The Actuate-CBC Study

Telemedicine Clinical Trial

— ACTUATE  

Official title:

THE Actuate-CBC Study: Accelerating the Uptake of Telemedicine for Crisis Burn Care

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05917652
• Other study ID #: 850877
• Status: Recruiting
• Start date: January 4, 2023
• Est. completion date: June 15, 2027

Study information

• Verified date: June 2023
• Source: University of Pennsylvania
• Contact: Kelly E Farraday, MSOD
• Phone: 2152793718
• Email: kellyfar[@]nursing.upenn.edu
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The study team will use implementation science to accelerate the uptake of teleconsultationfor burn patients by 1) examining the relationships between clinician perceptions of acceptability, feasibility, intention to use, and actual use of burn teleconsultation 2) identifying the optimal process for burn teleconsultation and the barriers and facilitators for its use during a crisis or prolonged care situation, and 3) designing and testing the effectiveness of a specific, tailored burn teleconsultation toolkit intervention to increase burn teleconsultation use.

Description:

The principal investigator's central hypothesis is that a tailored implementation intervention (toolkit) that integrates the known advantages of using telemedicine for burn consultation with new knowledge regarding clinician perceptions and the setting in which they work will improve the feasibility, acceptance, intention to use, and uptake of burn teleconsultation. The implementation intervention will enable rapid burn teleconsultation implementation under crisis circumstances and assist clinicians to virtually connect the person caring for a burn patient anywhere to the entire burn team's expertise. The study results will lead to more robust national crisis, wartime, and disaster response plans, improve quality of burn care, and decrease morbidity and mortality from serious burn injury, regardless of injury location.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 2183
• Est. completion date: June 15, 2027
• Est. primary completion date: June 30, 2026
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• 18 years of age or older and
• are providing burn care to patients at the 4 burn centers and the non-burnhospitals are eligible for inclusion.

Exclusion Criteria:

• do not meet inclusion criteria,
• decline to participate or do not give consent to participate in the study, •
• directly express uneasiness about the participation

Related Conditions & MeSH terms

• Telemedicine

Intervention

Behavioral:
• Tool kit
The study team will develop and design key elements of the implementation intervention (toolkit) among a small group of burn and non-burn clinician stakeholders (4-6 total). The study team will use in-person interviews with stakeholders and a semi-structured interview guide to elicit feedback and assess face and content validity of the toolkit elements prior to deployment across the study hospitals. For those who consent to participation, the study team will conduct virtual teleconference interviews in-person using a secure videoconferencing platform while the person is not working, at a time convenient for them. Interviews will last between 45 and 60 minutes. The study team anticipates conducting 4-6 interviews to finalize toolkit elements prior to implementation.

Locations

Country	Name	City	State
United States	University of Michigan	Ann Arbor	Michigan
United States	Massachusetts General Hospital Sumner Redstone Burn Center	Boston	Massachusetts
United States	UCI Health Regional Burn Center	Orange	California
United States	Regions Hospital Burn Center	Saint Paul	Minnesota

Sponsors (1)

Lead Sponsor	Collaborator
University of Pennsylvania

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Examine the relationships between clinician perceptions of feasibility, acceptability, intention to use, and the actual use of acute burn teleconsultation.	The study team will look at the differences in opinions between the Aim 1 and 2 interviews and surveys as well as the referral numbers being collected and compare that to the Aim 3 data from interviews and surveys as well as actual referral data to see if there is an increase in the use of telemedicine.	4 years