Telehealth Research Across The Community (TRAC): An evaluation of telehealth home monitoring of home care clients with chronic obstructive pulmonary disease or chronic heart failure compared to usual care.
Telehealth Research Across The Community (TRAC): An evaluation of telehealth home monitoring of home care clients with chronic obstructive pulmonary disease and chronic heart failure compared to usual care.
Silver Chain Nursing Association
200 participants
Jun 15, 2009
Interventional
Conditions
Summary
This project is a randomised controlled trial of telehealth self monitoring of clients with COPD and CHF. Clients in the intervention group will be provided with and trained to use telehealth equipment with which to monitor clinical vital signs which are then transmitted to Silver Chain. Deviations from the norm are reviewed by a nurse and interventions introduced where required. It is expected that cost saving will be seen as a results of fewer hospital admissions, shorter hospital stays and fewer emergency department visits when compared to a control group.
Eligibility
Inclusion Criteria1
- Have a confirmed diagnosis of COPD and are currently receiving oxygen services OR diagnosis of CHF; Do not have a diagnosis of dementia; Can communicate in English; Are not receiving palliative care; and Their specialist or GP has agreed for their inclusion and will take clinical governance
Exclusion Criteria2
- Diagnosis of dementia
- Non-English speaking
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Interventions
Remote home monitoring of client’s vital signs by a nurse will be undertaken. The monitoring equipment is installed in the client’s home. The client is trained in the use of the equipment to measure their vital signs which will include: a) Blood Pressure b) Weight c) Heart Rate d) Oxygen Saturation Levels In addition, clients’ response to questions regarding their general state of health or specific to their condition, such as the type of cough they are experiencing or the colour of their sputum. Readings take approximately 20 minutes for the client to complete and occur on a daily basis for a period of 6 months. Readings are transmitted to a central point where any deviations from the norm are reviewed by a nurse and interventions introduced where required. Those interventions can be a telephone call by the clinician to retake the tests or a recommendation that the patient visit their General Practitioner.
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ACTRN12609000428268