Validation of an integrated service model, Health-RESPECT, for older patients in long-term care institution using information and communication technologies: protocol of a cluster randomised controlled trial

doi:10.1136/bmjopen-2020-038598

. 2020 Oct 10;10(10):e038598.

doi: 10.1136/bmjopen-2020-038598.

Validation of an integrated service model, Health-RESPECT, for older patients in long-term care institution using information and communication technologies: protocol of a cluster randomised controlled trial

Jung-Yeon Choi¹, Kwang-Il Kim^{2

3}, Hongsoo Kim^{4

5

6}, Young-Il Jung⁷, In-Hwan Oh⁸, Seungyeon Chun⁴, Gi-Soo Kim⁹, Jae-Young Lim^{5

10

11}, Jin Young Ko¹⁰

Affiliations

¹ Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of).
² Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of) kikim907@snu.ac.kr.
³ Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).
⁴ Department of Public Health Sciences, Seoul National University Graduate School of Public Health, Gwanak-gu, Korea (the Republic of).
⁵ Institute of Aging, Seoul National University, Gwanak-gu, Korea (the Republic of).
⁶ Institute of Health and Environment, Seoul National University, Seoul, Korea (the Republic of).
⁷ Department of Environmental Health, Korea National Open University, Jongno-gu, Korea (the Republic of).
⁸ Department of Preventive Medicine, Kyung Hee University, Seoul, Korea (the Republic of).
⁹ Department of Industrial Engineering, Ulsan National Institute of Science and Technology, Ulsan, Korea (the Republic of).
¹⁰ Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of).
¹¹ Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).

PMID: 33040012
PMCID: PMC7552832
DOI: 10.1136/bmjopen-2020-038598

Validation of an integrated service model, Health-RESPECT, for older patients in long-term care institution using information and communication technologies: protocol of a cluster randomised controlled trial

Jung-Yeon Choi et al. BMJ Open. 2020.

. 2020 Oct 10;10(10):e038598.

doi: 10.1136/bmjopen-2020-038598.

Authors

Jung-Yeon Choi¹, Kwang-Il Kim^{2

3}, Hongsoo Kim^{4

5

6}, Young-Il Jung⁷, In-Hwan Oh⁸, Seungyeon Chun⁴, Gi-Soo Kim⁹, Jae-Young Lim^{5

10

11}, Jin Young Ko¹⁰

Affiliations

¹ Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of).
² Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of) kikim907@snu.ac.kr.
³ Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).
⁴ Department of Public Health Sciences, Seoul National University Graduate School of Public Health, Gwanak-gu, Korea (the Republic of).
⁵ Institute of Aging, Seoul National University, Gwanak-gu, Korea (the Republic of).
⁶ Institute of Health and Environment, Seoul National University, Seoul, Korea (the Republic of).
⁷ Department of Environmental Health, Korea National Open University, Jongno-gu, Korea (the Republic of).
⁸ Department of Preventive Medicine, Kyung Hee University, Seoul, Korea (the Republic of).
⁹ Department of Industrial Engineering, Ulsan National Institute of Science and Technology, Ulsan, Korea (the Republic of).
¹⁰ Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of).
¹¹ Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).

PMID: 33040012
PMCID: PMC7552832
DOI: 10.1136/bmjopen-2020-038598

Abstract

Introduction: There is an increased healthcare need to manage institutionalised older patients owing to the ageing population. To overcome substantial future challenges, the Health-RESPECT (caRE Systems for Patients/Elderly with Coordinated care using icT), a new information and communication technologies based integrated management service model, was developed to provide effective management, enable consultation with distant professionals and share medical information between acute care hospitals and long-term care institutions.

Methods and analysis: A cluster randomised controlled trial will be conducted to examine the effectiveness of the Health-RESPECT in older patients with chronic diseases and their medical staff in charge. Intervention involves registration with simple comprehensive geriatric assessment, establishment of an individualised care plan for three chronic diseases (hypertension, diabetes and heart failure), medication and rehabilitation management, periodic video-conference and in-system assessment after intervention period. Primary outcomes are control levels of the three chronic diseases, adequacy of drug management and overall functional status. Patients will be assessed at before and after study period and 3 months after study ended. Analysis will be carried out with an intention-to-treat principle. In addition to evaluate intervention effects, clinical usability and economic evaluation will be assessed.

Ethics and dissemination: The study protocol was reviewed and approved by the Seoul National University Bundang Hospital Institutional Review Board. Study findings will be published in peer-reviewed journals.

Trial registration number: KCT0004360.

Keywords: geriatric medicine; information technology; quality in health care; telemedicine.

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Conflict of interest statement

Competing interests: None declared.

