Evaluation of the effectiveness of telemedicine in the management of risk and cardiovascular problems in primary health care in Cameroon

• Register: PACTR
• Last refreshed on: 29 May 2023
• Main ID: PACTR201701001964199
• Date of registration: 06/01/2017
• Prospective Registration: No
• Primary sponsor: Faculty of Medicine of Biomedical Sciences of University of Yaoundé 1
• Public title: Evaluation of the effectiveness of telemedicine in the management of risk and cardiovascular problems in primary health care in Cameroon
• Scientific title: Evaluation of the effectiveness of telemedicine in the management of risk and cardiovascular problems in primary health care in Cameroon
• Date of first enrolment: 01/04/2015
• Target sample size: 182
• Recruitment status: Other
• URL: https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=1964
• Study type: Interventional
• Study design: Parallel: different groups receive different interventions at same time during study,Non-randomised,The cluster pairing mode (district or health area) was chosen rather than the individual mode. There was no cluster randomization because two telemedicine (intervention) sites already existed before the start of the study. In each health center (intervention or control), patients were gradually recruited by health professionals.
• Phase: Not Applicable

Countries of recruitment

Cameroon

Contacts

• Name: Georges Bediang
• Affiliation: Research et Teatching Assistant at Faculty of Medicine and Biomedical Sciences

• Name: Yannick kamga
• Affiliation: Public Health Specialist at the Ministry of Public Health (Cameroon)

Key inclusion & exclusion criteria

Inclusion criteria: Eligible participants must meet at least one of the following inclusion criteria are:
i. Present with one or more of the following Cardiovascular risk factors: age (¿ 45 years for men and ¿ 55 years for a woman); active smoking (¿ 1 cigarette / day) arterial hypertension (¿ 140/90 mmHg or on antihypertensive treatment); fasting hyperglycemia (fasting blood sugar > 1.1 g / l) or diabetes; obesity (body mass index ¿ 30 kg / m2; truncal obesity (men ¿ 102 cm, female: ¿ 88 cm).
ii. History of cardiovascular disease (personal or first degree family history)
iii. Present with symptoms (dyspnoea, palpitations, chest pain, etc.) or signs (tachy -bradycardia, heart murmur, edema, arterial hypo-hypertension, etc.) making suggestive of a cardiovascular disease.
iv. Residing in the health area or district with the corresponding health structure in which he/she consults and provides an address in which he can be reached in case of need,
v. Give informed consent (sign the form) after an explanation by the health care professional on the goals of the study.
vi. Finally, in the intervention centers, participants will also have to do an ECG examination.

Exclusion criteria: Hospitalised patients or patients deemed severely ill by a health professional will be excluded from this study.

Age minimum: 18 Year(s)
Age maximum: 100 Year(s)
Gender: Male

Health Condition(s) or Problem(s) studied

Circulatory System
Cardiovascular Diseases, Telemedicine

Cardiovascular Diseases, Telemedicine

Circulatory System

Intervention(s)

Intervention sites

Control sites

Primary Outcome(s)

Participants¿ access to an ECG examination and expertise

Secondary Outcome(s)

Applicability of the expert's recommendations

Centers¿ Attendance Rate

ECG requested

Overall satisfaction of participants

Incorrect Evacuation (unnecessary / necessary)

Diagnostic discordance

Compliance to prescribed treatment

Evolution of the blood pressure

Expertise response time

Inappropriate medical prescriptions

ECG request time

Evolution of clinical symptoms

Source(s) of Monetary Support

RAFT Network (http://raft.g2hp.net/)

Ethics review

Status: Approved
Approval date: 04/08/2016
Contact:

Centre Regional Ethics Committee for Human Health Research