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Trial registered on ANZCTR
Registration number
ACTRN12624000585527
Ethics application status
Approved
Date submitted
28/03/2024
Date registered
8/05/2024
Date last updated
8/05/2024
Date data sharing statement initially provided
8/05/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Telehealth vs face-to-face consults in patients attending a Urological Oncology Clinic. A Randomised Controlled Trial.
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Scientific title
Telehealth vs face-to-face consults in patients attending a Urological Oncology Clinic. A Randomised Controlled Trial.
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Secondary ID [1]
311848
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Telehealth in Urological Oncology
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urological cancer
333546
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Condition category
Condition code
Public Health
330071
330071
0
0
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Health service research
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Cancer
330226
330226
0
0
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Bladder
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Cancer
330227
330227
0
0
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Kidney
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Cancer
330228
330228
0
0
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention in this trial would be randomising patients (already known to the Crown Princess Mary Cancer Centre) in 1 of 2 study arms to a Telehealth consultation as the mode of consult for their next follow up appointment. This Telehealth appointment will be carried out via telephone calls during a booked in clinic appointment time. Patients data including name, DOB and MRN are collected from a third party offsite investigator utilising the hospitals booking system. Eligible patients will be contacted and the trial discussed with them, if they are agreeable, a patient information and consent form will be posted/emailed to the patients. Once consent is obtained, randomisation occurs using an online web-based generator. Patients are then informed of their allocation 24 hours prior to their next follow up appointment over the phone. For the clinicians providing the care, patients allocation will be placed in opaque sealed envelopes that the clinician will obtain just prior to each patients appointment time slot. Following this, patients either randomised to Telehealth or face-to-face will complete a validated questionnaire, delivered either online via a survey monkey link or a hard copy, respectively.
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Intervention code [1]
328308
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Treatment: Other
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Comparator / control treatment
The Standard face-to-face consultations are the comparator/control for the purposes of this study and represent 1/2 study arms against which telehealths effectiveness will be compared via the use of validated questionnaires. Given the mode of delivery for each consultation at the Crown Princess Mary Cancer Centre in Westmead Hospital is conducted via face-to-face appointments in the urological oncology clinics, this will serve as a valid control group to compare the effectiveness of Telehealth via questionnaire responses against those completed by patients randomised to the standard face-to-face approach.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Patient satisfaction survey scores regarding Telehealth vs standard face-to-face consultation
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Assessment method [1]
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Validated questionnaire are questions compiled from the:
1. Client Satisfaction Questionnaire (CSQ-8)
2. Telehealth Satisfaction Scale (TeSS)
3. Cologne Patient Questionnaire (CPQ)
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Timepoint [1]
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Following next follow up appointment (usually occurring 2 weeks post enrolment) , patients randomised to the Telehealth group will be emailed a survey monkey link to their nominated email address the very same day. Approximately 2 weeks is given for responses, with reminders sent out at week 3 and week 4. For patients randomised to the face-to-face group: hard copies of the questionnaires are provided by reception staff at the conclusion of the appointment and placed in a tray at the reception desk prior to patients departing the clinic.
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Secondary outcome [1]
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Patient assessment of the services provided (RFA bookings, investigations, follow up of results) with regards to either face-to-face or Telehealth consultations
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Assessment method [1]
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Validated questionnaire are questions compiled from the:
1. Client Satisfaction Questionnaire (CSQ-8)
2. Telehealth Satisfaction Scale (TeSS)
3. Cologne Patient Questionnaire (CPQ)
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Timepoint [1]
433416
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Telehealth Study Arm: 2 weeks will be given following the email of the Survey Monkey Link (sent out on day of appointment) of the validated questionnaires. At week 3 and 4: reminder text messages will be sent out.
Face to Face study arm: not applicable as validated questionnaires will be provided in hard copy follow their appointment and collected in a tray available on the clinic reception desk prior to the patients exiting the clinic.
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Eligibility
Key inclusion criteria
All patients within the clinic who require ongoing follow up.
No history of baseline confusion/severe cognitive impairment unless a carer is available to assist with telephone appointment.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
New or initial referrals
History of non-compliance (multiple prior non-attendances to appointments in the past).
