Pilot Study of Video and Telephone Primary Care Visits

NCT04496713 | Completed

• 1 other identifier: IRB00257994
• Study Type: interventional
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

The inability to access and use smartphones or camera-outfitted internet-connected devices during the COVID-19 pandemic relegates certain patients to receive audio-only telemedicine instead of audio/video-based telemedicine. The investigators are conducting a randomized controlled trial in order to characterize patient and provider attitudes towards these two modalities of care and to test the feasibility of a new model to make tablets for video-based care accessible to those who need that. The investigators hypothesize that patient and provider satisfaction will be higher with video-based telehealth when compared to phone-based telehealth.

Conditions

Telemedicine

Keywords

telemedicine; audio/video; telephone; primary care

Outcome Measures

Primary Outcomes (1)

• Provider rating as assessed by the Consumer Assessment of Healthcare Providers and Systems question on provider rating

  Provider rating will be assessed with the Consumer Assessment of Healthcare Providers and Systems question on provider rating of 0-10; 0 being worst provider possible and 10 being best provider possible.

  Within 2 weeks of the study visit

Secondary Outcomes (8)

• Satisfaction with telemedicine visit for patient as assessed by a Likert scale

  Within 2 weeks of the study visit

• Satisfaction with telemedicine visit for provider as assessed by a Likert scale

  Within 2 weeks of the study visit

• Efficacy of telemedicine visit for provider as assessed by a Likert scale

  Within 2 weeks of the study visit

• Provider communication as assessed by yes/no question

  Within 2 weeks of the study visit

• Provider listening as assessed by yes/no question

  Within 2 weeks of the study visit

Study Arms (2)

Telemedicine - Phone

NO INTERVENTION

Patients will continue with their telephone-based telemedicine visit as scheduled. There will be no change to their care. Patients will receive a survey by mail about the visit.

Telemedicine - Audio/Video

EXPERIMENTAL

Patients will be given an internet-connected tablet to have their upcoming visit with their physician by audio/video. A survey can be completed on the tablet. The devices will be sent back to the research time after their single use.

Other: Internet-connected computer tablet

Interventions

Internet-connected computer tablet OTHER

An internet-connected tablet provided to patient for upcoming visit with physician by audio/video which can also be used to complete a survey.

Telemedicine - Audio/Video

Eligibility Criteria

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

You may qualify if:

• Adult patients scheduled for telephone-based visits who are doing so because of a lack of ability to conduct a video visit (i.e. no tablet/laptop; no access to internet) who live in Baltimore City

You may not qualify if:

• Patients with significant visual or hearing impairment
• Patients that have legal guardians or who are marked as lacking healthcare decision-making capacity
• Patients that have not selected English as their preferred language

Sponsors & Collaborators

• Johns Hopkins University: lead

Study Sites (1)

Johns Hopkins Outpatient Center

Baltimore, Maryland, 21287, United States

Location

Study Officials

• Jeremy A Epstein, MD

  Johns Hopkins University

  PRINCIPAL INVESTIGATOR

• Casey Overby Taylor, PhD

  Johns Hopkins University

  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: SPONSOR

Study Record Dates

• First Submitted: July 29, 2020
• First Posted: August 3, 2020
• Study Start: January 24, 2021
• Primary Completion: November 24, 2021
• Study Completion: December 30, 2021
• Last Updated: February 9, 2022

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP

Locations

US (1)