A Randomized, Controlled Trial of Home Telemanagement in Patients With Ulcerative Colitis (UC HAT)

Cross, Raymond K.; Cheevers, Nadia; Rustgi, Ankur; Langenberg, Patricia; Finkelstein, Joseph

doi:10.1016/s0016-5085(11)61059-7

Cited by 29 publications

(60 citation statements)

References 13 publications

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“…Efforts to date have focused on telemonitoring systems in an attempt to positively influence adherence to treatment and knowledge of the disease in the follow-up of patients in remission or with mild-to-moderate disease [14,16]. Ours is the first Given that telemonitoring applications are well accepted by patients and seem to be a safe approach for follow-up of patients with less complex IBD (in remission or with mild activity), we designed a controlled 3-arm clinical trial to compare the effectiveness of G_TECCU for the monitoring of inflammatory activity in patients with IBD of moderate-to-high complexity with the usual approach (G_control) and telephone support (G_NT).…”

Section: Discussionmentioning

confidence: 99%

“…Adherence was evaluated using the Morisky-Green index [30], which has been used in clinical trials to evaluate adherence in patients with IBD [14]. We consider adherence to be adequate when the patient responds correctly to 3-4 questions and inadequate if the patient responds correctly to ≤2 questions.…”

Section: Evaluation Of Adherence and Adverse Effectsmentioning

confidence: 99%

“…Several studies have shown these applications to be feasible and acceptable for patients with IBD, and the level of satisfaction with them is at least comparable to that of patients who receive standard face-to-face care [11][12][13][14]. In addition to teletraining systems, web-based applications have been developed to provide educational support to patients, thus potentially giving them increased independence for starting or maintaining treatment during a flare-up and for acquiring knowledge about the disease.…”

Section: Introductionmentioning

confidence: 99%

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A Web-Based Telemanagement System for Patients With Complex Inflammatory Bowel Disease: Protocol for a Randomized Controlled Clinical Trial (Preprint)

Aguas¹,

Hoyo²,

Faubel³

et al. 2017

Preprint

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Background: Telemedicine has been successfully used to provide inflammatory bowel disease (IBD) patients with healthcare services remotely via the implementation of information and communications technology, which uses safe and feasible applications that have been well accepted by patients in remission. However, the design of telemedicine applications in this setting involve difficulties that hinder the adherence of patients to the follow-up plans and the efficacy of these systems to improve disease activity and quality of life Methods:We describe the development of a remote monitoring system and the difficulties encountered in designing the platform. A 3-arm randomized controlled trial was designed to evaluate the effectiveness of this web platform in disease management compared with G_NT and G_Control.Results: According to the schedules established for the medical treatment initiated (corticosteroids, immunosuppressants or biological agents), patients from each group answered periodic questionnaires regarding disease activity, quality of life, therapeutic adherence, adverse effects, satisfaction, work productivity, and social activities. Blood and stool analyses (fecal calprotectin) were performed periodically. Based on the results of these tests in G_TECCU, alerts were generated in a web platform with adapted action plans, including changes in medication and frequency of follow-up. The main issues found were the development of an easy to use web platform, the selection of validated clinical scores and objective biomarkers for remote monitoring and the design of a clinical trial to compare the three main follow-up methods evaluated to date in IBD. Conclusions:The development of a web-based remote management program for safe and adequate control of IBD proved challenging. The results of this clinical trial will advance knowledge regarding the effectiveness of TECCU web for improvement of disease activity, quality of life, and use of health care resources in complex IBD patients.

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Section: Discussionmentioning

confidence: 99%

Section: Evaluation Of Adherence and Adverse Effectsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Web-Based Telemanagement System for Patients With Complex Inflammatory Bowel Disease: Protocol for a Randomized Controlled Clinical Trial (Preprint)

Aguas¹,

Hoyo²,

Faubel³

et al. 2017

Preprint

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“…User interface may be enhanced by introducing gaming platforms [20], Kinect-like devices [21], and sensors to objectively exercise performance [22]. Further studies including randomized clinical trials [23] are warranted to definitely evaluate the impact of home-based physical telerehabilitation in seniors with mobility limitation.…”

Section: Discussionmentioning

confidence: 99%

Introducing physical telerehabilitation in seniors with mobility limitation: System feasibility and acceptance

Wood

Finkelstein

Cha

et al. 2012

2012 5th International Conference on BioMedical Engineering and Informatics

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Physical therapy has been shown effective in geriatric population in addressing mobility limitation. Telerehabilitation systems may support physical therapy programs at patient homes however such systems were not systematically assessed in seniors. The Home Automated Telemanagement (HAT) system for inhome physical telerehabilitation of seniors with mobility limitations was developed and tested. The HAT rehabilitation system was designed to allow patients with mobility limitations to complete an individualized physical therapy plan prescribed by a physical therapist and to allow for clinicians to monitor and assist with in-home rehabilitation. We conducted a 12-week study to assess the feasibility and patient acceptance of the system. Our results showed that home-based physical telerehabilitation is feasible in seniors with mobility limitations, and it can potentially improve patient functional status significantly. Statistically significant improvement was documented using Berg Balance Scale (change from 36.6 ± 12.1 to 41.7 ± 11.1, p<0.004), Timed 25-foot Walk (change from 13.5 ± 8.6 to 10.6 ± 4.5, p<0.04), and 6-minute walk (change from 36.6 ± 12.1 to 41.7 ± 11.1, p<0.004). The participants of the study demonstrated a very high level of support for the home-based physical telerehabilitation program.

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“…Participants in the best available care group underwent routine and as needed clinic and telephone follow up, received educational fact sheets about IBD and received self-action plans without reinforcement. Disease activity was measured by the Seo Index (Seo et al, 1992, as cited in Cross et al 2011) and disease-related quality of life was measured by the Inflammatory Bowel Disease Questionnaire (IBDQ) (Guyatt et al, 1989, as cited in Cross et al 2011. Sixty-four percent of the participants were women, and 66% were Caucasian.…”

Section: Ulcerative Colitismentioning

confidence: 99%

Telemedicine for Chronic Digestive Diseases: A Systematic Qualitative Review

Cross¹,

Quezada²

2011

Telemedicine Techniques and Applications

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A Randomized, Controlled Trial of Home Telemanagement in Patients With Ulcerative Colitis (UC HAT)

Cited by 29 publications

References 13 publications

A Web-Based Telemanagement System for Patients With Complex Inflammatory Bowel Disease: Protocol for a Randomized Controlled Clinical Trial (Preprint)

A Web-Based Telemanagement System for Patients With Complex Inflammatory Bowel Disease: Protocol for a Randomized Controlled Clinical Trial (Preprint)

Introducing physical telerehabilitation in seniors with mobility limitation: System feasibility and acceptance

Telemedicine for Chronic Digestive Diseases: A Systematic Qualitative Review

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