ILD: Health Outcomes in Remote Digital Monitoring Versus Usual Care
NCT ID: NCT05662124
Last Updated: 2024-11-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ACTIVE_NOT_RECRUITING
NA
139 participants
INTERVENTIONAL
2023-03-07
2025-04-30
Brief Summary
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This research project will assess if remote digital monitoring of frequent spirometry and pulse oximetry can provide an additional way to monitor ILD and provide information to support virtual consultations. Outcomes in the remote monitoring group will be compared with usual care alone over 12 months.
Patients taking part will be randomly allocated to remote digital monitoring or to usual care (with an equal chance of either). Remote monitoring will be performed using an app provided by patientMpower Ltd which patients will be able to download onto a smartphone or tablet. The study team will provide a spirometer and oximeter for patients to measure their lung function (spirometry) and oxygen saturations. These devices link to the app via Bluetooth to record all measurements. Patients will be asked to do these measurements three times a week. Clinical teams will be asked to review all measurements at least once a fortnight.
Health outcomes will be described and compared between the two groups.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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Remote Monitoring
Patients in this arm will be asked to record their spirometry and oximetry three times weekly. This will be performed using a spirometer and oximeter which upload the results via bluetooth to the patientMpower app on their smartphones/tablets. These results are immediately available for review by their clinical teams who will be asked to review them at least once a fortnight.
All patients will be asked to complete surveys at baseline, 3, 6, and 12 months and for clinical outcome data during the observation period to be collected.
Remote monitoring
Patients will download the patientMpower app and be provided with a spirometer (Spirobank Smart, MIR) and oximeter (Nonin) to record their spirometry and pulse oximetry which will upload to the application via Bluetooth for clinical review.
Patients will be asked to upload measurements three times per week.
Usual Care
Patients in this arm will undergo usual clinical care as planned by their medical team. They will be asked to complete surveys at baseline, 3,6 and 12 months and for clinical outcome data during the observation period to be collected.
No interventions assigned to this group
Interventions
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Remote monitoring
Patients will download the patientMpower app and be provided with a spirometer (Spirobank Smart, MIR) and oximeter (Nonin) to record their spirometry and pulse oximetry which will upload to the application via Bluetooth for clinical review.
Patients will be asked to upload measurements three times per week.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Aged at least 18 years
* Owns a smartphone or tablet device
* Has a mobile telephone number, email address and access to the internet at home
* In clinic lung function assessment within 6 months prior to study entry including spirometry and gas transfer measurement
* Intention to have at least two outpatient clinical reviews (either in person or virtual) within the study observation period of 12 months
* Willing to allow home monitoring of their health including spirometry and pulse oximetry data
* Understands how to use mobile technology (eg. has downloaded and used other "apps" on their mobile device; uses email)
* Demonstrates willingness to measure spirometry and pulse oximetry three times weekly for the duration of the observation period
* Fluent in English language
* Written or electronic informed consent
* Cognitive impairment
* History of difficulties performing spirometry at previous clinic testing
* Contraindications to spirometry (for example previous pneumothorax, unstable cardiac status, known aortic or cerebral aneurysm)
* Serious concomitant conditions which place the patient at high risk of respiratory distress making them unsuitable to be managed at home.
* Current or recent (within the last 6 weeks before baseline) participation in another research project
18 Years
ALL
No
Sponsors
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patientMpower Ltd.
INDUSTRY
Imperial College London
OTHER
University College, London
OTHER
Action for Pulmonary Fibrosis
UNKNOWN
Imperial College Healthcare NHS Trust
OTHER
Responsible Party
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Principal Investigators
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Melissa Wickremasinghe
Role: PRINCIPAL_INVESTIGATOR
Imperial College Healthcare NHS Trust
Locations
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Basingstoke and North Hampshire Hospital
Basingstoke, , United Kingdom
Royal Papworth Hospital
Cambridge, , United Kingdom
Royal Devon University Healthcare NHS Trust
Exeter, , United Kingdom
Leeds Teaching Hospital NHS Trust
Leeds, , United Kingdom
University Hospital of Leicester NHS Trust
Leicester, , United Kingdom
Liverpool University Hospitals NHS Foundation Trust
Liverpool, , United Kingdom
Imperial College Healthcare NHS Trust
London, , United Kingdom
Royal Brompton Hospital
London, , United Kingdom
St George's University Hospital NHS Foundation Trust
London, , United Kingdom
Sheffield Teaching Hospitals NHS Trust
Sheffield, , United Kingdom
Royal Hampshire County Hospital
Winchester, , United Kingdom
New Cross Hospital, Royal Wolverhampton NHS Trust
Wolverhampton, , United Kingdom
Countries
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Other Identifiers
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21SM6951
Identifier Type: -
Identifier Source: org_study_id
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