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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT03327246
Other study ID # 0036-17-ASMC
Secondary ID
Status Not yet recruiting
Phase N/A
First received October 23, 2017
Last updated October 26, 2017
Start date February 1, 2018
Est. completion date February 1, 2019

Study information

Verified date October 2017
Source Assuta Medical Center
Contact Reut Ron, M.SC
Phone +972-542240225
Email Reutro@assuta.co.il
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The European Union's Horizon 2020 project issued a Call for Action [1] in December 2013 to design, develop, disseminate and evaluate new IT technologies for use in integrative treatment processes, with emphasis on complex adult patient. Assuta Hospital submitted a proposal for this call, as part of a broad consortium of 10 participants from various European countries.

The CONNECARE consortium has formulated a general model for integrative treatment, and is currently in the technological development stages, to create a smart (supportive decision) and adaptive system that supports integrative treatment processes both in the hospital and in the community for personalized treatment in complex chronic patients. The development includes a significant integrative component of self-care management by the patient and / or the primary caregiver.

Following the completion of the technological development, clinical trials will be held in four organizations throughout Europe - Assuta Hospital in Ashdod in cooperation with the Maccabi community in Ashdod, two centers in Catalonia and the Groningen region in the Netherlands. The purpose of the studies is to assess the impact of the implementation of the model, processes and digital tools that will be built during the project.


Description:

The intervention in this study consists of three parts:

1. Empowering the patient to self-manage his or her health by using applications for smart devices.

2. Intensive pre-habilitation plan with close monitoring during the month prior to surgery.

3. Integrative treatment in the community, which includes a close followup with a coordinating nurse for three months after discharge from the hospital.

The study protocol:

1. Recruitment of participants after scheduling a major elective surgery, explanation of the study and signing the consent form.

2. Evaluation process for the patient, using valid questionnaires, in order to determine the baseline level at the entrance to the study.

3. Distribution of research kit and related accessories and training.

4. Close monitoring during pre habilitation plan for a month prior to surgery.

5. Reassessment of the patient after the surgery and before discharge from the hospital.

6. Close monitoring during three months in the community after discharge from the hospital and use of the research kit.

7. Reassessment of the patient at the exit of the study.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 220
Est. completion date February 1, 2019
Est. primary completion date February 1, 2019
Accepts healthy volunteers No
Gender All
Age group 65 Years and older
Eligibility Inclusion Criteria:

- All Maccabi members who were scheduled for a major elective surgery

- Age over 65

- Living in a home and not in a nursing home

- Anesthesiologist ASA score evaluation of levels 2 or 3 only

- Diagnosis of at least one chronic disease of the following - COPD, cardiovascular disease, diabetes, hypertension, cancer or obesity.

- The patient and / or the main caregiver speak Hebrew, English or Russian

- The patient or primary caregiver has a password to the Maccabi Online website

- The patient and / or the primary caregiver have basic technological knowledge in the use of the applications

- The patient has wireless Internet access at home (via Wifi or through a cellular connection)

Exclusion Criteria:

- Patients with cognitive or dementia problems

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Connecare self managment system
The CONNECARE SMS will rely on a hybrid solution that, besides being autonomous (the patient may use the SMS to monitor and access to her/his data and information), has also a collaborative component (through the interaction with the SACM) to allow participation by clinicians and to provide feedback to them. In so doing, the patient may control her/his activity, receiving recommendations to improve the treatment and to be encouraged in following it.

Locations

Country Name City State
n/a

Sponsors (2)

Lead Sponsor Collaborator
Assuta Medical Center European Commission

Outcome

Type Measure Description Time frame Safety issue
Primary Length of hospitalization after surgery and complications during and after hospitalization Less then one month
Primary Re-Hospitalizations and emergency room visits in the short term after discharge from the hospital Number of hospitalizations and emergency room visits after discharge One month
Primary Re-Hospitalizations and emergency room visits in the long term after discharge from the hospital Number of hospitalizations and emergency room visits after discharge One year
Primary Length of hospitalization In days Less then one month
Secondary Compliance with the assignments in the discharge program guidelines At the time of discharge from the hospital, the patient receives a list of tasks to be performed as part of the release letter. We would like to know how many out of this tasks were carried out One year
Secondary Community health services use Number of appointments made by the patient during the follow up time for primary physician, professionals, laboratory tests and imaging, physiotherapy and nutritionist. One year
Secondary Evaluation of usability of the technology systems developed Using questionnaires for nurses and patients to express their opinion on the use of the technology systems in the project and how much these systems assisted them One year
Secondary Cost-benefits evaluation for the intervention Economic evaluation of tests and services saved as a result of active and orderly monitoring of the patient One year
Secondary Assessment of satisfaction of patients from all the projects components (The follow up and the technology systems) Using satisfaction questionnaires to be passed at the end of the study One year
Secondary Assessment of satisfaction of medical staff from all the projects components (The follow up and the technology systems) Using satisfaction questionnaires to be passed at the end of the study One year
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