Degree of Worry as a Predictor for Utilization of Acute Health Care
Early Patient Involvement in Out-of-hours Health Care
1 other identifier
interventional
11,340
1 country
1
Brief Summary
The overall aim of the study is to construct a scale that systematically incorporates the callers' perspective in a "degree of worry - scale" and to explore the consequences for the actors in the system - caller, call-handler, and health care system. This will be done through four independent studies.
- 1.Is it possible to validate "the degree of worry" scale with the software system "Corti"?
- 2.Does callers' degree of worry relieve after telephone consultation?
- 3.Does call handlers' awareness of degree of worry affect triage outcome?
- 4.Is callers' degree of worry a predictor of illness severity?
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2017
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 21, 2016
CompletedFirst Posted
Study publicly available on registry
December 1, 2016
CompletedStudy Start
First participant enrolled
January 24, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 15, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2018
CompletedMay 14, 2018
May 1, 2018
4 months
October 21, 2016
May 11, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
call-handlers awareness of callers' DOW affects triage outcome
outcome measures = triage outcome Triage outcome is the triage response given to the caller: direct admission, out-of-hours clinic consultation, home visit, se GP during office hours advice on self-care
Call-handlers awareness of callers' DOW will be randomized during telephone consultation.
Secondary Outcomes (1)
Does telephone consultation have a relieving effect on callers to a medical hotline?
before and after measurement of DOW. After measurement is an computer assisted telephone datacollection 20 minutes and one hour after terminated call
Study Arms (2)
no awareness of Degree of Worry
NO INTERVENTIONCall handler is not made aware of caller's DOW on computer screen
awareness of Degree of Worry
EXPERIMENTALCall handler is made aware of caller's DOW on computer screen alongside patient information as address etc.
Interventions
degree of worry is a definition made for this project. It is roothed in coping psychology but has been influenced by the construct of self-rated health. Will blinding of DOW have an effect on triage outcome.
Eligibility Criteria
You may qualify if:
- Callers to a Danish acute care hotline that are either patient self, close relative og friend of patient.
You may not qualify if:
- Non-close relation to patient
- Non-Danish speaking
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hejdi Gamst-Jensen
Ballerup Municipality, 2750, Denmark
Related Publications (3)
Gren C, Pedersen MK, Hasselager AB, Folke F, Ersboll AK, Cortes D, Egerod I, Gamst-Jensen H. How parents express their worry in calls to a medical helpline: a mixed methods study. BMC Prim Care. 2022 Apr 15;23(1):80. doi: 10.1186/s12875-022-01680-4.
PMID: 35421930DERIVEDJensen AN, Kristiansen M, Tolstrup JS, Gamst-Jensen H. Associations between degree-of-worry, self-rated health and acute hospitalisation after contacting a medical helpline: a Danish prospective cohort study. BMJ Open. 2021 May 27;11(5):e042287. doi: 10.1136/bmjopen-2020-042287.
PMID: 34045212DERIVEDGamst-Jensen H, Frishknecht Christensen E, Lippert F, Folke F, Egerod I, Brabrand M, Tolstrup JS, Thygesen LC, Huibers L. Impact of caller's degree-of-worry on triage response in out-of-hours telephone consultations: a randomized controlled trial. Scand J Trauma Resusc Emerg Med. 2019 Apr 11;27(1):44. doi: 10.1186/s13049-019-0618-2.
PMID: 30975160DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
hejdi gamst-jensen, MSc
Emergency Medical Services, Copenhagen Denmark
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- CARE PROVIDER
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- M.Sc. health science
Study Record Dates
First Submitted
October 21, 2016
First Posted
December 1, 2016
Study Start
January 24, 2017
Primary Completion
May 15, 2017
Study Completion
May 1, 2018
Last Updated
May 14, 2018
Record last verified: 2018-05
Data Sharing
- IPD Sharing
- Will not share