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Effectiveness and Cost Impact of a Telecommunications System in COPD



Effectiveness and Cost Impact of a Telecommunications System in COPD

For Condition: Lung Diseases, Obstructive
Status: Completed
Sponsor(s): Department of Veterans Affairs , Department of Veterans Affairs Health Services Research and Development Service
Synopsis: Chronic obstructive pulmonary disease (COPD) is one of the most common chronic illnesses in the adult population, and accounts for approximately 25,000 discharges from VA hospitals in a calendar year. Interventions that enhance symptom self-monitoring and increase understanding of COPD therapy may reduce the occurrence of COPD-related hospitalizations and other acute health care services. However, such interventions are labor-intensive and expensive, and typically require patients to go to a medical facility on a regular basis. A novel means of providing such interventions is the Telephone-Linked Computer (TLC) system, a computer-based telecommunications system that can monitor, educate, and counsel patients through regular automated conversations in patients? homes. In previous studies, we have demonstrated the applicability of TLC technology in the clinical monitoring of adults with chronic disease conditions such as hypertension and hypercholesterolemia. The overall goal of this project is to determine whether a TLC system for COPD care (TLC-COPD) leads to a reduction in emergency department (ED) visits and hospitalizations and to improved functional status and quality of life (QOL) in patients with COPD. The following specific objectives will be accomplished: (1) test the hypothesis that the addition of TLC-COPD to usual medical care reduces the use of acute health care services over a one-year follow-up period; (2) test the hypothesis that TLC-COPD use leads to improvements in functional status and QOL; (3) test the hypothesis that the reduction in the cost of care over the one-year follow-up period will exceed the cost of the TLC intervention; and (4) test the hypothesis that the TLC-COPD is cost effective compared with usual care in achieving improvements in functional status and QOL. Hypotheses will be tested by means of a randomized controlled trial involving subjects with COPD who receive care at two Boston-area VA hospitals. Subjects will be assigned to either TLC-COPD or a usual care control group.
Details:
Eligibility:
Study Type:
  Interventional, Educational/Counseling/Training, Randomized, Open Label, Active Control, Single Group Assignment
Minimum Age/Maximum Age: /
Genders: Male
Protocol Entry Criteria: COPD diagnosis; FEV, < _65% pred; FEV, /FVC<_85% pred
Total Enrollment: 300

Location and Contact Information:

VA Boston Health Care System
Boston,  Massachusetts,  02130
United States
 


Additional Information:
Study ID Numbers:
  IIR 97-022; 
Study Start Date: April 1998
Record last reviewed: October 2000
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00012805

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4. Feasibility of Retinoic Acid Treatment in Emphysema (FORTE)

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