NCT04955600

Digital Technology in the Home of Elderly Patients With Multimorbidity

Completed Last updated 4 April 2024

What this trial tests

trial testing Implementation Study in Multimorbidity in 25 participants. Completed in 31 December 2023.

Timeline

1 March 2021

Primary endpoint
31 December 2023

31 December 2023

Quick facts

Lead sponsor	Sormland County Council, Sweden
Status	Completed
Study type	OBSERVATIONAL
Enrollment	25
Start date	1 March 2021
Primary completion	31 December 2023
Estimated completion	31 December 2023
Sites	1 location across Sweden

Drugs / interventions tested

• Implementation Study

Conditions studied

• Multimorbidity — all drugs for Multimorbidity →

Sponsor

Sormland County Council, Sweden

Who can join

18 and older, any sex, with Multimorbidity. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

In this study, the objective is to evaluate available technology designed to support self-care at home of elderly patients with multimorbidity. Of people who are 85 years or older, about 60% have two or more chronic diseases. The symptom burden is extensive, and periods of deterioration often lead to hospitalizations and early readmissions to hospital. A contributing factor for the high consumption of care is that many patients find it difficult to identify signs of deterioration and in time take appropriate action. Technology placed in patients' home are becoming common and have shown to increase quality of life and reduce the need for in-hospital care but few tools are used in regular care.

The investigators want to see which effect technologies placed at home has on; healthcare consumption, self-care, depression, well-being and activity level. Further, the implementation process from both patients, relatives and healthcare personals perspective will be studied using a hybrid design, which makes it possible to study both barriers and facilitators of the implementation and efficacy of the technology.

In phase one participants will be recruited from a care team where an established collaboration between region and municipality has been developed. In phase two, inclusion takes place in an entire municipality without a previously established collaboration. The goal is to increase patients and family members wellbeing, health and functional ability while maintaining or reducing healthcare costs.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

1. Implementation of Telemonitoring in Health Care: Facilitators and Barriers for Using eHealth for Older Adults with Chronic Conditions.
   Liljeroos M, Arkkukangas M. · · 2023 · cited 13× · PMID 36647422 · DOI 10.2147/rmhp.s396495
2. The long-term effect of an m-health tool on self-care in patients with heart failure: a pre-post interventional study with a mixed-method analysis.
   Liljeroos M, Arkkukangas M, Strömberg A. · · 2024 · cited 1× · PMID 38165027 · DOI 10.1093/eurjcn/zvad107
3. Older Adults and Healthcare Professional's Experiences of Telemonitoring in Primary Home-Based Care in Sweden: A Feasibility Study.
   Liljeroos M, Åkerberg A, Arkkukangas M. · · 2026 · PMID 42064100 · DOI 10.2147/cia.s595091