Health-e-Access Telemedicine in Primary Pediatric Care

NCT ID: NCT00234806

Last Updated: 2015-10-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 2000 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2000-12-31
• Study Completion Date: 2007-12-31

Brief Summary

This study aims to take the existing model from the pilot of Telemedicine in Daycare and expand it to other suburban childcare centers and both urban and suburban elementary schools.

An assessment of the value of telehealth in the child programs will then be initiated to detail the impact of utilization and costs.

An assessment of the value of integrating telehealth into primary care practice will also be evaluated. The impact of continuity of care, well child visit rates, and immunization status will be among the various measures used in this evaluation.

Detailed Description

This involves estimating the impact of reduced absence due to illness on parents and their employers and estimating the value of a telehealth visit to these stakeholders. An interview instrument was developed to administer before experience with telehealth and again after a family has had experience with the program. In addition program attendance (childcare or school) records will be collected to document changes in absenteeism pre and post telehealth service implementation.

This study involves a before and after research design including both historical and concurrent controls comparing a detailed utilization of health services including telehealth visits, emergency department services and illness related office visits. Analyses will include center-level analyses of service utilization on a weekly basis pre and post as well as a child-level analyses including utilization before enrollment in a participating childcare center or school through program participation and, eventually, telehealth participation.

This is a descriptive observational study of the feasibility and acceptability of integrating telehealth service into 10 primary care pediatric practices. This study will document the integration process by maintaining a log of key communications relating to decision making (meeting minutes, memos, written agreements, protocols) and by interviewing key staff such as residents, nurse practitioners, attending physicians, staff nurses, and administrative leaders following the study period.

Conditions

Common Childhood Illnesses; Non-emergent Care

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Telemedicine intervention group

Group Type: EXPERIMENTAL

Health-e-Access

Intervention Type: OTHER

telemedicine intervention

Control group

Group Type: PLACEBO_COMPARATOR

Health-e-Access

Intervention Type: OTHER

telemedicine intervention

Interventions

Health-e-Access

telemedicine intervention

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• All children at participating childcare centers and elementary schools.

Exclusion Criteria

• Foster care children, children whose parents have refused participation, or children whose parents are unable to appropriately comprehend the program for any reason.

• Minimum Eligible Age: 6 Weeks
• Maximum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

United States Department of Commerce

FED

Sponsor Role: collaborator

Robert Wood Johnson Foundation

OTHER

Sponsor Role: collaborator

University of Rochester

OTHER

Sponsor Role: lead

Responsible Party

Kenneth McConnochie

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kenneth McConnochie, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Rochester

Locations

University of Rochester

Rochester, New York, United States

Countries

United States

References

McConnochie KM, Wood NE, Kitzman HJ, Herendeen NE, Roy J, Roghmann KJ. Telemedicine reduces absence resulting from illness in urban child care: evaluation of an innovation. Pediatrics. 2005 May;115(5):1273-82. doi: 10.1542/peds.2004-0335.

Reference Type: BACKGROUND

PMID: 15867035 (View on PubMed)

Other Identifiers

AHRQ- R01 HS015165-02

Identifier Type: -

Identifier Source: secondary_id

MCHB- 1 R40MC03605-01-00

Identifier Type: -

Identifier Source: secondary_id

8858

Identifier Type: -

Identifier Source: org_study_id