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Transition to LIVE (Long-term In Home Ventilation Engagement) Study

Long-term Ventilation at Home

The 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.

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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 Center
London, Ontario
Canada

Contact Study Team

Primary Contact

David J Leasa, MD

[email protected]
519-663-3921
Sunnybrook Health Sciences Center
Sunnybrook Health Sciences Center
Toronto, Ontario
Canada

Contact Study Team

Primary Contact

Anu Tandon, MD

[email protected]
416.480.4758
Children's Hospital, London Health Sciences
Children's Hospital, London Health Sciences
London, Ontario
Canada

Contact Study Team

Primary Contact

Aaron St-Laurent, MD

[email protected]
5196858500
The Hospital for Sick Children
The Hospital for Sick Children
Toronto, Ontario
Canada

Contact Study Team

Primary Contact

Jackie Chiang, MD

[email protected]
416-813-6346
West Park Healthcare Centre
West Park Healthcare Centre
York, Ontario
Canada

Contact Study Team

Primary Contact

Roger Goldstein, MBChB, MRCP (UK), FRCP

[email protected]
(416) 243-3631
Children's Hospital of Eastern Ontario
Children's Hospital of Eastern Ontario
Ottawa, Ontario
Canada

Contact Study Team

Primary Contact

Sherri Katz, MD

[email protected]
(613) 737-7600
McMaster Children's Hospital
McMaster Children's Hospital
Hamilton, Ontario
Canada

Contact Study Team

Primary Contact

Audrey Lim, MD

[email protected]
905-521-2100
The Ottawa Hospital
The Ottawa Hospital
Ottawa, Ontario
Canada

Contact Study Team

Primary Contact

Doug Kim, MD

[email protected]
613-737-8899
Study Sponsored By
The Hospital for Sick Children
Participants Required
More Information
Study ID: NCT04180722