. 2017 Nov 21;6(11):e229.

doi: 10.2196/resprot.8367.

Self-Management and Clinical Decision Support for Patients With Complex Chronic Conditions Through the Use of Smartphone-Based Telemonitoring: Randomized Controlled Trial Protocol

Emily Seto^{1

2}, Patrick Ware¹, Alexander G Logan^{3

4

5}, Joseph A Cafazzo^{1

2

6}, Kenneth R Chapman⁷, Phillip Segal⁸, Heather J Ross⁹

Affiliations

¹ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
² Centre for Global eHealth Innovation, Techna Institute, University Health Network, Toronto, ON, Canada.
³ Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada.
⁴ Division of Nephrology, Mount Sinai Hospital, Toronto, ON, Canada.
⁵ Division of Nephrology, University Health Network, Toronto, ON, Canada.
⁶ Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada.
⁷ Asthma and Airway Centre, University Health Network, Toronto, ON, Canada.
⁸ Division of Endocrinology, University Health Network, Toronto, ON, Canada.
⁹ Ted Rogers Centre of Excellence for Heart Function, University Health Network, Toronto, ON, Canada.

PMID: 29162557
PMCID: PMC5717446
DOI: 10.2196/resprot.8367

Self-Management and Clinical Decision Support for Patients With Complex Chronic Conditions Through the Use of Smartphone-Based Telemonitoring: Randomized Controlled Trial Protocol

Emily Seto et al. JMIR Res Protoc. 2017.

. 2017 Nov 21;6(11):e229.

doi: 10.2196/resprot.8367.

Authors

Emily Seto^{1

2}, Patrick Ware¹, Alexander G Logan^{3

4

5}, Joseph A Cafazzo^{1

2

6}, Kenneth R Chapman⁷, Phillip Segal⁸, Heather J Ross⁹

Affiliations

¹ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
² Centre for Global eHealth Innovation, Techna Institute, University Health Network, Toronto, ON, Canada.
³ Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada.
⁴ Division of Nephrology, Mount Sinai Hospital, Toronto, ON, Canada.
⁵ Division of Nephrology, University Health Network, Toronto, ON, Canada.
⁶ Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada.
⁷ Asthma and Airway Centre, University Health Network, Toronto, ON, Canada.
⁸ Division of Endocrinology, University Health Network, Toronto, ON, Canada.
⁹ Ted Rogers Centre of Excellence for Heart Function, University Health Network, Toronto, ON, Canada.

PMID: 29162557
PMCID: PMC5717446
DOI: 10.2196/resprot.8367

Abstract

Background: The rising prevalence of chronic illnesses hinders the sustainability of the health care system because of the high cost of frequent hospitalizations of patients with complex chronic conditions. Clinical trials have demonstrated that telemonitoring can improve health outcomes, but they have generally been limited to single conditions such as diabetes, hypertension, or heart failure. Few studies have examined the impact of telemonitoring on complex patients with multiple chronic conditions, although these patients may benefit the most from this technology.

Objective: The aim of this study is to investigate the impact of a smartphone-based telemonitoring system on the clinical care and health outcomes of complex patients across several chronic conditions.

Methods: A mixed-methods, 6-month randomized controlled trial (RCT) of a smartphone-based telemonitoring system is being conducted in specialty clinics. The study will include patients who have been diagnosed with one or more of any of the following conditions: heart failure, chronic obstructive pulmonary disease, chronic kidney disease, uncontrolled hypertension, or insulin-requiring diabetes. The primary outcome will be the health status of patients as measured with SF-36. Patients will be randomly assigned to either the control group receiving usual care (n=73) or the group using the smartphone-based telemonitoring system in addition to usual care (n=73).

Results: Participants are currently being recruited for the trial. Data collection is anticipated to be completed by the fall of 2018.

Conclusions: This RCT will be among the first trials to provide evidence of the impact of telemonitoring on costs and health outcomes of complex patients who may have multiple chronic conditions.

Trial registration: International Standard Randomized Controlled Trial Number (ISRCTN): 41238563; http://www.isrctn.com/ISRCTN41238563 (Archived by WebCite at http://www.webcitation.org/6ug2Sk0af) and Clinicaltrials.gov NCT03127852; https://clinicaltrials.gov/ct2/show/NCT03127852 (Archived by WebCite at http://www.webcitation.org/6uvjNosBC).

Keywords: mHealth; multiple chronic diseases; randomized controlled trial; smartphone.

©Emily Seto, Patrick Ware, Alexander G Logan, Joseph A Cafazzo, Kenneth R Chapman, Phillip Segal, Heather J Ross. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 21.11.2017.

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Conflict of interest statement

Conflicts of Interest: None declared.

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Self-Management and Clinical Decision Support for Patients With Complex Chronic Conditions Through the Use of Smartphone-Based Telemonitoring: Randomized Controlled Trial Protocol

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Self-Management and Clinical Decision Support for Patients With Complex Chronic Conditions Through the Use of Smartphone-Based Telemonitoring: Randomized Controlled Trial Protocol

Authors

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Abstract

Conflict of interest statement

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