Digital Technology in the Home of Elderly Patients With Multimorbidity
Introducing Technology in the Home of Elderly Patients With Multimorbidity, a Hybrid Effectiveness Implementation Study
1 other identifier
observational
25
1 country
1
Brief Summary
In this study, the objective is to evaluate available technology designed to support self-care at home of elderly patients with multimorbidity. Of people who are 85 years or older, about 60% have two or more chronic diseases. The symptom burden is extensive, and periods of deterioration often lead to hospitalizations and early readmissions to hospital. A contributing factor for the high consumption of care is that many patients find it difficult to identify signs of deterioration and in time take appropriate action. Technology placed in patients' home are becoming common and have shown to increase quality of life and reduce the need for in-hospital care but few tools are used in regular care. The investigators want to see which effect technologies placed at home has on; healthcare consumption, self-care, depression, well-being and activity level. Further, the implementation process from both patients, relatives and healthcare personals perspective will be studied using a hybrid design, which makes it possible to study both barriers and facilitators of the implementation and efficacy of the technology. In phase one participants will be recruited from a care team where an established collaboration between region and municipality has been developed. In phase two, inclusion takes place in an entire municipality without a previously established collaboration. The goal is to increase patients and family members wellbeing, health and functional ability while maintaining or reducing healthcare costs.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Mar 2021
Typical duration for all trials
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
Study Start
First participant enrolled
March 1, 2021
CompletedFirst Submitted
Initial submission to the registry
June 16, 2021
CompletedFirst Posted
Study publicly available on registry
July 9, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2023
CompletedApril 4, 2024
April 1, 2024
2.8 years
June 16, 2021
April 3, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Effectiveness of digital technology
Healthcare consumption will be performed via regions healthcare database.
December 2021-December 2022
Implementation process
Healthcare professionals will be asked about potential barriers and facilitators for implementation of the technology, problems associated with the implementation, potential modifications that could be made to maximize implementation, potential implementation strategies, skills or training necessary for healthcare professionals to work with the technology.
April 2021-December 2021
Secondary Outcomes (5)
Experience of digital technology
December 2021-December 2022
Anxiety and depression
December 2021-December 2022
Perceived control
December 2021-December 2022
Well-being
December 2021-December 2022
Physical activity
December 2021-December 2022
Study Arms (1)
elderly patients with multimorbidity, relatives, health care personal
The care team consists of four nurses, two of whom are employed by the region and two by the municipality, 20 municipally employed assistant nurses and one physician. Other professions associated with the team are psychologist, dietitian, pharmacist, counsellor, physiotherapist, occupational therapist, and family consultants. All participants in the team will be invited to participate in the study. The technology will be place in 20-25 patients' home and patients and family members will be invited to participate in the study. Self-care education will be given to the patients and family members according to the middle-range theory of self-care of chronic illness.
Interventions
Implementation of digital technology in two different care settings from both patients, informal caregivers, and healthcare professional's perspective.
Eligibility Criteria
The study aims to include all patients, family members and healthcare personal who is involved in the process of implementation of digital technology.
You may qualify if:
- All patients admitted in the care team and their family members who will have digital technology placed in their home will be asked to participate.
- All healthcare personal in the care team will be asked to participate
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Care team in Region of Sörmland
Eskilstuna, SE-63188, Sweden
Related Publications (1)
Liljeroos M, Arkkukangas M, Stromberg A. The long-term effect of an m-health tool on self-care in patients with heart failure: a pre-post interventional study with a mixed-method analysis. Eur J Cardiovasc Nurs. 2024 Jul 19;23(5):470-477. doi: 10.1093/eurjcn/zvad107.
PMID: 38165027DERIVED
Study Design
- Study Type
- observational
- Observational Model
- FAMILY BASED
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
June 16, 2021
First Posted
July 9, 2021
Study Start
March 1, 2021
Primary Completion
December 31, 2023
Study Completion
December 31, 2023
Last Updated
April 4, 2024
Record last verified: 2024-04
Data Sharing
- IPD Sharing
- Will not share