMPARATOR; Interventions: Other: Standard care | Arm Label: myIBDcoach; Type: EXPERIMENTAL; Interventions: Other: myIBDcoach | Intervention Type: OTHER; Name: myIBDcoach; Assigned to Arm(s): myIBDcoach | Intervention Type: OTHER; Name: Standard care; Assigned to Arm(s): Standard care

Answer: D