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Completed

NCT Number: NCT04496713

Pilot Study of Video and Telephone Primary Care Visits

The inability to access and use smartphones or camera-outfitted internet-connected devices during the COVID-19 pandemic relegates certain patients to receive audio-only telemedicine instead of audio/video-based telemedicine. The investigators are conducting a randomized controlled trial in order to characterize patient and provider attitudes towards these two modalities of care and to test the feasibility of a new model to make tablets for video-based care accessible to those who need that. The investigators hypothesize that patient and provider satisfaction will be higher with video-based telehealth when compared to phone-based telehealth.

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Key information

Conditions

Telemedicine

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Johns Hopkins Outpatient Center

Baltimore, Maryland, 21287, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adult patients scheduled for telephone-based visits who are doing so because of a lack of ability to conduct a video visit (i.e. no tablet/laptop; no access to internet) who live in Baltimore City

Exclusion criteria

  • Patients with significant visual or hearing impairment
  • Patients that have legal guardians or who are marked as lacking healthcare decision-making capacity
  • Patients that have not selected English as their preferred language

Treatment and study plan

Internet-connected computer tablet

Other

An internet-connected tablet provided to patient for upcoming visit with physician by audio/video which can also be used to complete a survey.

Primary outcomes

  1. Provider rating as assessed by the Consumer Assessment of Healthcare Providers and Systems question on provider rating

    Time frame: Within 2 weeks of the study visit

    Provider rating will be assessed with the Consumer Assessment of Healthcare Providers and Systems question on provider rating of 0-10; 0 being worst provider possible and 10 being best provider possible.

Secondary outcomes

  1. Satisfaction with telemedicine visit for patient as assessed by a Likert scale

    Time frame: Within 2 weeks of the study visit

    Satisfaction with telemedicine visit for patient will be assessed with Likert-scale questions related to satisfaction.

    Satisfaction (1=strongly disagree to 5=strongly agree).

    • In general, I was satisfied with using a video or phone call for this visit
    • I could explain my medical problems well enough
    • Talking to the doctor was as satisfying as talking in person

    Overall score 3 to 15 with higher scores signifying better satisfaction.

  2. Satisfaction with telemedicine visit for provider as assessed by a Likert scale

    Time frame: Within 2 weeks of the study visit

    Satisfaction with telemedicine visit for provider will be assessed with Likert-scale questions related to satisfaction.

    [1=Strongly Disagree. 5=Strongly Agree].

    • In general, I was satisfied with using telemedicine for this visit
    • Talking to the patient was as satisfying as talking in person.

    Overall score 2 to 10 with higher scores signifying better satisfaction.

  3. Efficacy of telemedicine visit for provider as assessed by a Likert scale

    Time frame: Within 2 weeks of the study visit

    Efficacy of telemedicine visit for provider will be assessed with Likert-scale questions related to efficacy.

    [1=Strongly Disagree. 5=Strongly Agree]. b. I was able to understand the patient's explanation of their medical problems well enough.

    c. In general, this telemedicine visit was effective in improving this patient's medical care d. An in-person visit would likely have provided additional clinically-relevant information e. An in-person visit would likely have led to a change in management

  4. Provider communication as assessed by yes/no question

    Time frame: Within 2 weeks of the study visit

    The ability of a provider to communicate will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire related to communication.

    Did this provider explain things in a way that was easy to understand? Yes/No

  5. Provider listening as assessed by yes/no question

    Time frame: Within 2 weeks of the study visit

    Provider listening will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire related to listening.

    Did this provider listen carefully to you? Yes/No

  6. Provider respect as assessed by yes/no question

    Time frame: Within 2 weeks of the study visit

    Provider respect will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire relating to respect.

    Did this provider show respect for what you had to say? Yes/No

  7. Provider time spent as assessed by yes/no question

    Time frame: Within 2 weeks of the study visit

    Provider time spent will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire relating to time spent during the clinical encounter.

    Did this provider spend enough time with you? Yes/No

  8. Patient health rating as assessed by a likert scale

    Time frame: Within 2 weeks of the study visit

    Patient health will be assessed with Likert-scale questions related to patient health.

    In general, how would you rate your overall health?

    • Excellent
    • Very good
    • Good
    • Fair
    • Poor

    In general, how would you rate your overall mental or emotional health?

    • Excellent
    • Very good
    • Good
    • Fair
    • Poor

    Overall score 2 to 10 with lower scores signifying better health.

Sponsors and collaborators

Lead sponsor

Johns Hopkins University

Other

Registry information

Official study title

Pilot Study - Randomized Controlled Trial of Video and Telephone Primary Care Visits

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Aug 3, 2020
Registry last updated
Feb 9, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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