Barriers for recruitment of patients with chronic obstructive pulmonary disease to a controlled telemedicine trial

被引:13
|
作者
Broendum, Eva [1 ]
Ulrik, Charlotte Suppli [1 ]
Gregersen, Thorbjorn [1 ]
Hansen, Ejvind Frausing [1 ]
Green, Allan [1 ]
Ringbaek, Thomas [1 ]
机构
[1] Hvidovre Univ Hosp, Kettegaard Alle 30, DK-2650 Hvidovre, Denmark
关键词
assistive technologies; decision-support systems; ehealth; organizational change and information technology; telecare; RANDOMIZED CLINICAL-TRIAL; TELEHEALTH; TECHNOLOGY; FAILURE; HEALTH; COPD;
D O I
10.1177/1460458216667166
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The aim of this analysis is to investigate reasons why patients with chronic obstructive pulmonary disease decline to participate in a controlled trial of telemedicine. Patients with previous chronic obstructive pulmonary disease exacerbations were invited to participate in a 6-month randomized telemedicine trial. For eligible patients, reasons for refusal were registered. Of 560 eligible patients, 279 (50%) declined to participate in the trial, 257 (92%) reported a reason: 53 (20.6%) technical concerns, 164 (63.8%) personal reasons, 17 (6.6%) preferred outpatient clinic visits, and 23 (8.9%) did not want to participate in clinical research. Compared to consenting patients, subjects declining participation were significantly older, more often female, had higher lung function (%predicted), lower body mass index, higher admission-rate for chronic obstructive pulmonary disease in the previous year, and were more often diagnosed with osteoporosis. Many eligible patients decline participating in a controlled tele-healthcare trial and, furthermore, a tailored approach for recruiting females and elderly patients appears appropriate.
引用
收藏
页码:216 / 224
页数:9
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