Interprofessional Care Models Using Videoconferencing for Patients With Inflammatory Arthritis

NCT02371915 | Completed

• 1 other identifier: 14-176
• Study Type: interventional
• Target: 85
• Locations: 1 country
• Sites: 1

Brief Summary

This project will be conducted in two phases. Phase 1: RA patients will be recruited to participate in five repeated examinations occurring in one day to compare between and within specialties, ensuring reasonable equivalency of examination findings. Phase 2: RA patients living \> 100 km from Saskatoon will be randomized to the intervention or control group, with both groups having three follow-up appointments in 3-month intervals. The intervention group will be evaluated by a physiotherapist supported by a rheumatologist through videoconferencing, while the control group will continue to travel to Saskatoon for follow-up care.

Conditions

Inflammatory Arthritis

Keywords

Rural access; Telehealth

Outcome Measures

Primary Outcomes (1)

• Change in Disease Activity Score-28 (DAS-28)

  at 3 month intervals over nine months

Secondary Outcomes (7)

• Change in European Quality of Life - 5 Dimensions(EQ-5D)

  at 3 month intervals over nine months

• Change in Epworth Sleepiness Scale

  at 3 month intervals over nine months

• Change in Healthcare Use

  at 3 month intervals over nine months

• Change in Modified Health Assessment Questionnaire (MHAQ)

  at 3 month intervals over nine months

• Change in Work Productivity and Activity Impairment Questionnaire (WPAI)

  at 3 month intervals over nine months

Study Arms (2)

Videoconference follow-up

EXPERIMENTAL

These subjects will remain in or near their home communities for rheumatology follow-up visits. Follow-up visits will occur via telehealth/videoconferencing, with a physiotherapist present, performing the in-person assessment, supported by the rheumatologist via videoconference.

Other: Videoconference follow-up

Control

NO INTERVENTION

These subjects will continue to travel into Saskatoon for the rheumatology visits, as they normally would for routine follow-up visits with their rheumatologist.

Interventions

Videoconference follow-up OTHER

Rheumatology visits to take place video videoconference with a physiotherapist present

Videoconference follow-up

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Part A: Patients with established rheumatologist diagnosed RA attending rheumatology clinic at Royal University Hospital, (Saskatoon) and providing informed consent, will be recruited.

Sponsors & Collaborators

• University of Saskatchewan: lead
• Canadian Initiative for Outcomes in Rheumatology Care: collaborator

Study Sites (1)

University of Saskatchewan

Saskatoon, Saskatchewan, Canada

Location

MeSH Terms

Conditions

Arthritis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Regina Taylor-Gjevre, MD

  Univsersity of Saskatchewan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Medicine

Study Record Dates

• First Submitted: December 8, 2014
• First Posted: February 26, 2015
• Study Start: June 1, 2014
• Primary Completion: August 1, 2016
• Study Completion: August 1, 2016
• Last Updated: October 26, 2016

Record last verified: 2016-10

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)