Can we Reduce Hospital Attendance Without Compromising Care by the Use of Telephone Consultation

NCT00129701 | Completed Results

• 1 other identifier: NHLICX3510
• Study Type: interventional
• Target: 104
• Locations: 1 country
• Sites: 1

Brief Summary

Consultation time in busy respiratory clinics is inevitably limited and attendance is often disruptive to patients' lives; involves time, expense, travel, and waiting; and can have effects upon occupation. Published work suggests that patient satisfaction with telephone consultations is high and this subject has recently been extensively reviewed by one of the study investigators. In respiratory medicine there is United States (US) data to suggest that the regular telephoning of adolescents with asthma by a specialist nurse can reduce unscheduled use of health service resources. In the United Kingdom (UK), a randomised, controlled trial in primary care has shown that, compared to face to face consultations, use of the telephone can enable greater numbers of patients with asthma to be reviewed. Another of the study investigators has undertaken a feasibility study in a general respiratory clinic and has shown the concept of alternating face to face consultation with telephone consultation to be acceptable to over 80% of patients. Over one third were assessed to be suitable in that they did not need to attend the clinic for either physical examination or for investigations. It is therefore proposed to evaluate the feasibility, acceptability, time savings and safety of the use of telephone consultation in 3 respiratory clinics in the Department of Respiratory Medicine at Charing Cross Hospital.

Conditions

Asthma; COPD; Sleep Apnea Syndromes; Interstitial Lung Diseases; Bronchiectasis

Keywords

phone consultation in secondary care

Outcome Measures

Primary Outcomes (3)

• Patient Satisfaction

  MISS-21 satisfaction scale, The 21 items are scored using a 7-point Likert scale with responses ranging from 1 ("Very strongly disagree") to 7 ("Very strongly agree"). Maximum is 147 Very strong satisfaction - best outcome, minimum 21 very strong dissatisfaction.

  After consultation within 1 months

• Patients Needing Expedited Follow up

  Number of participants who were telephoned and needed expedited follow-up

  After phone consultation within 2 weeks

• Costs Associated With Traditional Face to Face Consultation

  Patient costs attending hospital appointments compare to phone consultations

  1 year

Study Arms (1)

Patients attending

EXPERIMENTAL

Patients recruited to have a telephone consultation and then at the next appointment a face-to-face appointment

Procedure: Telephone consultation

Interventions

Telephone consultation PROCEDURE

Patients attending

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who had already attended a respiratory clinic on at least two occasions and in whom it was perceived that there was a need for continued follow up in a hospital clinic with review needed more often than once per year Patients with no need for physical examinations or investigations such as chest X-rays, blood tests or lung function tests at every attendance Patients who had access to a confidential telephone line Patients who had no mental, hearing or linguistic problems

You may not qualify if:

• New patients or those who need frequent follow up Patients with mental or cognitive issues Patients requiring physical examination and testing.

Sponsors & Collaborators

• Imperial College London: lead

Study Sites (1)

NHLI Imperial College

London, W6 8RF, United Kingdom

Location

Related Publications (6)

• Pal B. Following up outpatients by telephone: pilot study. BMJ. 1998 May 30;316(7145):1647. doi: 10.1136/bmj.316.7145.1647. No abstract available.

  PMID: 9603747 BACKGROUND

• Car J, Sheikh A. Telephone consultations. BMJ. 2003 May 3;326(7396):966-9. doi: 10.1136/bmj.326.7396.966. No abstract available.

  PMID: 12727771 BACKGROUND

• Greineder DK, Loane KC, Parks P. Reduction in resource utilization by an asthma outreach program. Arch Pediatr Adolesc Med. 1995 Apr;149(4):415-20. doi: 10.1001/archpedi.1995.02170160069010.

  PMID: 7704170 BACKGROUND

• Pinnock H, Bawden R, Proctor S, Wolfe S, Scullion J, Price D, Sheikh A. Accessibility, acceptability, and effectiveness in primary care of routine telephone review of asthma: pragmatic, randomised controlled trial. BMJ. 2003 Mar 1;326(7387):477-9. doi: 10.1136/bmj.326.7387.477.

  PMID: 12609944 BACKGROUND

• Partridge MR. An assessment of the feasibility of telephone and email consultation in a chest clinic. Patient Educ Couns. 2004 Jul;54(1):11-3. doi: 10.1016/S0738-3991(03)00166-6.

  PMID: 15210254 BACKGROUND

• Roberts NJ, Partridge MR. Telephone consultations in secondary care. Respir Med. 2007 Aug;101(8):1665-9. doi: 10.1016/j.rmed.2007.03.003. Epub 2007 Apr 19.

  PMID: 17448649 RESULT

MeSH Terms

Conditions

Asthma; Pulmonary Disease, Chronic Obstructive; Sleep Apnea Syndromes; Lung Diseases, Interstitial; Bronchiectasis

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Apnea; Respiration Disorders; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases

Results Point of Contact

• Title: Prof Martyn R Patridge
• Organization: Imperial College London

m.patridge@imperial.ac.uk

+44 (0)20 7594 7959

Study Officials

• Martyn R Partridge, MD FRCP

  NHLI Imperial College

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 11, 2005
• First Posted: August 12, 2005
• Study Start: November 1, 2003
• Primary Completion: October 1, 2005
• Study Completion: January 1, 2006
• Last Updated: October 16, 2023
• Results First Posted: January 23, 2020

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)