Inflammatory Rheumatism Clinical Trial
Official title:
Impact of a Telenursing Service on Satisfaction and Health Outcomes of Children With Inflammatory Rheumatic Diseases and Their Family: a Crossover Trial
Paediatric rheumatisms represent a large group of inflammatory and non-inflammatory diseases
of the locomotion system. The annual rate incidence of children diagnosed with rheumatic
disease in Switzerland (canton of Vaud) is 56.8 for 100'000 children. These children
experience a chronic course of the disease impacting on their quality of life and family
functioning. Their medical treatment is significant and may last for life. Caring for these
children involves a multidisciplinary approach. Control of the disease and management of the
symptoms becomes of foremost importance to minimise disability and pain. In addition to
medical care, the supporting role of nurses in the care of children with rheumatic diseases
and their family aims to limit the potential for further deformity, disability, and
psychological complications. In particular, they play a key role in supporting the
specialist team caring for patients with rheumatism disease, recognising poor disease
control and the need for changes in treatment, providing a resource to patients on treatment
options and how to access additional support and advice, and identifying best practice to
achieve optimal outcomes for the patients and their family. Nurses also ensure the link
between medical practitioner, other health providers, and family, thus play a key role in
the follow-up care of the child and its family. Follow-up of children and their family can
be ensured by regular telephone consultation (telenursing) made by experienced nurse
specialists in rheumatology. However, the effectiveness of telenursing remains to be proven
in children with chronic rheumatic diseases. The aim of this study is, therefore, to
evaluate the effect of a telephone nursing intervention on the outcomes of family and
children with rheumatism chronic disease.
This randomised crossover, experimental longitudinal study will be carried out in the
outpatient clinic of paediatric rheumatology of a tertiary referral hospital in canton of
Vaud. The population will consist of children newly diagnosed with inflammatory
rheumatologic diseases and one of their parent. The nurse-led intervention will consist of
providing a monthly telephone call by a qualified and experienced nurse specialist in
paediatric rheumatology and TN to ensure follow-up of the children and their family. The
intervention will focus on providing affective support, health information, and aid to
making decision.
Status | Completed |
Enrollment | 55 |
Est. completion date | September 2014 |
Est. primary completion date | September 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 1 Year to 17 Years |
Eligibility |
Inclusion Criteria: - Children under the age of 17 years at the time of enrolment into the study - Newly diagnosed (within 24 months from the enrolment date) with inflammatory rheumatologic diseases - Registered as outpatient in the clinic of paediatric rheumatology - A parent (the mother or the father or the guardian) on behalf of their children. Exclusion Criteria: - Children and parents who do not understand and speak French - No access to a telephone line. |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care
Country | Name | City | State |
---|---|---|---|
Switzerland | University Hospital of Vaud - Department of Pediatrics | Lausanne | Vaud |
Lead Sponsor | Collaborator |
---|---|
University of Applied Sciences of Western Switzerland | Consultation Multisite Romande de Rhumatologie Pédiatrique, Ligue Genevoise contre le Rhumatisme, Réseau d'Etudes aux Confins de la Santé et du Social (RECSS)(HES-SO), Swiss National Science Foundation, University of Lausanne Hospitals |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Satisfaction | Mixed methods, with Client Satisfaction Questionnaire (CSQ-8), and semi-structured interview | 2 years | No |
Secondary | Telenursing service utilisation | Telenursing service utilisation will be recorded in terms of number, time and duration of calls, who made the call, the nature of the call, decision made, description of the plan for action, and follow-through of the advice. | 2 years | No |
Secondary | Adherence to therapeutic regimen | Parent Adherence Report Questionnaire (PARQ) and Child Adherence Report Questionnaire (CARQ) | 2 years | No |
Secondary | Cost effectiveness | Cost will be descriptive in nature and be estimated by calculating the cost related to the time for the use of the service by a qualified nurse versus what the parents would have done if the service was not avalaible. | 2 years | No |
Secondary | Clinical status (disease activity, QOL) | Juvenile Arthritis Disease Activity Score (JADAS) and Juvenile Arthritis Multidimensional Assessment Report (JAMAR) | 2 years | No |
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