Trial reportAge and ageing2013
Effect of telecare on use of health and social care services: findings from the Whole Systems Demonstrator cluster randomised trial.
Trial report in Age and ageing, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03713333 (Implementation of High Definition Screening Using Handheld Imaging and Digital Health Technologies Within a Learning Health System to Identify Cardiovascular Disease at the Point-of-care), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Implementation of High Definition Screening Using Handheld Imaging and Digital Health Technologies Within a Learning Health System to Identify Cardiovascular Disease at the Point-of-care: The ASE-INNOVATE Program
Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Understanding heart failure; explaining telehealth - a hermeneutic systematic review.BMC cardiovascular disorders · 2017Pooled it
- Effect of Telehealth Interventions on Hospitalization Indicators: A Systematic Review.Perspectives in health information managemen · 2016Pooled it
- The effectiveness and cost-effectiveness of assistive technology and telecare for independent living in dementia: a randomised controlled trial.Age and ageing · 2021Trial
- Assistive technology and telecare to maintain independent living at home for people with dementia: the ATTILA RCT.Health technology assessment (Winchester, England) · 2021Trial
- Placing assistive technology and telecare in everyday practices of people with dementia and their caregivers: findings from an embedded ethnography of a national dementia trial.BMC geriatrics · 2021Trial
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- Use of home telemonitoring to support multidisciplinary care of heart failure patients in Finland: randomized controlled trial.Journal of medical Internet research · 2014Trial
- Cost-effectiveness of telecare for people with social care needs: the Whole Systems Demonstrator cluster randomised trial.Age and ageing · 2014Trial
- Effect of telehealth on glycaemic control: analysis of patients with type 2 diabetes in the Whole Systems Demonstrator cluster randomised trial.BMC health services research · 2014Trial
- Experiences of front-line health professionals in the delivery of telehealth: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Trial
- Does telecare prolong community living in dementia? A study protocol for a pragmatic, randomised controlled trial.Trials · 2013Trial
- Device based monitoring in digital care and its impact on hospital service use.NPJ digital medicine · 2025Article
- DIALOGUE: Digital care technologies for social connection, care and support of older adults. Final Project Report.NIHR open research · 2025Article
- Advance Planning for Technology Use in Dementia Care: Development, Design, and Feasibility of a Novel Self-administered Decision-Making Tool.JMIR aging · 2022Article
- Control Matters in Elder Care Technology:: Evidence and Direction for Designing It In.DIS. Designing Interactive Systems (Conference) · 2022Article
- Telecare Service Use in Northern Ireland: Exploratory Retrospective Cohort Study.JMIR formative research · 2022Article
- "It's no good but at least I've always got it round my neck": A postphenomenological analysis of reassurance in assistive technology use by older people.Social science & medicine (1982) · 2022Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveto assess the impact of telecare on the use of social and health care. Part of the evaluation of the Whole Systems Demonstrator trial. PARTICIPANTS AND
settinga total of 2,600 people with social care needs were recruited from 217 general practices in three areas in England.
designa cluster randomised trial comparing telecare with usual care, general practice being the unit of randomisation. Participants were followed up for 12 months and analyses were conducted as intention-to-treat. DATA SOURCES: trial data were linked at the person level to administrative data sets on care funded at least in part by local authorities or the National Health Service.
main outcome measuresthe proportion of people admitted to hospital within 12 months. Secondary endpoints included mortality, rates of secondary care use (seven different metrics), contacts with general practitioners and practice nurses, proportion of people admitted to permanent residential or nursing care, weeks in domiciliary social care and notional costs.
results46.8% of intervention participants were admitted to hospital, compared with 49.2% of controls. Unadjusted differences were not statistically significant (odds ratio: 0.90, 95% CI: 0.75-1.07, P = 0.211). They reached statistical significance after adjusting for baseline covariates, but this was not replicated when adjusting for the predictive risk score. Secondary metrics including impacts on social care use were not statistically significant.
conclusionstelecare as implemented in the Whole Systems Demonstrator trial did not lead to significant reductions in service use, at least in terms of results assessed over 12 months.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.