Health Outcomes of Patients With Stable Chronic Disease Managed With a Healthcare Kiosk
A Randomized Controlled Trial to Evaluate the Health Outcomes of Patients With Stable Chronic Disease Managed With a Healthcare Kiosk
1 other identifier
interventional
120
1 country
1
Brief Summary
The chronic disease burden is increasing worldwide leading to a rise in the demand for primary healthcare and a shortage of primary care physicians. Addressing this shortage entails a multi-prong approach with innovations in care delivery, greater use of healthcare technology, and more efficient use of all healthcare providers on the care team. We previously developed an interactive self-service healthcare kiosk (Self-empowering and enabling kiosk - SEEK® MyHealthKiosk) for the management of patients with stable chronic disease in the primary care setting. A feasibility study using SEEK showed high levels of acceptance and satisfaction from patients and healthcare providers. The aim of this follow-up study is to evaluate the health outcomes of patients with stable chronic disease who are on kiosk management compared to patients who are on routine management by nurse clinicians. We hypothesize that patients who are managed by the kiosk continue to maintain good disease control that are comparable to patients who are managed by a nurse clinician.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable hypertension
Started Jun 2018
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
September 4, 2017
CompletedFirst Posted
Study publicly available on registry
September 6, 2017
CompletedStudy Start
First participant enrolled
June 21, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2019
CompletedJune 26, 2018
June 1, 2018
1.2 years
September 4, 2017
June 21, 2018
Conditions
Outcome Measures
Primary Outcomes (4)
Disease control
12 months
Blood pressure
12 months
Low-density lipoprotein cholesterol
12 months
Hemoglobin A1c
12 months
Secondary Outcomes (4)
Visit duration
8 months
Patient satisfaction questionnaire
12 months
Adverse events
12 months
Health-related quality of life questionnaire
12 months
Study Arms (2)
Kiosk intervention group
EXPERIMENTALNurse clinician control group
NO INTERVENTIONInterventions
SEEK automates the management of patients with stable well-controlled chronic disease. SEEK has the following capabilities: * Collects patient information using patient-specific identification * Prompts the user for answers to screening questions for acute conditions * Measures relevant physiological parameters: blood pressure, height, weight; and calculates body mass index * Triages patients based on responses to screening questions, physiological parameters and blood test results * Provides recommendations to the patient on the care plan, self management and lifestyle choices
Eligibility Criteria
You may qualify if:
- are between the ages of 21 and 75 years
- have at least one chronic medical condition that includes hypertension, hyperlipidemia, diabetes mellitus
- have blood pressure, low-density lipoprotein cholesterol (LDL-C) and HbA1c levels within the recommended targets according to the Ministry of Health Singapore clinical practice guidelines for their current and last follow-up visits
- are able to provide informed consent.
You may not qualify if:
- have serum creatinine more than 140 mmol/L (from tests done within the past year)
- have serum potassium less than 3.5 mmol/L or more than 5 mmol/L (from tests done within the past year)
- have overt proteinuria (urine protein:creatinine ratio more than 0.5)
- were discharged from hospital or specialist follow-up within the last 6 months
- have any pending laboratory or investigation result
- are scheduled for any laboratory investigation within the next 4 months (except HbA1c or panel test)
- have any new complaint related to their chronic medical conditions
- have a known history of white coat hypertension
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
SingHealth Polyclinics - Punggol
Singapore, Singapore
Related Publications (1)
Ng G, Tan SW, Tan NC. Health outcomes of patients with chronic disease managed with a healthcare kiosk in primary care: protocol for a pilot randomised controlled trial. BMJ Open. 2018 Mar 23;8(3):e020265. doi: 10.1136/bmjopen-2017-020265.
PMID: 29574445DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Family Physician
Study Record Dates
First Submitted
September 4, 2017
First Posted
September 6, 2017
Study Start
June 21, 2018
Primary Completion
September 1, 2019
Study Completion
September 1, 2019
Last Updated
June 26, 2018
Record last verified: 2018-06