NESB (Non-English-Speaking-Background).
Patients who declined randomisation.
General outpatient or non-urological oncology clinics.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomised via a web based computer generator and allocation concealed via sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer sequence generation
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
13/02/2023
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Date of last participant enrolment
Anticipated
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Actual
7/09/2023
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Date of last data collection
Anticipated
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Actual
22/09/2023
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Sample size
Target
126
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Accrual to date
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Final
116
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
42317
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2145 - Westmead
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Funding & Sponsors
Funding source category [1]
316191
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Hospital
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Name [1]
316191
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Westmead Hospital, Western Sydney Local Health District
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Address [1]
316191
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Country [1]
316191
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Australia
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Primary sponsor type
Individual
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Name
David Armany
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Address
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Country
Australia
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Secondary sponsor category [1]
318377
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None
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Name [1]
318377
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Address [1]
318377
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Country [1]
318377
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
315010
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Western Sydney Local Health District Human Research Ethics Committee
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Ethics committee address [1]
315010
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https://www.wslhd.health.nsw.gov.au/Education-Portal/Research/ethics-governance
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Ethics committee country [1]
315010
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Australia
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Date submitted for ethics approval [1]
315010
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23/08/2022
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Approval date [1]
315010
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09/09/2022
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Ethics approval number [1]
315010
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Summary
Brief summary
This is a study that will be used to evaluate how effective Telehealth is for patients who are already being followed up in a urological oncology clinic. You may be eligible for this study if you are already a patient who is regularly followed up at the Crown Princess Mary Cancer Centre in Westmead Hospital for a urological cancer condition. Unfortunately, if you are not yet known to the clinic or are awaiting to see a urologist for your first visit, you will not be eligible to participate. Study Details Patients who are eligible for the study will be contacted and informed about the trials aims and methods and informed consent will need to be provided should they wish to participate. Following this, participants will be randomised prior to their next follow up appointment to either a Telehealth group or the standard face-to-face appointment type. They will be notified of their allocation 24 hours prior to their appointment. At the end of the follow up appointment, participants will be asked to completed a validated questionnaire that will help quantify their responses with regards to effectiveness, services provided, efficiency and timing of the appointment, and overall satisfaction. These scores will be de-identified and anonymous. By participating in this trial, we will be able to compare how effective patients find Telehealth vs face-to-face consultations for those suffering from common urological malignancies. We also will assess to see if there are any barriers to the widespread adoption of Telehealth for these common health conditions and if any adverse effects are encountered. This knowledge can help potentiate Telehealth's adaptation to other fields of surgical and medical disciplines as well as providing timely and more efficient care to a greater number of patients within the local health district.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr David Armany
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Address
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Crown Princess Mary Cancer Centre, Westmead Hospital: Corner Hawkesbury Road and Darch Road, Westmead NSW 2145
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Country
133418
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Australia
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Phone
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+61 449984903
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Fax
133418
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Email
133418
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[email protected]
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Contact person for public queries
Name
133419
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David Armany
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Address
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Crown Princess Mary Cancer Centre, Westmead Hospital: Corner Hawkesbury Road and Darch Road, Westmead NSW 2145
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Country
133419
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Australia
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Phone
133419
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+61 449984903
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Fax
133419
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Email
133419
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[email protected]
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Contact person for scientific queries
Name
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David Armany
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Address
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Crown Princess Mary Cancer Centre, Westmead Hospital: Corner Hawkesbury Road and Darch Road, Westmead NSW 2145
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Country
133420
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Australia
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Phone
133420
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+61 449984903
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Fax
133420
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Email
133420
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
survey scores
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When will data be available (start and end dates)?
Data is available immediately and available for 5 years.
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Available to whom?
upon request to any government body or journal
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Available for what types of analyses?
only to achieve the aims in the approved proposal
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How or where can data be obtained?
access subject to approvals by Principal Investigator (
[email protected]
)
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
22011
Study protocol
[email protected]
387590-(Uploaded-28-03-2024-15-52-25)-Study-related document.docx
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF