Telemedicine for Urologic Care in Rural Nigeria

NCT06976567 | Not Yet Recruiting

• 1 other identifier: 25-43940
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

Access to urologic care in rural Nigeria is not as robust as it needs to be given the size of the population. This study will employ two research groups in rural Northern Nigeria. One group will receive urologic care via standard, in-person consultation. The second group will receive urologic care via telemedicine consultation. The main aim of this study is to assess whether telemedicine improves access to urologic care in these populations. Secondly, the investigators will assess patient satisfaction with their intervention via survey data.

Conditions

Urologic Disorders

Keywords

telemedicine; urologic care; health access

Outcome Measures

Primary Outcomes (1)

• Time-to- Consultation

  The time-to-urology consultation will be the primary outcome for this study. Essentially, the study will compare the time it takes for patients in either group to engage with a urologist. This measure was used in determining the power of the study.

  From enrollment to completion of post-consultation survey, which is 7 months.

Study Arms (2)

Telemedicine Group

EXPERIMENTAL

This group will engage in their urology consultation virtually.

Device: Telemedicine for urology consultations

Standard of Care Group

NO INTERVENTION

This group will receive an in-person urologic consultation

Interventions

Telemedicine for urology consultations DEVICE

The patients that are assigned to the intervention group will receive a virtual urology consultation with urologists from Ahmadu Bello University in Zaria, Nigeria as opposed to physically presenting for the consultation.

Also known as: Telemedicine Consultation

Telemedicine Group

Eligibility Criteria

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

You may qualify if:

• Adults (at least 18 years old, any gender) that reside in rural Kaduna State.
• Present to primary clinics with an active urologic chief complaint(s), either surgical or non-surgical in nature.

You may not qualify if:

• Children (\<18 years old).
• Individuals who do not live in rural Kaduna State localities.
• Those experiencing urologic emergencies.
• Those who do not present with any urologic chief complaints defined as the primary reason the patient is seeking medical care.

Sponsors & Collaborators

• University of California, San Francisco: lead

Study Sites (1)

Ahmadu Bello University

Zaria, Kaduna State, Nigeria

Location

Related Publications (8)

• Gaglio B, Shoup JA, Glasgow RE. The RE-AIM framework: a systematic review of use over time. Am J Public Health. 2013 Jun;103(6):e38-46. doi: 10.2105/AJPH.2013.301299. Epub 2013 Apr 18.

  PMID: 23597377 BACKGROUND

• Muili AO, Mustapha MJ, Offor MC, Oladipo HJ. Emerging roles of telemedicine in dementia treatment and care. Dement Neuropsychol. 2023 May 29;17:e20220066. doi: 10.1590/1980-5764-DN-2022-0066. eCollection 2023.

  PMID: 37261258 BACKGROUND

• Aronu NI, Atama CS, Chukwu NE, Ijeoma I. Socioeconomic Dynamics in Women's Access and Utilization of Health Technologies in Rural Nigeria. Community Health Equity Res Policy. 2022 Jan;42(2):225-232. doi: 10.1177/0272684X20972643. Epub 2020 Nov 26.

  PMID: 33241987 BACKGROUND

• Doraiswamy S, Abraham A, Mamtani R, Cheema S. Use of Telehealth During the COVID-19 Pandemic: Scoping Review. J Med Internet Res. 2020 Dec 1;22(12):e24087. doi: 10.2196/24087.

  PMID: 33147166 BACKGROUND

• Mahar JH, Rosencrance JG, Rasmussen PA. Telemedicine: Past, present, and future. Cleve Clin J Med. 2018 Dec;85(12):938-942. doi: 10.3949/ccjm.85a.17062. No abstract available.

  PMID: 30526749 BACKGROUND

• Brimmo FO, Babatunde AO, Ezefuna NN, Kanu MS, Biziyaremye P. The need for more medical schools in medically underserved regions in Africa. Ann Med Surg (Lond). 2022 Nov 17;84:104967. doi: 10.1016/j.amsu.2022.104967. eCollection 2022 Dec.

  PMID: 36426098 BACKGROUND

• Aslam MZ, Trail M, Cassell AK 3rd, Khan AB, Payne S. Establishing a sustainable healthcare environment in low- and middle-income countries. BJU Int. 2022 Feb;129(2):134-142. doi: 10.1111/bju.15659. Epub 2021 Dec 8.

  PMID: 34837300 BACKGROUND

• Peters DH, Garg A, Bloom G, Walker DG, Brieger WR, Rahman MH. Poverty and access to health care in developing countries. Ann N Y Acad Sci. 2008;1136:161-71. doi: 10.1196/annals.1425.011. Epub 2007 Oct 22.

  PMID: 17954679 BACKGROUND

Related Links

• Sample size calculation tool used to determine the study's sample size.

MeSH Terms

Conditions

Urologic Diseases

Condition Hierarchy (Ancestors)

Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases

Study Officials

• David Bayne, MD

  University of California, San Francisco

  PRINCIPAL INVESTIGATOR

Central Study Contacts

David Bayne, MD

CONTACT

617-571-5870; david.bayne@ucsf.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 22, 2025
• First Posted: May 16, 2025
• Study Start: July 1, 2025
• Primary Completion: February 1, 2026
• Study Completion: February 1, 2026
• Last Updated: May 22, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

NG (1)