| Source of record | UK Clinical Trials Gateway |
| ISRCTN | ISRCTN67592929 |
| Date ISRCTN assigned | 11/11/2005 |
| Local reference number(s) | 1217319 |
| Public title | A cluster randomised trial evaluating the clinical effectiveness and cost of telemedicine delivered multidisciplinary meetings in breast cancer |
| Scientific title |
|
| Acronym | TELEMAM |
| Disease/condition/study domain | Breast cancer. |
| Study hypothesis | Decision making in breast cancer management at a multidisciplinary team (MDT) meeting is as clinically effective as face-to-face meetings and achieved at lower cost. |
| Design/methodology | Randomised controlled trial |
| Research ethics review | Not provided at time of registration |
| Countries of trial | United Kingdom |
| Participants - inclusion criteria | Eligibility of patients:
1. Histologically proven breast cancer
2. Requiring decision on treatment of primary or recurrent breast cancer |
| Participants - exclusion criteria | Not defined. |
| Patient information material |
|
| Anticipated start date | 24/04/2003 |
| Anticipated end date | 31/07/2005 |
| Status of trial | Completed |
| Target number of participants | 230 |
| Interventions | Randomised standard face-to-face 'on site' multidisciplinary meetings for breast cancer management (MDTs) at Dumfries and Dunfermline (Arm 1) versus MDTs on Dumfries and Dunfermline patients linked by telemedicine between Dumfries and Edinburgh, and Dunfermline and Edinburgh (Arm 2). |
| Primary outcome measure(s) | 1. Satisfaction with communication process of multidisciplinary decision making for each patient (Interpersonal Communication Satisfaction Scale)
2. Costs of face-to-face and telemedicine delivered decision making
3. Compliance with Scottish Intercollegiate Guidelines Network (SIGN) guidelines of best practice for breast cancer |
| Secondary outcome measure(s) | 1. Pre- and post-trial attitudes to face-to-face and telemedicine delivered multidisciplinary clinics (Personal Report of Communication Apprehension)
2. Measures of objective patterns of interaction
3. Subjective measures of interaction (Group Behaviour Questionnaire, Group Behaviour Inventory, Group Dimensions Description Questionnaire)
4. Communication content (Interaction Process Analysis)
5. General dimensions of output (satisfaction with communication, group atmosphere, involvement, trust and agreement) |
| Publications | Kunkler IH, Fielding RG, Brebner J, Prescott R, Maclean R, Cairns J, Chetty U, Neades G, Walls A, Bowman A, Dixon JM, Gardner T, Smith M, McCoubrey J, Lee M, Swann S, Macnab M, Wilson J, Nawroz I: A comprehensive approach for evaluating telemedicine delivered multidisciplinary breast cancer meetings in Southern Scotland. <I>Telemed & eHealth ’04: Citizen-Centred Care</I>. RSM, London, 29 November 2004. |
| Sources of funding | Department of Health Research and Development
Big Lottery Fund |
| Sponsor name | UK Department of Health Research and Development |
| Sponsor details | Dr R Curry and Mr W Maton-Howarth
Department of Health Research and Development
Richmond House
79 Whitehall
London
United Kingdom
SW1A 2NL |
| Sponsor telephone | +44 (0)207 210 4850 |
| Sponsor fax | +44 (0)207 210 5025 |
| Sponsor email | richard.curry@imperial.ac.uk |
| Sponsor website | http://www.dh.gov.uk |
| Contact name | Dr Ian Kunkler |
| Contact details | Oncology Department
Western General Hospital
Crewe Road South
Edinburgh
United Kingdom
EH4 2XU |
| Contact telephone | +44 (0)131 537 2213 |
| Contact fax | +44 (0)131 537 2216 |
| Contact email | iankunkler@yahoo.com |
| More information | For more up-to-date information please go to the ISRCTN link below. |
| Link to record in ISRCTN Register | ISRCTN67592929 |
| Date last extracted from ISRCTN register | 17/04/2008 |
