Clinical trial NCT01296841: Telemedicine To Provide Inflammatory Bowel Disease Outpatient Care
Official title: A Randomized Controlled Pilot: Use of Telemedicine To Provide Inflammatory Bowel Disease Outpatient Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Inflammatory Bowel Disease
Ulcerative Colitis
Crohn's Disease
Keywords: telemedicine
remote consultation
telehealth
ehealth
image archiving
inflammatory bowel disease
Lead sponsor: VA Palo Alto Health Care System
Sponsor class: FED
First posted: 2011-02-16
Enrollment: 34
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The investigators hypothesize that outpatient clinical care of Inflammatory Bowel Disease patients may be provided using a new computerized system over standard network - called Collaborative Imaging - with similar patient experience compared to a conventional clinic visit.

Detailed description: Significant advances in gastroenterology have led the field to grow into a number of advanced subspecialties: inflammatory bowel disease (IBD), motility, therapeutic endoscopy, and transplant hepatology. Telemedicine, the application of information technology in support of health care delivery from a distance, has been employed with good success in various chronic conditions with excellent patient satisfaction.

Primary Aim: Our primary study endpoint was measuring patient clinical experience between two groups: A telemedicine remote clinic visit and a standard "in-house" visit.

Secondary Aim: To compare standard clinic metrics including clinic wait time, patient throughput, and appointment time between the two groups.

Eligibility criteria: Inclusion Criteria:

* Adult (\> 18 years old) outpatient IBD patients in the Veterans Affairs medical system

Exclusion Criteria:

* VA patients without IBD
* Hospitalized IBD patients

Primary outcomes:
measure: Patient Clinical Experience
timeFrame: Clinic Visit
Secondary outcomes:
measure: Clinic Appointment Duration
timeFrame: Clinic Visit
measure: Clinic Appointment Wait Time
timeFrame: Clinic Visit
Other outcomes:
Locations:
city: Palo Alto
country: United States
facility: Veterans Affairs Palo Alto
state: California
Study officials:
affiliation: VA Palo Alto Health Care System
name: Tonya Kaltenbach, MD MS
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Wallace P, Haines A, Harrison R, Barber JA, Thompson S, Roberts J, Jacklin PB, Lewis L, Wainwright P; Virtual Outreach Project Group. Design and performance of a multi-centre randomised controlled trial and economic evaluation of joint tele-consultations [ISRCTN54264250]. BMC Fam Pract. 2002 Jan 11;3:1. doi: 10.1186/1471-2296-3-1. Epub 2002 Jan 11.