CONTECI Program: A New Way to Control Peripheral Arterial Disease Using New Technologies

Consorci Sanitari del Maresme150 enrolled

Overview

The current increase in chronic diseases calls for changes to the health system. It is necessary to promote expert patient in chronic disease. The expansion of new technologies gives us new tools to face new challenges, providing efficiency, expertise and autonomy. The characteristics of peripheral arterial disease make possible to promote expert patient and the self-management. In order to bring these concepts together the telemedicine program was created to promote expert patient for increasing the quality of life and satisfaction of patients and improving the efficiency of the health system. Methods: Randomized clinical trial on patients with peripheral arterial disease in intermittent claudication grade. They were randomized into two groups: intervention arm (IA) using CONTECI program for self-managing and control arm (CA), followed as usual vascular visits.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

150

Conditions

Peripheral Arterial Disease Personal Satisfaction Telemedicine

Interventions

Selfmanage with the help of telemedicine programOTHER

The intervention group patients were not followed by the usual protocol, but it used the program CONTECI (and test different directions) to guide the patient monitoring. Both groups used antiplatelets and statines as usual protocol (these were not the interventions) We did not use drugs or device for the intervention, only a Telemedicine programme

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient with confirmed PAD * Over 18 years old * Informed Consent * Internet Access (patient or family) * Spanish or Catalan fluidity Exclusion Criteria: * Cognitive impairment * Previous patency arterial surgery * Sever chronic obstructive pulmonary disease (GOLD III/ IV) * Patients with decreased survival of 12 months

Outcomes

Primary Outcomes

satisfaction. Analogical scale 0-100. To compare the satisfaction in the new model control and the model before

Time frame: 12 months

Secondary Outcomes

Clinical features. Pateint who turned to grade 3 or 4 of Le Fontaine classification, number of surgeries.

PAD grade 3 and 4, surgeries

Time frame: 6 and 12 months

Health resources consumption: rate of Emergency visits, scheduled visits, extra visits, Mail per participant

Time frame: 6 and 12 months

Quality of life. EuroQol5D were used. Change from baseline Quality of line at 12 months.

Time frame: 12 months