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Digital Outpatient Services for Adults: Development of an Intervention and Protocol for a Multicenter Non-Randomized
Heidi Holmen1,2, Are Martin Holm3,4, Thomas Karsten Kilvær5,6
1Intervention Centre, Division of Technology and Innovation, Oslo University Hospital, Oslo, Norway.
JMIR Research Protocols
|July 10, 2023
Summary
This study evaluates a digital outpatient service intervention to improve patient health literacy and self-monitoring. The trial aims to provide evidence on the effectiveness of digital health tools in diverse clinical settings.
Area of Science:
- Digital Health
- Health Services Research
- Patient Outcomes
Background:
- Healthcare systems face increasing patient loads and resource constraints.
- Digital outpatient services offer flexible follow-up and enhance patient health literacy.
- Existing research often lacks focus on generic outcomes like health literacy.
Purpose of the Study:
- To describe the digital outpatient service intervention.
- To present the protocol for an ongoing multicenter, nonrandomized trial.
- To evaluate the intervention's impact on health literacy and other patient-reported outcomes.
Main Methods:
- A multicomponent digital solution including a mobile app and chat function.
- Patient journey maps used for tailored intervention development.
- Non-randomized controlled trial comparing digital service to standard care over 6 months.
- Primary outcome: health literacy measured by the Health Literacy Questionnaire.
Main Results:
- Trial commenced September 2021, intervention began January 2022.
- Recruitment concluded with 55 control and 107 intervention participants.
- Follow-up completion expected July 2023; results anticipated December 2023.
Conclusions:
- The study evaluates a digital intervention focused on self-monitoring and health literacy.
- Tailored content based on patient needs and journey maps enhances applicability.
- Findings will inform the use of digital tools in clinical care for diverse patient populations.
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