Clinical trial NCT03947905: Virtual and Physical Health Assessments and Treatment Plans
Official title: Comparison of Virtual to Physical Health Assessments and Treatment Plans for Patients Presenting for Initial Vascular Clinic Visits
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Vascular Diseases
Keywords: Vascular
Clinic visit
Tele-health
Lead sponsor: CAMC Health System
Sponsor class: OTHER
Collaborators: name: Sarah & Pauline Maier Foundation, Inc.
name: WVCTSI
First posted: 2019-05-13
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Single arm crossover design where all participants receive both types of visits (Virtual and Physical visits).
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The aim of the current study is to compare virtual clinic visits (i.e., real-time, face-to-face visits conducted over the internet with tablet devices) to actual physical clinic visits. After both types of visits (virtual versus physical) physicians will be asked to classify patients into low, moderate or high risk for a vascular intervention. It is hypothesized that there will be good agreement between classifications made after the virtual visits as compared to those made after physical visits. That is, virtual visit classifications will be as good as those made after physical visits.

Detailed description: Patient dissatisfaction can increase because of the complexities associated with navigating modern health care systems. It is easy to speculate that some of this dissatisfaction is associated with travel, wait times and other issues that arise during routine clinic visits. The authors of recent studies have demonstrated that it is possible and feasible to conduct many routine visits remotely. It is our belief that virtual health assessments and treatment plans (VHAT) conducted remotely can be as effective, perhaps be more efficient and increase patient satisfaction when compared to regular physical health assessments and treatment plans (PHAT). Physicians want to provide optimal health care; however, in geographically isolated areas such as some locations in West Virginia that can be a challenge. It seems reasonable to believe that monitoring patients with telehealth technology, collecting on-going real time data and conducting VHAT can provide high quality health care for patients. It can also help to classify health risk, increase patient and medical staff satisfaction, decrease staff time for visits, while at the same time increase the efficiency of the follow-up process. The investigators plan to compare the physician assessments and future treatment plans made using VHAT to those made after PHAT. It is believed that VHAT assessments will be in agreement with those made with PHAT.

Eligibility criteria: Inclusion Criteria:

-Patients referred to and scheduled for an initial visit at our Vascular Center of Excellence (VCOE).

Exclusion Criteria:

* Patients that are deemed urgent cases by the VCOE, and scheduled within two weeks for the initial clinic visit.
* Patients who are scheduled to have the placement of an arteriovenous (AV) fistula at the time of the initial clinic visit.

Primary outcomes:
measure: Categorization of physician treatment plans. (Physicians will classify treatment plans as low, moderate or high need for vascular intervention)
timeFrame: 1 week
Secondary outcomes:
measure: Patient satisfaction
timeFrame: 1 week
Other outcomes:
Locations:
Study officials:
References: