دورية أكاديمية
Telemedicine Versus Standard Follow-Up Care for Diabetes-Related Foot Ulcers: Protocol for a Cluster Randomized Controlled Noninferiority Trial (DiaFOTo)
| العنوان: | Telemedicine Versus Standard Follow-Up Care for Diabetes-Related Foot Ulcers: Protocol for a Cluster Randomized Controlled Noninferiority Trial (DiaFOTo) |
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| المؤلفون: | Iversen, Marjolein M., Espehaug, Birgitte, Hausken, Marie Fjelde, Graue, Marit, Østbye, Truls, Skeie, Svein, Cooper, John G., Tell, Grethe Seppola, Günther, Bodo Erhardt, Dale, Håvard, Smith-Strøm, Hilde, Kolltveit, Beate-christin Hope, Kirkevold, Marit, Rokne, Berit |
| بيانات النشر: | JMIR |
| سنة النشر: | 2016 |
| المجموعة: | University of Bergen: Bergen Open Research Archive (BORA-UiB) |
| مصطلحات موضوعية: | Diabetes, diabetic foot, foot ulcer, telemedicine, Randomized controlled trial, Primary care, delivery of health care, integrated, complex intervention, patient-reported outcomes, Norway, cluster RCT |
| الوصف: | Background: This paper presents the protocol for an ongoing study to evaluate a telemedicine follow-up intervention for patients with diabetes-related foot ulcers. Diabetes-related foot ulcers represent challenges for patients and the health services. The large increase in the prevalence of diabetes, combined with the aging population, means that the absolute number of patients with diabetes-related foot ulcers is likely to continue to increase. Health care services therefore need to provide close clinical follow-up care for people with diabetes both in primary and specialist care. Information and communication technologies may enable more integrated treatment and care pathways across organizational boundaries. However, we lack knowledge about the effect of telemedicine follow-up and how such services can be optimally organized. Objective: To present the design and methods of a study evaluating a telemedicine follow-up intervention for patients with diabetes-related foot ulcers. Methods: The study is designed as a cluster randomized controlled trial (noninferiority trial) involving municipalities or municipality districts (clusters) belonging to one clinical site in Western Norway. The study includes patients with type 1 and type 2 diabetes presenting with a new foot ulcer at the initial visit to the clinic. Patients in the intervention group receive telemedicine follow-up care in the community. The key ingredient in the intervention is the close integration between health care levels. The intervention is facilitated by the use of an interactive wound platform consisting of a Web-based ulcer record combined with a mobile phone, enabling counseling and communication between nurses in the community and specialist health care. Patients in the control group receive standard hospital outpatient care. The primary endpoint in the trial is healing time; secondary outcomes include amputation and death, patient-reported outcome measures, and follow-up data on the recurrence of foot ulcers. In addition, qualitative ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1929-0748 |
| العلاقة: | urn:issn:1929-0748; https://hdl.handle.net/1956/12730Test; https://doi.org/10.2196/resprot.5646Test; cristin:1370159 |
| DOI: | 10.2196/resprot.5646 |
| الإتاحة: | https://doi.org/10.2196/resprot.5646Test https://hdl.handle.net/1956/12730Test |
| حقوق: | Attribution CC BY ; http://creativecommons.org/licenses/by/2.0Test/ ; Copyright 2016 The Authors |
| رقم الانضمام: | edsbas.7C5EFD85 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 19290748 |
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| DOI: | 10.2196/resprot.5646 |