Figures

**Figure 1**
Flow diagram of cluster trial. N, No. of clusters; n, No. of elderly patients

See this image and copyright information in PMC

Cited by

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Choi JY, Kim H, Chun S, Jung YI, Yoo S, Oh IH, Kim GS, Ko JY, Lim JY, Lee M, Lee J, Kim KI. Choi JY, et al. BMC Med. 2024 May 29;22(1):212. doi: 10.1186/s12916-024-03427-7. BMC Med. 2024. PMID: 38807210 Free PMC article. Clinical Trial.
Models for delivery and co-ordination of primary or secondary health care (or both) to older adults living in aged care facilities.
Putrik P, Grobler L, Lalor A, Ramsay H, Gorelik A, Karnon J, Parker D, Morgan M, Buchbinder R, O'Connor D. Putrik P, et al. Cochrane Database Syst Rev. 2024 Mar 1;3(3):CD013880. doi: 10.1002/14651858.CD013880.pub2. Cochrane Database Syst Rev. 2024. PMID: 38426600 Free PMC article.
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Choi JY, Kim H, Jung YI, Chun S, Yoo S, Lim JY, Ko JY, Park K, Kim KI. Choi JY, et al. Korean J Intern Med. 2022 Mar;37(2):468-477. doi: 10.3904/kjim.2021.457. Epub 2022 Feb 18. Korean J Intern Med. 2022. PMID: 35176208 Free PMC article. Clinical Trial.

References

1. Statistics Korea Statistics for older adults 2019 [online]. Available: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=... [Accessed 27 Sep 2019].
1. Ayis S, Gooberman-Hill R, Bowling A, et al. . Predicting catastrophic decline in mobility among older people. Age Ageing 2006;35:382–7. 10.1093/ageing/afl004 - DOI - PubMed
1. Ga H, Won CW, Jung H-W. Use of the frailty index and FRAIL-NH scale for the assessment of the frailty status of elderly individuals admitted in a long-term care hospital in Korea. Ann Geriatr Med Res 2018;22:20–5. 10.4235/agmr.2018.22.1.20 - DOI - PMC - PubMed
1. Phelan EA, Anderson LA, LaCroix AZ, et al. . Older adults’ views of ‘successful aging’-how do they compare with researchers’ definitions? J Am Geriatr Soc 2004;52:211–6. 10.1111/j.1532-5415.2004.52056.x - DOI - PubMed
1. Kim J, Lee J, Shin J-Y, et al. . Socioeconomic disparities in osteoporosis prevalence: different results in the overall Korean adult population and single-person households. J Prev Med Public Health 2015;48:84–93. 10.3961/jpmph.14.047 - DOI - PMC - PubMed

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[1] Statistics Korea Statistics for older adults 2019 [online]. Available: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=... [Accessed 27 Sep 2019].

[2] Statistics Korea Statistics for older adults 2019 [online]. Available: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=... [Accessed 27 Sep 2019].

[3] Ayis S, Gooberman-Hill R, Bowling A, et al. . Predicting catastrophic decline in mobility among older people. Age Ageing 2006;35:382–7. 10.1093/ageing/afl004 - DOI - PubMed

[4] Ayis S, Gooberman-Hill R, Bowling A, et al. . Predicting catastrophic decline in mobility among older people. Age Ageing 2006;35:382–7. 10.1093/ageing/afl004 - DOI - PubMed

[5] Ga H, Won CW, Jung H-W. Use of the frailty index and FRAIL-NH scale for the assessment of the frailty status of elderly individuals admitted in a long-term care hospital in Korea. Ann Geriatr Med Res 2018;22:20–5. 10.4235/agmr.2018.22.1.20 - DOI - PMC - PubMed

[6] Ga H, Won CW, Jung H-W. Use of the frailty index and FRAIL-NH scale for the assessment of the frailty status of elderly individuals admitted in a long-term care hospital in Korea. Ann Geriatr Med Res 2018;22:20–5. 10.4235/agmr.2018.22.1.20 - DOI - PMC - PubMed

[7] Phelan EA, Anderson LA, LaCroix AZ, et al. . Older adults’ views of ‘successful aging’-how do they compare with researchers’ definitions? J Am Geriatr Soc 2004;52:211–6. 10.1111/j.1532-5415.2004.52056.x - DOI - PubMed

[8] Phelan EA, Anderson LA, LaCroix AZ, et al. . Older adults’ views of ‘successful aging’-how do they compare with researchers’ definitions? J Am Geriatr Soc 2004;52:211–6. 10.1111/j.1532-5415.2004.52056.x - DOI - PubMed

[9] Kim J, Lee J, Shin J-Y, et al. . Socioeconomic disparities in osteoporosis prevalence: different results in the overall Korean adult population and single-person households. J Prev Med Public Health 2015;48:84–93. 10.3961/jpmph.14.047 - DOI - PMC - PubMed

[10] Kim J, Lee J, Shin J-Y, et al. . Socioeconomic disparities in osteoporosis prevalence: different results in the overall Korean adult population and single-person households. J Prev Med Public Health 2015;48:84–93. 10.3961/jpmph.14.047 - DOI - PMC - PubMed

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Validation of an integrated service model, Health-RESPECT, for older patients in long-term care institution using information and communication technologies: protocol of a cluster randomised controlled trial

Affiliations

Validation of an integrated service model, Health-RESPECT, for older patients in long-term care institution using information and communication technologies: protocol of a cluster randomised controlled trial

Authors

Affiliations

Abstract

Conflict of interest statement

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