| Source of record | UK Trials |
| ISRCTN | ISRCTN54264250 |
| Date ISRCTN assigned | 09/01/2002 |
| Local reference number(s) | HTA 96/02/05 |
| Public title | Virtual Outreach: a randomised controlled trial and economic appraisal |
| Scientific title |
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| Acronym | N/A |
| Disease/condition/study domain | Teleconferenced medical consultations |
| Study hypothesis | The project was designed to evaluate the feasibility of teleconferenced medical consultations (TMCs) at the interface between primary and secondary care. The key research objectives were: 1. To determine the views of specialists, GPs and patients about TMCs 2. To test the feasibility of TMCs 3. To determine which specialties are most suited to TMCs 4. To make plans for a randomised controlled trial of TMCs. The key issues of interest related to the relative value of real time teleconferenced medical consultations (TMCs) as an alternative to routine outpatient referral. The study was designed to evaluate the potential of TMCs to improve patients¿ health and satisfaction, and to lead to more efficient usage of health service resources in terms of tests and investigations, procedures, operations and prescriptions. We were particularly interested to find out whether the joint consultations could reduce the number of outpatient and GP consultations following the index consultation. In addition, the study was designed to examine the educational and organisational impact of TMCs. The pilot study was carried out in order to test the feasibility of a full-scale trial. In particular we wished to find out whether we could recruit adequate numbers of patients, whether standard instruments could be used effectively to measure the key outcomes, and whether we would be able to measure the educational and organisational impact of introducing TMCs. |
| Design/methodology | Randomised controlled trial |
| Research ethics review | Not provided at time of registration. |
| Countries of trial | United Kingdom |
| Participants - inclusion criteria | All patients referred by the participating general practitioners for a hospital specialist opinion in the following specialty areas: ENT medicine, general medicine (including endocrinology and rheumatology), gastroenterology, orthopaedics, neurology and urology |
| Participants - exclusion criteria | Not provided at time of registration. |
| Patient information material |
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| Anticipated start date | 01/06/1998 |
| Anticipated end date | 31/10/2001 |
| Status of trial | Completed |
| Target number of participants | 2094 |
| Interventions | Videoconference link (tele-consultation) versus routine hospital outpatients consultation |
| Primary outcome measure(s) | The following instruments were used in the trial: 1. A patient demographic and personal details questionnaire 2. S F12 generic measure of well-being 3. Ware Specific Visit Questionnaire (SVQ) for patient satisfaction 4. Speiberger Standing State Anxiety Inventory (STAI) 5. A patient cost questionnaire 6. Duke Severity of Illness questionnaire (DUSOI) to measure the co-morbidity or burden of illness 7. Protocol specifically designed to extract data for hospital and GP records |
| Secondary outcome measure(s) | Not provided at time of registration. |
| Publications | 1. Monograph on http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15546515 2. Study protocol on http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11835692 3. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12855528 4. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12076550 5. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11835692 |
| Sources of funding | NIHR Health Technology Assessment Programme - HTA (UK) |
| Sponsor name | Department of Health (UK) |
| Sponsor details | Quarry House Quarry Hill Leeds United Kingdom LS2 7UE |
| Sponsor email | Sheila.Greener@doh.gsi.gov.uk |
| Sponsor website | http://www.dh.gov.uk/en/index.htm |
| Contact name | Prof Paul Wallace |
| Contact details | Department of Primary Care and Population Sciences Royal Free and University College Medical School Rowland Hill Street London United Kingdom NW3 2PF |
| Contact telephone | +44 (0)20 7830 2339 |
| Contact fax | +44 (0)20 7830 2338 |
| Contact email | p.wallace@pcps.ucl.ac.uk |
| More information | For more up-to-date information please go to the ISRCTN link below. |
| Link to record in ISRCTN Register | ISRCTN54264250 |
| Date last extracted from ISRCTN register | 17/04/2008 |