Phase
Condition
Diabetes Mellitus, Type 2
Aging
Depression
Treatment
N/AClinical Study ID
Ages > 55 All Genders
Study Summary
Eligibility Criteria
Inclusion
PATIENTS - Inclusion Criteria:-
They are aged 55 or older
They are multimorbid patients that suffer from two or more of the following fourconditions in various disease combinations (two conditions set as the minimumthreshold):-
Diabetes type 2
Renal Failure with eGFR/GFR 30 - 59 (measured or estimated glomerular filtration rate)
Heart Failure in compliance with NYHA I-II (New York Heart Association classificationof heart failure)
Mild or moderate depression
They still live and generally plan on living in their home (or in the community) forthe 12-month trial duration.
They or their informal caregiver pass the ICT Handling Self-Check (see DeliverableD10.4, Annex 8.3) (i.e. they have access to and some familiarity with the use of ICT).
They, or their informal caregiver, have stable access to the internet and at least oneof the following devices readily available to use the C3-Cloud components: Computer;Notebook; Smartphone; Tablet. This includes the use of Internet Browsers to open theC3-Cloud patient dashboards online.
They are able to provide informed consent.
Exclusion
PATIENTS - Exclusion Criteria:-
•The exclusion criteria include almost completely the reverse of the inclusion criteria.Patients are not eligible for recruitment if:-
They are aged 54 or below
They suffer from any of the following conditions:
Severe Renal Failure with eGFR/GFR <30
Severe Heart Failure in compliance with NYHA III-IV
Severe depression
They have other debilitating conditions that impair their decision making capabilityor their life expectancy (e.g. end-of-life patients or cancer patients)
They or their informal caregivers do not pass the ICT Handling Self-Check (i.e. theydo not have access to suitable IT devices and do not have some familiarity with theuse of ICT).
They have disabilities or other health conditions that would prevent their activeinvolvement in the study project or which prevent them from carrying out essentialfunctions of the trial.
They live in a care institution, for instance in a residential home or nursing home.
Their health care expenses are covered by a private insurance: in the C3-Cloud pilotsites, private insurances have no data exchange with EHRs.
They do not speak the regional language: English for SWFT; Spanish for the Basquecountry; Swedish for RJH
They are unable to provide informed consent for study participation. Patients with further chronic diseases and other co-morbidities or symptoms, for example,frailty, sleeping problems, malnourishment or anxiety, will not be excluded fromrecruitment. Informal caregivers who pass the ICT Handling Self-Check can substitute forthe patient if the patient does not pass the ICT Handling Self-Check - the patient-informalcaregiver pair can then still be recruited. PATIENT'S HELPERS/CARERS - Exclusion Criteria:- There are no specific inclusion criteria for informal caregivers. However, the followingexclusion criteria apply:-
They are aged 17 or below
They do not have some familiarity with the use of ICT or do not have the capability tohelp the patient out with ICT usage if necessary.
They do not have stable access to the internet and at least one of the followingdevices readily available to use the C3-Cloud components: Computer; Notebook;Smartphone; Tablet. This includes the use of Internet Browsers to open the C3-Cloudpatient dashboards online.
They are not available most of the time in person or via telephone, email, SMS orother means as to respond to calls for help.
They have debilitating conditions that impair their decision-making capability.
They do not speak the local language: English for SWFT; Spanish for the Basquecountry; Swedish for RJH HEALTHCARE PROFESSIONALS - Inclusion Criteria:-
normally be involved in the selected patients care
open to new ways of working, specifically as part of a MDT (including GPs; consultantnurses or specialist nurses; district nurses; social workers; consultants;physiotherapists or pharmacists)
open to the use of new technology: MDT members do not have to be technologicallyknowledgeable but they should be willing to learn how to use technology to supporttheir work. HEALTHCARE PROFESSIONALS - Exclusion Criteria:-
None specific. Reverse of the above
Study Design
Study Description
Connect with a study center
Osakidetza
Vitoria-Gasteiz, Araba 01006
SpainSite Not Available
Region Jamtland Harjedalen
Ostersund, S-831 27
SwedenActive - Recruiting
South Warwickshire NHS Foundation Trust
Warwick, Warwickshire CV34 5BW
United KingdomSite Not Available
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