Telepalliation - Digital Platform for Patients in Palliation and Their Relatives

Aalborg University

Status: Enrolling

Conditions: Neurological Diseases; Chronic Obstructive Pulmonary Disease; Heart Failure; Cancer

Treatments: Other: Telepalliation

Study type: Interventional

Funder types: Other

Identifiers

NCT04995848

N-20200094

Details and patient eligibility

About

This project has focus on patients in palliation testing a digital platform TelePal.dk.

Full description

The aim of the RCT study is to:

• Test, implement, and evaluate a telepalliation program for patients receiving palliative care (cancer, heart failure (HF), COPD, and motor neuron disease) from a clinical, psychosocial, inter-organizational, and health economic perspective.

Enrollment: 182 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Over 18 years
• Live in Esbjerg, Varde, Billund, Fanø or Vejen Municipality
• Cancer, heart failure, chronic obstructive pulmonary disease (COPD), and motor neuron disease (neurological diseases) referred to the Palliation Team at Southwest Jutland Hospital
• Basic computer skills or a relative who has basic computer skills

Exclusion criteria

• Delirium at enrolment based on CAM score
• Active psychiatric history (as noted in the medical record) other than depression or anxiety related to the main diagnosis referred to palliative care
• Lack of ability to cooperate

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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182 participants in 2 patient groups

Telepalliation group

Experimental group

Description:

The intervention group will participate in the telepalliation program. The patients will lent a tablet during the RCT study to access the TelePal.dk platform an video consultations. The patients will participate from the time they are referred to palliative care, and are enrolled in the telepalliation program for up to six months or until: 1. They stop being followed by the Palliative Team due to lack of symptoms 2. They are diagnosed with delirium based upon clinical guidelines and the Confusion Assessment Method (CAM). The assessment of delirium will be done by either: * The project nurse or the clinical responsible doctor at the patients' home OR * A district nurse under video supervision by the project nurse or the clinical responsible doctor 3. Death of the patient

Treatment:

Other: Telepalliation

Conventional palliation program

No Intervention group

Description:

The control group will follow a conventional palliation program. The patients will participate from the time they are referred to palliative care, and are enrolled in the telepalliation program for up to six months or until: 1. They stop being followed by the Palliative Team due to lack of symptoms 2. They are diagnosed with delirium based upon clinical guidelines and the Confusion Assessment Method (CAM). The assessment of delirium will be done by either: * The project nurse or the clinical responsible doctor at the patients' home OR * A district nurse under video supervision by the project nurse or the clinical responsible doctor 3. Death of the patient