Clinical trial NCT05068869: Digital Outpatient Services
Official title: Digital Outpatient Services - a Controlled Multicenter Study
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Epilepsy
Cancer
Interstitial Lung Disease
Long Term Pain
Keywords: Digital outpatient services
Health literacy
mHealth
eHealth
Satisfaction
Controlled trial
Lead sponsor: Oslo University Hospital
Sponsor class: OTHER
Collaborators: name: University Hospital of North Norway
First posted: 2021-10-06
Enrollment: 180
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: More people are living with chronic or long-term disorders together and they live longer, which gives an increase in patients who need health services. Seen in the context of the shorter lengths of stay, and the outpatient clinics' increasing responsibility, there is a need to increase outpatient capacity without leading to more patient readmissions. Further, new services should take into account the patients capacity to benefit from the services, and their level of health literacy is crucial. By developing new services using technology, patients will be able to be followed up closely in their own home with adapted treatment and information, a closer dialogue with the health service where there is a need, and the utilization of scarce resources in the health care system can increase.

The aim of the current study is to evaluate a digital outpatient clinic, and assess any differences over time in health literacy, digital health literacy, quality of life and overall satisfaction with the outpatient services. Furthermore, the investigators will assess the intervention group's satisfaction with the digital outpatient clinic. In addition, the digital services will be tailored and revised throughout the study based on continuous feedback and iterative processes.

The current study is a pragmatic controlled multicenter study with two study arms; one control arm and one intervention arm. In total, eligible participants will be recruited from one of four centers.


Eligibility criteria: Inclusion Criteria:

* Patients attending the study centers that are cognitively able to use a digital outpatient service with no major conflicting disorders, with one of the following disorders:
* cancer
* epilepsy
* interstitial lung disease
* long-term complex pain conditions

Exclusion Criteria:

* under the age of 18
* any mental or cognitive conditions interfering with their ability to participate

Primary outcomes:
measure: Change in Health literacy
timeFrame: Baseline, 3 months, and 6 months follow-up.
Secondary outcomes:
measure: Change in Digital health literacy
timeFrame: Baseline, 3 months, and 6 months months follow-up.
measure: Change in Health/ quality of life
timeFrame: Baseline, 3 months, and 6 months follow-up.
measure: Change in Perceived safety in a pandemic
timeFrame: Baseline, 3 months, and 6 months follow-up.
measure: Change in Satisfaction with digital services
timeFrame: 3 months, and 6 months follow-up.
Other outcomes:
measure: Experiences with digital outpatient services
timeFrame: After 6 moths of study follow-up, the investigators will conduct the interviews
Locations:
city: Oslo
country: Norway
facility: Oslo University Hospital
city: Tromsø
country: Norway
facility: University Hospital of North Norway
Study officials:
affiliation: Oslo University Hospital
name: Erik Fosse, PhD
role: STUDY_DIRECTOR
affiliation: Oslo University Hospital
name: Heidi Holmen
role: PRINCIPAL_INVESTIGATOR
References: