OC-080 Ibd-Sshamp (Supported, Self help and Management Programme); UK’S first Internet based Remote Management System for Managing Stable IBD

Johnson, Marcia; Lithgo, K; Price, T

doi:10.1136/gutjnl-2013-304907.079

Cited by 8 publications

(7 citation statements)

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“…described an integrated distance-management model of care for IBD patients, IBD-SSHAMP, at Luton and Dunstable University Hospital in Hertfordshire, UK. 11,12 This model provides patients with self-help advice sheets and hospital results that can be graphically displayed on the website. Furthermore, patients are routinely consulted via a telephone clinic, and faecal calprotectin and blood tests are carried out biannually.…”

Section: Discussionmentioning

confidence: 99%

“…The cost-saving potential of this approach for the healthcare provider was estimated to be as high as US$159,460 per year, excluding the cost-saving potential for the patients. 11…”

Section: Discussionmentioning

confidence: 99%

“…described an integrated distance-management model of care for IBD patients, IBD-SSHAMP (supported, self-help and management programme), at Luton and Dunstable University Hospital in Hertfordshire, UK. 11,12 A web-based platform is used to assess current symptoms and bloods plus faecal calprotectin are carried out twice a year.…”

Section: Introductionmentioning

confidence: 99%

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Videoconference clinics improve efficiency of inflammatory bowel disease care in a remote and rural setting

et al. 2019

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Introduction Patients with inflammatory bowel disease (IBD) require long-term secondary care with periodic specialist follow-up. This can be especially challenging for patients living in remote areas. One possible solution is the implementation of videoconference (VC) clinics as a distance-management tool. Here we assessed the use of VC clinics for IBD in terms of patient safety and economic benefit for patients with IBD living in rural areas in the Scottish Highlands and Islands. Methods Eighty-eight patients participating in the IBD specialist nurses VC clinic administered via Raigmore Hospital, Inverness, Scotland, UK, between January 2016 and June 2017 were included in this study. A total of 229 appointments were assessed. Results We found the use of a VC clinic to be safe and effective as only 0.9% of appointments required urgent medical assessment and 92% of the VC clinic appointments resulted in further VC clinic follow-up. A total travelling distance of 72,245.3 km and a total travelling time of 71,688 minutes were saved in this patient cohort. It was shown that an average of US$36.61 of potential travelling cost could be saved per appointment. Discussion VC clinics represent a patient-centred participatory model of care for IBD patients living in remote areas with enormous time- and cost-saving potential while being safe and effective. Further investigations into patient satisfaction and the combination with other telemedicine tools such as telephone conferencing and mobile phone applications are needed to evaluate the full potential of the concept.

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Section: Discussionmentioning

confidence: 99%

“…The cost-saving potential of this approach for the healthcare provider was estimated to be as high as US$159,460 per year, excluding the cost-saving potential for the patients. 11…”

Section: Discussionmentioning

confidence: 99%

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Videoconference clinics improve efficiency of inflammatory bowel disease care in a remote and rural setting

et al. 2019

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“…Moreover, the burden and healthcare costs associated with its management continue to rise [6,7], which currently makes it one of the most expensive gastrointestinal conditions [8]. In an attempt to overcome these problems, web-based telemonitoring systems have been safe and feasible tools that empower IBD patients with the capacity to better control their disease, producing fewer outpatient visits, hospital admissions and, thus, potential cost-savings [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Adaptation of TECCU App Based on Patients´ Perceptions for the Telemonitoring of Inflammatory Bowel Disease: A Qualitative Study Using Focus Groups

Hoyo

Nos

Faubel

et al. 2020

IJERPH

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Background: Despite the continuous adaptation of eHealth systems for patients with inflammatory bowel disease (IBD), a significant disconnection persists between users and developers. Since non-adherence remains high, it is necessary to better understand the patients’ perspective on telemonitoring for IBD. Accordingly, this study aimed to adapt the TECCU telemonitoring app to the preferences and needs of IBD patients. Methods: A qualitative study was carried out using successive focus groups of IBD patients. Meetings were audio-recorded and a thematic analysis was employed until data saturation was achieved. The first group included patients who had used the TECCU App in a pilot clinical trial, and subsequent meetings included patients with Crohn’s disease and ulcerative colitis recruited from the Spanish Confederation of patient associations. The information collected at each meeting guided consecutive changes to the platform. Results: Data saturation was reached after three focus groups involving a total of 18 patients. Three main themes emerged: (1) platform usability, (2) the communication process, and (3) platform content. All participants indicated that TECCU is easy to use, permitting continuous and personalized feedback. According to patients´ perspectives, the platform was adapted to foster a flexible follow-up and shared decision-making using open and safe communication networks. Many participants appreciated the educational elements and, consequently, the app was connected to reliable and continuously updated webpages. Conclusions: IBD patients valued the usability and personalized monitoring offered by the TECCU App. Improvements in the messaging system and continuously updated educational content were introduced to address patients´ needs and favor their engagement.

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“…Web-based telemonitoring systems applied to IBD are safe and feasible not only for adults but also for adolescents [9-11], and empowerment through these systems reduces outpatient visits and hospital admissions, with potential cost savings [12-14]. However, even if eHealth is considered a promising option to improve the quality of care while reducing costs, its efficacy in terms of disease outcomes has not been consistent across studies [10-13,15,16], with high attrition rates despite the continued adaptation of Web platforms and the evolution of mobile health over the last decade.…”

Section: Introductionmentioning

confidence: 99%

Telemonitoring of Crohn’s Disease and Ulcerative Colitis (TECCU): Cost-Effectiveness Analysis

Hoyo¹,

Nos²,

Bastida³

et al. 2019

J Med Internet Res

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BackgroundAlthough electronic health interventions are considered safe and efficient, evidence regarding the cost-effectiveness of telemonitoring in inflammatory bowel disease is lacking.ObjectiveWe aimed to evaluate the cost-effectiveness and cost-utility of the Telemonitorización de la Enfermedad de Crohn y Colitis Ulcerosa (Telemonitoring of Crohn’s Disease and Ulcerative Colitis [TECCU]) Web platform (G_TECCU intervention group) for telemonitoring complex inflammatory bowel disease, compared with standard care (G_control) and nurse-assisted telephone care (G_NT intervention group).MethodsWe analyzed cost-effectiveness from a societal perspective by comparing the 3 follow-up methods used in a previous 24-week randomized controlled trial, conducted at a tertiary university hospital in Spain. Patients with inflammatory bowel disease who initiated immunosuppressants or biologic agents, or both, to control inflammatory activity were recruited consecutively. Data on the effects on disease activity (using clinical indexes) and quality-adjusted life-years (using the EuroQol 5 dimensions questionnaire) were collected. We calculated the costs of health care, equipment, and patients’ productivity and social activity impairment. We compared the mean costs per patient, utilities, and bootstrapped differences.ResultsWe included 63 patients (21 patients per group). TECCU saved €1005 (US $1100) per additional patient in remission compared with G_control (95% CI €–13,518 to 3137; US $–14,798 to 3434), with a 79.96% probability of being more effective at lower costs. Compared with G_NT, TECCU saved €2250 (US $2463) per additional patient in remission (95% CI €–15,363 to 11,086; US $–16,817 to 12,135), and G_NT saved €538 (US $589) compared with G_control (95% CI €–6475 to 5303; US $–7088 to 5805). G_TECCU and G_NT showed an 84% and 67% probability, respectively, of producing a cost saving per additional quality-adjusted life-year (QALY) compared with G_control, considering those simulations that involved negative incremental QALYs as well.ConclusionsThere is a high probability that the TECCU Web platform is more cost-effective than standard and telephone care in the short term. Further research considering larger cohorts and longer time horizons is required.Trial RegistrationClinicalTrials.gov NCT02943538; https://clinicaltrials.gov/ct2/show/NCT02943538 (http://www. webcitation.org/746CRRtDN)

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OC-080 Ibd-Sshamp (Supported, Self help and Management Programme); UK’S first Internet based Remote Management System for Managing Stable IBD

Cited by 8 publications

References 0 publications

Videoconference clinics improve efficiency of inflammatory bowel disease care in a remote and rural setting

Videoconference clinics improve efficiency of inflammatory bowel disease care in a remote and rural setting

Adaptation of TECCU App Based on Patients´ Perceptions for the Telemonitoring of Inflammatory Bowel Disease: A Qualitative Study Using Focus Groups

Telemonitoring of Crohn’s Disease and Ulcerative Colitis (TECCU): Cost-Effectiveness Analysis

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