The impact of virtual admission on self-efficacy in patients with chronic obstructive pulmonary disease – a randomised clinical trial.
Source: Emme et al. 2013 - Pubmed ID: 24476457
Setting: Denmark, Hospital
RCT-pro
Follow up: 3 months after discharge from hospital or virtual admission
Sample size:
Total: 52 (50)
IG: 25 (25)
CG: 27(25)
Inclusion criteria:
- COPD
- GOLD stage III-IV
- Estimated duration of admission >two days
Home monitoring
- Touch screen with an embedded video-conference system
- Spirometer
- Pulse oximeter
- Thermometer
Intervention: Patients are hospitalized in the Virtual Hospital and have 1-4 contacts/day, mean duration 19 min). Virtual ward rounds included medical treatment and implied measurements of vital signs, evaluation of medication plan and symptom management.
Duration: NA
Add on: NA
Control group: Received conventional hospital treatment and were discharged on the same criteria as the intervention group.
Clinical effect:
- Self-efficacy 3 days after discharge (The COPD self-efficacy scale’ (CSES)): →
- Self-efficacy six weeks and three months after discharge:→
Patient safety: NA
Patient experiences: NA
Staff experiences: NA
Investment:
Equipment
- Touch screen with an embedded video-conference system
- Spirometer
- Pulse oximeter
- Thermometer
Running:
- Training patients in using the telemedical and medical equipment
- Installing equipment in the homes
- Standard medication used for exacerbations in the homes
- Call centre, organised by the hospital and manned by experienced nurses and doctors
Organization: NA
Health care utilization: NA