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a randomized controlled trial of telemonitoring in older adults with multiple chronic conditions the tele-era study远程控制的随机对照试验与多个慢性病tele-era研究老年人
Takahashi et al. BMC Health Services Research 2010, 10:255
/1472-6963/10/255
STUDY PROTOCOL Open Access
A randomized controlled trial of telemonitoring
in older adults with multiple chronic conditions:
the Tele-ERA study
1* 1 2 1 1 3
Paul Y Takahashi , Gregory J Hanson , Jennifer L Pecina , Robert J Stroebel , Rajeev Chaudhry , Nilay D Shah ,
James M Naessens3
Abstract
Background: Older adults with multiple chronic illnesses are at risk for worsening functional and medical status
and hospitalization. Home telemonitoring may help slow this decline. This protocol of a randomized controlled trial
was designed to help determine the impact of home telemonitoring on hospitalization. The specific aim of the
study reads as follows: to determine the effectiveness of home telemonitoring compared with usual care in
reducing the combined outcomes of hospitalization and emergency department visits in an at-risk population
60 years of age or older.
Methods/Design: Two-hundred patients with the highest 10% Mayo Clinic Elder Risk Assessment scores will be
randomly assigned to one of two interventions. Home telemonitoring involves the use of a computer device, the
Intel Health Guide, which records biometric and symptom data from patients in their homes. This information is
monitored by midlevel providers associated with a primary care medical practice. Under the usual care scenario,
patients make appointments with their providers as problems arise and use ongoing support such as a 24-hour
nurse line.
Patients will have initial evaluations of gait and quality of life using instruments such as the SF-12 Health Survey, the
Kokmen Short Test of Mental Status, and the PHQ-9 health questionnaire. Patients w
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