Transition to LIVE (Long-term In Home Ventilation Engagement) Study
Long-term Ventilation at HomeThe rising prevalence of ventilator assisted individuals (VAIs) who depend on Home Mechanical Ventilation (HMV) is an escalating public health challenge with important social and economic implications. VAIs are high cost users of the healthcare system, requiring competent healthcare and family caregivers for successful transition to HMV. The TTLive Study will evaluate the effect of a virtual transition intervention delivered through a virtual care platform, compared to usual care on emergent healthcare utilization, caregiver burden, health cost-effectiveness including cost of family caregiver time, and efficiency of clinical encounters for individuals newly transitioning to HMV.
null
Participation Requirements
-
Sex:
ALL -
Eligible Ages:
0 and up
Participation Criteria
Participant Eligibility Criteria
Inclusion Criteria:
i. Individuals newly initiated (in-hospital or as an outpatient) on a ventilator for HMV prescribed by a participating ventilation program in the previous two months.
ii. Reads, writes and understands English if does not have a caregiver than can do so.
iii. Provides informed consent.
Exclusion criteria:
i. Projected life expectancy of ≤ 2 months. ii. Significant cognitive impairment and absence/inability of a family caregiver to use aTouchAway™ or complete questionnaires.
iii. Uncontrolled psychiatric illness. iv. No internet access (SIM cards and data costs will be covered by the project budget).
v. Currently enrolled in a research study to evaluate another eHealth platform or care coordination.
vi. Plans to move outside of Ontario within the next 12 months.
Caregivers Eligibility Criteria
Caregiver Inclusion Criteria:
i. Primary caregiver of an individual newly initiated (in-hospital or outpatient) on a ventilator for HMV prescribed by a participating clinic in the previous two months; ii. Reads, writes and understands English; and iii. Provides informed consent.
Eligibility Criteria for the Qualitative Interviews
Investigators will exclude those participants:
i. Unable to communicate verbally for the duration of an interview
Inclusion Criteria for Healthcare Providers in the Circle of Care for the Intervention Group
Healthcare provider of an individual from a participating centre i. Use of the aTouchAway for at least five participant encounters ii. Provides informed consent.
Study Location
London Health Sciences Center
London Health Sciences CenterLondon, Ontario
Canada
Contact Study Team
Sunnybrook Health Sciences Center
Sunnybrook Health Sciences CenterToronto, Ontario
Canada
Contact Study Team
Children's Hospital, London Health Sciences
Children's Hospital, London Health SciencesLondon, Ontario
Canada
Contact Study Team
The Hospital for Sick Children
The Hospital for Sick ChildrenToronto, Ontario
Canada
Contact Study Team
West Park Healthcare Centre
West Park Healthcare CentreYork, Ontario
Canada
Contact Study Team
Children's Hospital of Eastern Ontario
Children's Hospital of Eastern OntarioOttawa, Ontario
Canada
Contact Study Team
McMaster Children's Hospital
McMaster Children's HospitalHamilton, Ontario
Canada
Contact Study Team
The Ottawa Hospital
The Ottawa HospitalOttawa, Ontario
Canada
Contact Study Team
- Study Sponsored By
- The Hospital for Sick Children
- Participants Required
- More Information
- Study ID:
NCT04180722