800 Participants Needed

Virtual vs Telephonic Outreach for Multiple Chronic Conditions

KR
Overseen ByKaren R Estacio, MHA
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Kaiser Permanente
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

We will conduct a comparative effectiveness randomized clinical trial with two "active comparator" arms. We will evaluate the two current, usual care strategies (higher intensity "telephonic navigation" vs. lower intensity "virtual outreach") for addressing social needs among patients with multiple chronic conditions.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems to focus on outreach methods rather than medication changes.

Is telephonic or virtual outreach safe for managing chronic conditions?

Automated telephone support programs have been used safely to help manage chronic conditions like diabetes, capturing adverse events and improving care quality. Virtual tools like patient portals for medication management have also been used safely, though they may reveal medication discrepancies that need addressing.12345

How does the treatment of Virtual vs Telephonic Outreach for Multiple Chronic Conditions differ from other treatments?

This treatment is unique because it uses virtual and telephonic methods to reach patients with multiple chronic conditions, offering a convenient and cost-effective alternative to traditional in-person care. It aims to improve access to care and patient outcomes by leveraging technology, which can be particularly beneficial for those in rural areas or with limited mobility.678910

What data supports the effectiveness of the treatment Telephonic Outreach, Virtual Outreach for Multiple Chronic Conditions?

Research shows that telehealth and telephone support can improve quality of life and reduce healthcare use in elderly patients with multiple chronic conditions. Additionally, automated telephone outreach has been found to enhance care for chronic illnesses like diabetes.811121314

Who Is on the Research Team?

RW

Richard W Grant, MD MPH

Principal Investigator

Kaiser Permanente

Are You a Good Fit for This Trial?

This trial is for adults with multiple chronic conditions, including Chorda Tympani Disorder. It's designed to see if addressing social needs can improve health outcomes. Participants must be able to engage in virtual or telephonic communication.

Inclusion Criteria

I face challenges like transportation, food, or housing that affect my healthcare.
Two or more chronic medical conditions from a defined list of 24 chronic conditions
I have missed some treatments or check-ups for my condition.

Exclusion Criteria

Major cognitive barriers (dementia, psychosis)
Multiple prior year hospitalizations ('extremely high utilizers')

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either higher intensity telephonic navigation or lower intensity virtual outreach to address social needs

3 months
Multiple contacts via phone, text, email, or letter

Follow-up

Participants are monitored for receipt of social services, closure of clinical care gaps, and reduction in social needs

12 months

What Are the Treatments Tested in This Trial?

Interventions

  • Telephonic Outreach
  • Virtual Outreach
Trial Overview The study compares two strategies: higher intensity 'telephonic navigation' and lower intensity 'virtual outreach'. Both are usual care methods for helping patients manage social aspects related to their chronic conditions.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Telephonic NavigationExperimental Treatment1 Intervention
Higher Intensity (active telephonic outreach from a health navigator with follow-up contacts for up to 3 months)
Group II: Virtual OutreachActive Control1 Intervention
Lower Intensity (outreach via text, email, and/or letter with materials that contain information about available local, state, and federal governmental benefits and services)

Find a Clinic Near You

Who Is Running the Clinical Trial?

Kaiser Permanente

Lead Sponsor

Trials
563
Recruited
27,400,000+

Published Research Related to This Trial

A significant 86% of the 111 diabetes patients experienced at least one adverse event (AE) or potential adverse event (PotAE) over a 9-month period, highlighting the prevalence of safety issues in chronic disease management.
The majority of AEs (63%) were related to medication management, and 77% of events involved patient actions, indicating that enhancing patient self-management and communication with healthcare providers is crucial for preventing these events.
What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.Sarkar, U., Handley, MA., Gupta, R., et al.[2021]
A systematic review of 200 articles identified that videoconferencing for therapeutic interventions in chronic conditions yields clinical outcomes comparable to in-person treatments, supported by evidence from four high-quality randomized controlled trials.
Patient satisfaction with telerehabilitation is generally high, indicating that a strong therapeutic alliance can be formed, although clinical staff reported lower satisfaction levels compared to patients.
Therapeutic videoconferencing interventions for the treatment of long-term conditions.Steel, K., Cox, D., Garry, H.[2018]

Citations

Digital telemedicine interventions for patients with multimorbidity: a systematic review and meta-analysis. [2021]
Developing an automated speech-recognition telephone diabetes intervention. [2016]
Who is being reached for a telephone-delivered intervention for patients with uncontrolled hypertension? [2014]
The effect of telehealth, telephone support or usual care on quality of life, mortality and healthcare utilization in elderly high-risk patients with multiple chronic conditions. A prospective study. [2019]
Continuum of Care: Positioning of the Virtual Hospital. [2022]
What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. [2021]
Engaging patients in medication reconciliation via a patient portal following hospital discharge. [2022]
Low Internet use among patients with diabetes in a safety-net population. [2018]
Use of automated telephone disease management calls in an ethnically diverse sample of low-income patients with diabetes. [2021]
10.United Statespubmed.ncbi.nlm.nih.gov
Utilization of a community pharmacy-operated national drug information call center in Finland. [2022]
11.United Statespubmed.ncbi.nlm.nih.gov
The Use of Video Conferencing for Persons with Chronic Conditions: A Systematic Review. [2020]
Therapeutic videoconferencing interventions for the treatment of long-term conditions. [2018]
13.United Statespubmed.ncbi.nlm.nih.gov
Enabling Patients as Partners on Virtual Teams: A Scoping Review. [2023]
The impact of web-based approaches on psychosocial health in chronic physical and mental health conditions. [2021]
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