TElemedicine to Replace Face-to-face Physician Consultation in Patients With HyperTension : a Pilot Randomized-controlled Trial (SATE-HT)
2022年3月7日 更新者：Lee Kam Pui、Chinese University of Hong Kong
Safety, Feasibility and Acceptability of Using TElemedicine to Replace Face-to-face Physician Consultation in Patients With HyperTension in Hong Kong: a Pilot Randomized-controlled Trial
The investigators has developed a blood pressure telemonitoring system. It is hypothesized that, when optimal control of BP is confirmed on the telemonitoring system, the index physician's consultation can be safely deferred, and medications can still be prescribed without such face-to-face consultation. Despite potentially resource-saving for doctors and time-saving for patients, the feasibility and patients' acceptability of the use of the telemonitoring system to replace face-to-face physician consultation remains unclear.
For primary outcome, the investigators hypothesize that this telemonitoring system will be feasible and acceptable to patients and can replace physicians' face-to-face consultations. For secondary outcomes, the investigators hypothesize that patients receiving care through telemonitoring have non-inferior BP control when compared with patients receiving usual care. Furthermore, the patients receiving telemonitoring may also have enhanced self-efficacy and compliance to drugs and lifestyle interventions
調査の概要
研究の種類
介入
入学 (実際)
50
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
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Hong Kong、香港
- Lek Yuen Clinic and Fanling clinic
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年～80年 (大人、高齢者)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- have a diagnosis of essential hypertension (HT) and are currently taking antihypertensive agents
- have good control of clinic BP as confirmed on ambulatory blood pressure monitoring (ABPM) (daytime BP ≤135/85mmHg)
- can read basic Chinese (as the content of the app in Chinese)
- have a home BP monitor (HBPM)
- used any mobile app (not HT-related) in the previous 1 year
Exclusion Criteria:
- an inability to give informed consent
- unwillingness to conduct HBPM or repeated ABPM
- current use of any other HT app for BP monitoring
- relative contraindications to ABPM (diagnosed atrial fibrillation, occupational drivers or patients with bleeding tendencies)
- severe mental illness, including those diagnosed with schizophrenia, dementia or as being actively suicidal, because these patients may have diminished ability to use the HT app;
- a diagnosis of other chronic disease(s) that need regular physical assessments and doctors' consultations (e.g. diabetes and asthma that are being treated, but patients with hypertension and hyperlipidaemia will remain eligible)
- diagnosed active cancer,
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：telemedicine group
The HT app (HealthCap) allows patients to record their home BP measurements (HBPM) and can automatically provide mean BP values from the previous 7 or 30 days.
1-2 week prior to a scheduled physician, HealthCap and a research assistant will remind patients to take dual BP readings both in the morning and evening for 1 week for doctors' management.
The mean values of the 7-day home BP will be checked before the index consultation.
If the home BP control was optimal (i.e.
≤135/85 mmHg), other important parameters will be checked automatically by a questionnaire in the app: (i) if they have good drug compliance and if they experienced any side effects,(ii) if they have symptoms suggestive of target organ damages such as chest pain or hemiplegia, and (iii) if they have any problem(s) that need to consult a physician.
If no complaints are identified, the patient can collect medications directly from the clinic and the physician appointment will be deferred for 3 months
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a mobile app and telemedicine platform to confirm good blood pressure control and may save doctor face-to-face consultation
These patients have unrestricted access to healthcare resources such as general outpatient clinics and emergency departments
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プラセボコンパレーター：usual care
Patients in the usual care group will be asked to refrain from downloading or using any health care apps related to HT
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These patients have unrestricted access to healthcare resources such as general outpatient clinics and emergency departments
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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rate of recruitment
時間枠：baseline
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number of patients recruited per month during the recruitment period
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baseline
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rate of retention
時間枠：baseline, 6-month
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number of dropouts during the 6-month study period
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baseline, 6-month
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acceptability
時間枠：at 6-month
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interview of around 20 patients in the intervention group
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at 6-month
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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blood pressure levels on 24-hour ambulatory blood pressure
時間枠：baseline, 6-month
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daytime, nighttime, and 24-hour systolic and diastolic blood pressure
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baseline, 6-month
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healthcare utilization
時間枠：6-month
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number of visits to general outpatient clinic, specialist clinic(s) and hospitalization during study period
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6-month
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self-efficacy scale
時間枠：baseline, 6-month
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5-item self-efficacy scale specific to hypertension; a mean score from the items of a 9 or above were classified as having good self-efficacy
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baseline, 6-month
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medication and diet adherence
時間枠：baseline, 6-month
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Treatment Adherence Questionnaire for Patients with Hypertension (TAQPH); Score was summed to give a total range, higher score represented better adherence
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baseline, 6-month
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exercise level
時間枠：baseline, 6-month
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Godin-Shephard Leisure-Time Physical Activity Questionnaire (GSLTPAQ); higher scores represented higher exercise level
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baseline, 6-month
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eHealth literacy
時間枠：baseline, 6-month
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Chinese 8-item eHealth literacy scale; higher scores represented higher eHealth literacy
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baseline, 6-month
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health literacy
時間枠：baseline, 6-month
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3-item Brief Health Literacy; higher scores represented higher health literacy
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baseline, 6-month
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2020年10月7日
一次修了 (実際)
2021年12月31日
研究の完了 (実際)
2021年12月31日
試験登録日
最初に提出
2020年9月2日
QC基準を満たした最初の提出物
2020年9月2日
最初の投稿 (実際)
2020年9月9日
学習記録の更新
投稿された最後の更新 (実際)
2022年3月9日
QC基準を満たした最後の更新が送信されました
2022年3月7日
最終確認日
2022年3月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
高血圧症の臨床試験
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