Condition category
Not Applicable
Date applied
09/01/2002
Date assigned
09/01/2002
Last edited
25/08/2009
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Prof Paul Wallace

ORCID ID

Contact details

Department of Primary Care and Population Sciences
Royal Free and University College Medical School
Rowland Hill Street
London
NW3 2PF
United Kingdom
+44 (0)20 7830 2339
p.wallace@pcps.ucl.ac.uk

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

HTA 96/02/05

Study information

Scientific title

Acronym

Study hypothesis

The project was designed to evaluate the feasibility of teleconferenced medical consultations (TMCs) at the interface between primary and secondary care. The key research objectives were:
1. To determine the views of specialists, GPs and patients about TMCs
2. To test the feasibility of TMCs
3. To determine which specialties are most suited to TMCs
4. To make plans for a randomised controlled trial of TMCs.
The key issues of interest related to the relative value of real time teleconferenced medical consultations (TMCs) as an alternative to routine outpatient referral. The study was designed to evaluate the potential of TMCs to improve patients┬┐ health and satisfaction, and to lead to more efficient usage of health service resources in terms of tests and investigations, procedures, operations and prescriptions. We were particularly interested to find out whether the joint consultations could reduce the number of outpatient and GP consultations following the index consultation. In addition, the study was designed to examine the educational and organisational impact of TMCs. The pilot study was carried out in order to test the feasibility of a full-scale trial. In particular we wished to find out whether we could recruit adequate numbers of patients, whether standard instruments could be used effectively to measure the key outcomes, and whether we would be able to measure the educational and organisational impact of introducing TMCs.

Ethics approval

Not provided at time of registration.

Study design

Randomised controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Other

Trial type

Other

Patient information sheet

Condition

Teleconferenced medical consultations

Intervention

Videoconference link (tele-consultation) versus routine hospital outpatients consultation

Intervention type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

The following instruments were used in the trial:
1. A patient demographic and personal details questionnaire
2. S F12 generic measure of well-being
3. Ware Specific Visit Questionnaire (SVQ) for patient satisfaction
4. Speiberger Standing State Anxiety Inventory (STAI)
5. A patient cost questionnaire
6. Duke Severity of Illness questionnaire (DUSOI) to measure the co-morbidity or burden of illness
7. Protocol specifically designed to extract data for hospital and GP records

Secondary outcome measures

Not provided at time of registration.

Overall trial start date

01/06/1998

Overall trial end date

31/10/2001

Reason abandoned

Eligibility

Participant inclusion criteria

All patients referred by the participating general practitioners for a hospital specialist opinion in the following specialty areas: ENT medicine, general medicine (including endocrinology and rheumatology), gastroenterology, orthopaedics, neurology and urology

Participant type

Patient

Age group

Not Specified

Gender

Both

Target number of participants

2,094

Participant exclusion criteria

Not provided at time of registration.

Recruitment start date

01/06/1998

Recruitment end date

31/10/2001

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Department of Primary Care and Population Sciences
London
NW3 2PF
United Kingdom

Sponsor information

Organisation

Department of Health (UK)

Sponsor details

Quarry House
Quarry Hill
Leeds
LS2 7UE
United Kingdom
+44 (0)1132 545 843
Sheila.Greener@doh.gsi.gov.uk

Sponsor type

Government

Website

http://www.dh.gov.uk/en/index.htm

Funders

Funder type

Industry

Funder name

NIHR Health Technology Assessment Programme - HTA (UK)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

1. 2004 HTA monograph in http://www.ncbi.nlm.nih.gov/pubmed/15546515
3. 2003 results in http://www.ncbi.nlm.nih.gov/pubmed/12855528
4. 2002 main results in http://www.ncbi.nlm.nih.gov/pubmed/12076550
5. 2002 publication on design and performance of the trial in http://www.ncbi.nlm.nih.gov/pubmed/11835692
2. 2002 protocol in http://www.ncbi.nlm.nih.gov/pubmed/11835692

Publication citations

  1. Protocol

    Wallace P, Haines A, Harrison R, Barber JA, Thompson S, Roberts J, Jacklin PB, Lewis L, Wainwright P, , Design and performance of a multi-centre randomised controlled trial and economic evaluation of joint tele-consultations [ISRCTN54264250]., BMC Fam Pract, 2002, 3, 1.

  2. Wallace P, Barber J, Clayton W, Currell R, Fleming K, Garner P, Haines A, Harrison R, Jacklin P, Jarrett C, Jayasuriya R, Lewis L, Parker S, Roberts J, Thompson S, Wainwright P, Virtual outreach: a randomised controlled trial and economic evaluation of joint teleconferenced medical consultations., Health Technol Assess, 2004, 8, 50, 1-106, iii-iv.

  3. Jacklin PB, Roberts JA, Wallace P, Haines A, Harrison R, Barber JA, Thompson SG, Lewis L, Currell R, Parker S, Wainwright P, , Virtual outreach: economic evaluation of joint teleconsultations for patients referred by their general practitioner for a specialist opinion., BMJ, 2003, 327, 7406, 84, doi: 10.1136/bmj.327.7406.84.

  4. Wallace P, Haines A, Harrison R, Barber J, Thompson S, Jacklin P, Roberts J, Lewis L, Wainwright P, , Joint teleconsultations (virtual outreach) versus standard outpatient appointments for patients referred by their general practitioner for a specialist opinion: a randomised trial., Lancet, 2002, 359, 9322, 1961-1968.

Additional files

Editorial Notes