Trial document




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  DRKS00004935

Trial Description

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Title

Attitudes towards eCommunication
in treatment of chronically ill patients

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Trial Acronym

EC@T

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URL of the Trial

[---]*

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Brief Summary in Lay Language

The object of the EC@T-project are attitudes towards electronic communication (eCommunication) in treatment of chronically ill patients. We are interested in patients' opinions about communicating electronically with their providers. We also plan to examine the attitudes of health providers towards communicating electronically with their patients. Study participants therefore will be chronically ill patients with different diagnoses and providers of various profession groups, too. We aim to interview our sample, as well as to survey with questionnaires.

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Brief Summary in Scientific Language

Background: Health-care in Germany is often criticized. Despite rising numbers of physicians, there is a lack in health care in some regions (e.g. rural regions), on some medical specialists (e.g. family physicians), and for some health-care sectors (e.g. chronic condition). Studies have shown a reasonable and effective use of new media for health treatment. With eHealth-applications we can complement existing health-care structures and close some gaps of health care system. Furthermore, costs can be possibly saved or resources can be efficiently used. Although there is such potential, electronic communication (eCommunication) with providers is currently not established by health-care system in Germany. In addition to structural conditions (e.g. availability of a computer or smartphone etc.) and statutory provisions, it depends on attitudes of patients and providers how they communicate with each other. Currently, it is little known about these attitudes of providers and chronically ill patients. It is also unclear whether these attitudes influence the behaviour of patients and providers. The objectives of this study are: - Development of a theory-based questionnaire (EC@T questionnaire) to measure attitudes towards eCommunication in treatment of chronically ill patients; - Psychometric tests of EC@T-questionnaire; - Qualitative and quantitative descriptions of attitudes of patients and providers, and comparison of both sides; - Detection of relevant predictors of attitudes towards eCommunication.
Method: Three substudies are planned within the EC@T-project: two qualitative studies and one quantitative study. In all studies we want to collect data of two samples, providers and chronically ill patients. 1. Family doctors, 2. physicians, 3. therapists and 4. psychologists of rehabilitation clinics will be included to the provider sample. Chronically ill patients of somatic and psychosomatic rehabilitation clinics and of family practices should be included to the patient sample. First, within the qualitative part, we will interview the attitudes of patients and providers (24 one to one interviews with patients; 12 one to one interviews with providers). For the quantitative study we are planning two times of measurement (before and at the beginning of rehabilitation/during a family doctor’s appointment and two weeks later) to test the retest reliability of EC@T questionnaire. With the second measure we also want to validate the structure of factors of the first measurement. A sample size of 320 rehabilitation patients and 160 family practice patients is calculated. Furthermore, we want to collect data from 640 providers (480 provider of rehabilitation and 160 family doctors).

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Organizational Data

  •   DRKS00004935
  •   2013/08/27
  •   [---]*
  •   yes
  •   Approved
  •   317/13, Ethik-Kommission der Albert-Ludwigs-Universität Freiburg
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Secondary IDs

  •   U1111-1142-3262 
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Health Condition or Problem studied

  •   Chronic back pain
  •   Chronic ischemic heart disease
  •   Diabetes mellitus, type 1
  •   Inflammatory bowel diseases
  •   Depressive disorders
  •   Anxiety disorders
  •   M54 -  Dorsalgia
  •   I25 -  Chronic ischaemic heart disease
  •   E10 -  Insulin-dependent diabetes mellitus
  •   K50.0 -  Crohn disease of small intestine
  •   K50.1 -  Crohn disease of large intestine
  •   K50.8 -  Other Crohn disease
  •   K50.9 -  Crohn disease, unspecified
  •   K51.0 -  Ulcerative (chronic) pancolitis
  •   K51.2 -  Ulcerative (chronic) proctitis
  •   K51.3 -  Ulcerative (chronic) rectosigmoiditis
  •   K51.4 -  Inflammatory polyps
  •   K51.5 -  Left sided colitis
  •   K51.8 -  Other ulcerative colitis
  •   K51.9 -  Ulcerative colitis, unspecified
  •   F32.0 -  Mild depressive episode
  •   F32.1 -  Moderate depressive episode
  •   F32.2 -  Severe depressive episode without psychotic symptoms
  •   F40 -  Phobic anxiety disorders
  •   F41 -  Other anxiety disorders
  •   Alcoholism
  •   Breast cancer
  •   F10.2 -  Mental and behavioural disorders due to use of alcohol; Dependence syndrome
  •   C50 -  Malignant neoplasm of breast
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Interventions/Observational Groups

  •   The EC@T-project consists of three substudies: two qualitative and one quantitative study. In all three studies there will be two sample groups, providers and chronically ill patients (see fulfilling one of the diagnoses). First, within the qualitative study we will interview the attitudes of patients and providers and we are planning to generate items for the EC@T questionnaire. Then all participants will fill out the questionnaire.

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Characteristics

  •   Non-interventional
  •   Observational study
  •   Single arm study
  •   Open (masking not used)
  •   [---]*
  •   Uncontrolled/Single arm
  •   Other
  •   Single (group)
  •   N/A
  •   N/A
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Primary Outcome

Primary outcome of the project is to develop the EC@T questionnaire based on interview data and analysis of literature. aim: measurement of attitudes towards eCommunication of providers and chronically ill patients.

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Secondary Outcome

Secondary outcome is the qualitative and quantitative analysis of attitudes and the quantitative analyses of potential predictors.

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • Doctor's Practice 
  • other 
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Recruitment

  •   Actual
  •   2013/10/01
  •   1156
  •   Monocenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   99   Years
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Additional Inclusion Criteria

Patients: Fulfulling one of the diagnoses; provider: provider of a rehabilitation clinic or family physician

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Exclusion Criteria

Language impairment, cognitive and/or physical impairment (patient/provider is not able to fill out
questionnaire or to be interviewed)

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Addresses

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    • Uniklinikum Freiburg, Institut für Qualitätsmanagement und Sozialmedizin
    • Engelbergerstraße 21
    • 79106  Freiburg
    • Germany
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    •   0761-27074470
    •   0761-27073310
    •   [---]*
    •   http://www.aqms.de
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    • Uniklinikum Freiburg, Institut für Qualitätsmanagement und Sozialmedizin
    • Ms.  Erika  Schmidt 
    • Engelbergerstraße 21
    • 79106  Freiburg
    • Germany
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    • Uniklinikum Freiburg, Institut für Qualitätsmanagement und Sozialmedizin
    • Ms.  Erika  Schmidt 
    • Engelbergerstraße 21
    • 79109  Freiburg
    • Germany
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Sources of Monetary or Material Support

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    • Uniklinikum Freiburg, Institut für Qualitätsmanagement und Sozialmedizin
    • Engelbergerstraße 21
    • 79106  Freiburg
    • Germany
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    •   0761-27074470
    •   0761-27073310
    •   [---]*
    •   http://www.aqms.de
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Status

  •   Recruiting ongoing
  •   [---]*
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Trial Publications, Results and other Documents

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* This entry means the parameter is not applicable or has not been set.