TeleCRAFT
Telemonitoring in respiratory failure and heart failure
Professor Simonds and Professor Cowie were awarded an NIHR CLAHRC grant to assess the implementation of telemonitoring in patients in respiratory failure and heart failure. This randomised controlled trial will begin recruiting in summer 2010. The trial will examine the effects of telemonitoring on hospital readmission rates, disease self-management and health economic impact across heart and lung disease groups.
The TeleCRAFT study aims are to:
- Implement a telemonitoring programme in heart failure and COPD/chronic respiratory patients by assessing the real world impact of on readmissions, consults, home visits, quality of life and economic endpoints.
- Explore the effects of telemonitoring across heart and respiratory groups with respect to i) factors that influence how patients integrate telemonitoring into their daily routines and self care behaviour and ii) how healthcare professionals use telemonitoring to aid decision- making.
- Understand the impact of telemonitoring on a variety of care pathways
The TeleCRAFT study is a Crossover implementation study with patients allocated randomly 1:1 to telemonitoring or delayed entry to telemonitoring (after 6 months). Comparisons will be carried out between patients with delayed entry (controls) and active telemonitoring. In the group receiving telemonitoring in first 6 month period we will be able to assess impact of withdrawal in subsequent 6 months.
Collaborators
Professor Martyn Partridge, Charing Cross Hospital
Dr Irem Patel, Charing Cross Hospital
Professor James Barlow, IC Business School
Back to Sleep and Ventilation
Back to Health Services Research
References
Department of Health. Building Telecare in England. 2005.
Barlow J, Singh D, Bayer S, Curry R. A systematic review of the benefits of home telecare for frail elderly people. J Telemed Telecare 2007;13:172-9.
Clark RA, Inglis SC, McAlister FA, Cleland JGF, Stewart S. Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis. BMJ 2007;334:942
Vitacca M, Bianchi L, Fracchia C, Spanevello A, Balbi B, Scalvini S. Tele-assistance in chronic respiratory failure patients: a randomised clinical trial. Eur Respir J 2009;33:411-8.
McKinstry B, Pinnock H, Sheikh A. Telemedicine for patients with COPD? Lancet 2009;374:672-3.
Dar O, Riley J, Chapman C, Dubrey SW, Morris S, Rosen S, Roughton M, Cowie MR. A randomized trial of home telemonitoring in a typical elderly heart failure population in North West London: results of the Home-HF study. Eur J Heart Fail 2009; 11:319-25.
Chatwin M, Heather S, Hanak A, Polkey MI, Simonds AK. Analysis of home support and ventilator malfunction in 1211 ventilator dependent patients. Eur Respir J 2009;e publ before print Jul 09, in press Feb 2010.
Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJG, Ponikowski P, Poole-Wilson PA et al. ESC Guidelines for the diagnosis and treatment of chronic heart failure 2008. Eur Heart J 2008;29:2388-442.
NICE Guideline No.12 Chronic Obstrictive Pulmonary Disease. Thorax 2004;59:1-6.
Roberts CM, Ryland I, Lowe D, Kelly Y, Bucknell CE, Pearson MG. Audit of acute admissions of COPD: standards of care and management in the hospital setting. Eur Respir J 2001;17:343-9.
