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| Name | Class |
|---|---|
| Central Denmark Region | OTHER |
| TrygFonden, Denmark | INDUSTRY |
The aim of this study is to compare quality of care and patient experiences in two outpatients follow-up activities: 1) Standard telePRO (fixed interval telePRO follow-up) and 2) Open Access telePRO (patient-initiated telePRO follow-up)
The traditional system of routine outpatient follow-up of chronic disease in secondary care may involve a waste of resources if patients are well. The use of patient-reported outcomes (PRO) could support more flexible, cost-saving follow-up activities. AmbuFlex is a PRO system used in outpatient follow-up in the Central Denmark Region. PRO questionnaires are sent to patients at fixed intervals. The clinicians use the PRO data to decide whether a patient needs a visit or not (standard telePRO). PRO may make patients become more involved in their own care pathway, which may improve their self-management. Better self-management may also be achieved by letting patients initiate contact. The aim of this study is to obtain data on the effects of patient-initiated follow-up (open access telePRO) on resource utilisation, quality of care, and the patient perspective.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Open Access telePRO | Other | Intervention: In open access, contact to the outpatient clinic is initiated by the patient by filling in a PRO questionnaire. |
|
| Standard telePRO | Other | No intervention: In standard telePRO, outpatient follow-up activity is determined by a clinician and patients receive a questionnaire at fixed intervals. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Open Access telePRO | Other | In open access, contacts to the outpatient clinic are initiated solely by the patient. Contacts may be in the form of a PRO assessment like in standard telePRO, but at a time decided by the patient via the Danish National Health website "Sundhed.dk". |
| Measure | Description | Time Frame |
|---|---|---|
| Number of contacts | Number of contacts includes all contacts with the outpatient clinic in the study follow-up period | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| General health will be assessed by items from the SF-36 questionnaire | General health will be measured at baseline and after 18 months. | 18 months |
| Well-being wil be assessed by the WHO-5 Well-being Index |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Niels Henrik Hjollund, Professor | Regional Hospital West Jutland | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Regional Hospital West Jutland | Herning | Central Jutland | 7400 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31520247 | Derived | Schougaard LMV, Mejdahl CT, Christensen J, Lomborg K, Maindal HT, de Thurah A, Hjollund NH. Patient-initiated versus fixed-interval patient-reported outcome-based follow-up in outpatients with epilepsy: a pragmatic randomized controlled trial. J Patient Rep Outcomes. 2019 Sep 13;3(1):61. doi: 10.1186/s41687-019-0151-0. | |
| 28122609 |
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| ID | Term |
|---|---|
| D004827 | Epilepsy |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Standard telePRO | Other | Standard care: fixed interval telePRO follow-up. Patients receive a questionnaire with individually pre-specified intervals. |
|
Well-being will be measured at baseline and after 18 months.
| 18 months |
| Mortality | Mortality will be measured after 18 months. | 18 months |
| Number of seizures | Difference number of seizures (start - end) and will be measured at baseline and after 18 months. | 18 months |
| Side effects | Side effects will be measured at baseline and after 18 months. | 18 months |
| Health literacy will be assessed by The Health Literacy Questionnaire (sub scale 4, 6, and 9) | Health literacy will be measured at baseline and after 18 months. | 18 months |
| Self-efficacy will be assessed by The General Self-Efficacy Scale | Self-efficacy will be measured at baseline and after 18 months. | 18 months |
| Confidence will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire | Confidence will be measured at baseline and after 18 months. | 18 months |
| Safety will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire | Safety will be measured at baseline and after 18 months. | 18 months |
| Satisfaction will be assessed by one item from the Danish Cancer Society PREM (Barometer) Questionnaire | Satisfaction will be measured at baseline and after 18 months. | 18 months |
| Schougaard LM, Mejdahl CT, Petersen KH, Jessen A, de Thurah A, Sidenius P, Lomborg K, Hjollund NH. Effect of patient-initiated versus fixed-interval telePRO-based outpatient follow-up: study protocol for a pragmatic randomised controlled study. BMC Health Serv Res. 2017 Jan 26;17(1):83. doi: 10.1186/s12913-017-2015-8. |