Home Telemonitoring for Patients With Lung Cancer
Condition: Lung Cancer
MeSH terms: Lung Neoplasms
Study type: Interventional

Summary: 
      The purpose of this study is to learn more about using a home machine "Telemonitor" to find
      problems people with lung cancer may have after being discharged from the hospital and help
      them manage problems by contacting their healthcare provider.The study hypothesis is that
      patients with lung CA using short-term (14 days)home telemonitors, educated/coached by nurses
      on telemonitor data risks/implications for the first two weeks after hospital discharge, will
      be able to self-report their signs/ symptoms to the clinician resulting in decreased use of
      costly health care resources over 60 days.
    

Detailed description: 
      All patients in the study will receive usual care after hospital discharge. This study also
      involves an interview and review of your medical records, and uses the "telemonitor" machine
      to measure your temperature, pulse, oxygen level,weight and blood pressure. The telemonitor
      will also ask you to press YES or NO buttons in response to questions on your symptoms such
      as difficulty breathing. Research nurses will come to your home 3 times and it will take
      about 30 minutes for each visit for the nurse to record the information using the
      telemonitor. You will also be asked to fill out a survey about your ability to do activities
      and your health status. This will take approximately another 30 minutes. You may or may not
      receive the small telemonitor (about as big as a large book) for 14 days after discharge to
      provide additional information to the researchers. If you receive the monitor for the full 14
      days, you or someone you ask us to train will be taught to use the monitor every morning to
      collect information on how you will "talk" to you to tell you to put a blood pressure cuff on
      your arm and an oxygen measurer on your finger. You will step on a scale to take your weight
      and you will use a forehead sensor to take your temperature. The blood pressure, weight,
      temperature, your pulse, and your oxygen level will be recorded by the monitor. It will then
      ask you at least 10 questions and you will push a yes or no button indicating how much
      difficulty you are having with your daily activities and shortness of breath. The monitor
      will then connect to your telephone line using a no-charge "800" number and transmit the
      information to the researchers. If you do not have a phone, a special antenna will be
      connected to the monitor to transmit the information wirelessly. The nurse will call you
      every day for the 14 days when you have the monitor. If you do not receive the monitor for
      the full 14 days, you will still have the monitor used by the nurse when you are visited at
      least 3 times at home to gather information on how you are doing after hospital discharge.
      These home monitor visits will be within 2 days after discharge, 2 weeks after discharge, and
      2 months after discharge. The main difference is that the monitor will not be left in your
      home but will be brought by the nurse on each visit. You will also receive a phone call to
      ask you questions about the study at 1 month after discharge. If you do not have a phone, you
      will receive another home visit. Whether or not you get the monitor for the full 14 days will
      be determined randomly by computer before the nurse visits you at home the first time. are
      doing. The monitor will turn on each day at the same time; the monitor
    

Intervention name(s): HomMed Telemonitor
Intervention type(s): Device
Intervention description(s): A "HomMed Telemonitor" wireless telemonitoring system collects data on a daily basis, including heart rate, blood pressure, oxygen level, body temperature, weight, responses to 9 pre-programmed questions (including difficulty breathing, fatigue, limited activities, difficulty taking meds, pain). Telemonitored results are transmitted to the research office for analysis and contact to patient by clinical research nurses.
Other intervention name(s): Honeywell HomMed Genesis™ DM Remote Patient Care Monitor; http://hommed.com/Products/Genesis_DM.asp
Intervention MeSH terms: Triamcinolone
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: Lung Cancer; Telemonitoring; Rural; Nursing