Evidence map›Paper›PMID 35130935›Full record

ArticleTrials2022

The Transitions to Long-term In Home Ventilator Engagement Study (Transitions to LIVE): study protocol for a pragmatic randomized controlled trial.

Reshma Amin, Andrea Gershon, Francine Buchanan, Regina Pizzuti, Adam Qazi, Nishali Patel, Ruxandra Pinto, Myla E Moretti, Munazzah Ambreen, TtLIVE Group and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04180722 (A Virtual Transition Intervention for Children and Adults Transitioning to Home Ventilation in Ontario), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT04180722 nacompletednot on this map

A Virtual Transition Intervention for Children and Adults Transitioning to Home Ventilation in Ontario: A Pragmatic Randomized Controlled Trial

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2021 to 2026Enrolled444ConditionsLong-term Ventilation at HomeArmsaTouchAway™ platform
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Observational
  2. Article
  3. The role of telemonitoring in patients on home mechanical ventilation.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 3 countries.

Reshma Amin *The Hospital for Sick Children, 555 University Ave, Toronto, M5G 1X8, Canada. reshma.amin@sickkids.ca.ORCID http://orcid.org/0000-0002-3032-5434
Andrea Gershon *Institute for Health Policy, Management, and Evaluation, University of Toronto, 155 College St 4th Floor, Toronto, M5T 3M6, Canada.
Francine BuchananOntario Child Health Support Unit, The Hospital for Sick Children, 555 University Ave, Toronto, M5G 1X8, Canada.
Regina PizzutiOntario Ventilator Equipment Pool, Kingston Health Sciences Centre, 640 Cataraqui Woods Dr, Kingston, K7P 2Y5, Canada.
Adam QaziThe Hospital for Sick Children, 555 University Ave, Toronto, M5G 1X8, Canada.
Nishali PatelThe Hospital for Sick Children, 555 University Ave, Toronto, M5G 1X8, Canada.
Ruxandra PintoSunnybrook Research Institute, Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, M4N 3 M5, Canada.
Myla E MorettiInstitute for Health Policy, Management, and Evaluation, University of Toronto, 155 College St 4th Floor, Toronto, M5T 3M6, Canada.
Munazzah AmbreenThe Hospital for Sick Children, 555 University Ave, Toronto, M5G 1X8, Canada.
TtLIVE Group
Louise Rose *Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK.
Hospital for Sick Children · CASunnybrook Health Science Centre · CAUniversity of Toronto · CAUniversity of Washington · USGuy's and St Thomas' NHS Foundation Trust · GBKing's College London · GBKingston Health Sciences Centre · CA

Funding

canadian institutes of health research (cihr) TC2165734
6 · The paper itself

Abstract

background overview and rationaleWe co-developed a multi-component virtual care solution (TtLIVE) for the home mechanical ventilation (HMV) population using the aTouchAway™ platform (Aetonix). The TtLIVE intervention includes (1) virtual home visits; (2) customizable care plans; (3) clinical workflows that incorporate reminders, completion of symptom profiles, and tele-monitoring; and (4) digitally secure communication via messaging, audio, and video calls; (5) Resource library including print and audiovisual material. OBJECTIVES AND BRIEF

methodsOur primary objective is to evaluate the TtLIVE intervention compared to a usual care control group using an eight-center, pragmatic, parallel-group single-blind (outcome assessors) randomized controlled trial. Eligible patients are children and adults newly transitioning to HMV in Ontario, Canada. Our target sample size is 440 participants (220 each arm). Our co-primary outcomes are a number of emergency department (ED) visits in the 12 months after randomization and change in family caregiver (FC) reported Pearlin Mastery Scale score from baseline to 12 months. Secondary outcomes also measured in the 12 months post randomization include healthcare utilization measured using a hybrid Ambulatory Home Care Record (AHCR-hybrid), FC burden using the Zarit Burden Interview, and health-related quality of life using the EQ-5D. In addition, we will conduct a cost-utility analysis over a 1-year time horizon and measure process outcomes including healthcare provider time using the Care Coordination Measurement Tool. We will use qualitative interviews in a subset of study participants to understand acceptability, barriers, and facilitators to the TtLIVE intervention. We will administer the Family Experiences with Care Coordination (FECC) to interview participants. We will use Poisson regression for a number of ED visits at 12 months. We will use linear regression for the Pearlin Mastery scale score at 12 months. We will adjust for the baseline score to estimate the effect of the intervention on the primary outcomes. Analysis of secondary outcomes will employ regression, causal, and linear mixed modeling. Primary analysis will follow intention-to-treat principles. We have Research Ethics Board approval from SickKids, Children's Hospital Eastern Ontario, McMaster Children's Hospital, Children's Hospital-London Health Sciences, Sunnybrook Hospital, London Health Sciences, West Park Healthcare Centre, and Ottawa Hospital. DISCUSSION: This pragmatic randomized controlled single-blind trial will determine the effectiveness and cost-effectiveness of the TtLIVE virtual care solution compared to usual care while providing important data on patient and family experience, as well as process measures such as healthcare provider time to deliver the intervention.

trial registrationClinicalTrials.gov NCT04180722 . Registered on November 27, 2019.

Indexed as

Home Care ServicesVentilators, MechanicalAdultChildHumansMulticenter Studies as TopicOntarioPragmatic Clinical Trials as TopicQuality of LifeRandomized Controlled Trials as TopicSingle-Blind MethodCaregiversContinuity of patient careCost-utility analysiseHealthHome care servicesMechanical ventilationRandomized controlled trialTelehealthVirtual care

Identifiers

PMID35130935
PMCPMC8822764
OpenAlexW4210942331

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.