A Blueprint for the Conduct of Large, Multisite Trials in Telemedicine

Recent literature supports the efficacy and efficiency of telemedicine in improving various health outcomes despite the wide variability in results. Understanding site-specific issues in the implementation of telemedicine trials for broader replication and generalizability of results is n...

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Main Authors: Patricia Commiskey, April W Armstrong, Tumaini R Coker, Earl Ray Dorsey, John C Fortney, Kenneth J Gaines, Brittany M Gibbons, Huong Q Nguyen, Daisy R Singla, Eva Szigethy, Elizabeth A Krupinski
Format: Article
Language:English
Published: JMIR Publications 2021-09-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2021/9/e29511
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author Patricia Commiskey
April W Armstrong
Tumaini R Coker
Earl Ray Dorsey
John C Fortney
Kenneth J Gaines
Brittany M Gibbons
Huong Q Nguyen
Daisy R Singla
Eva Szigethy
Elizabeth A Krupinski
author_facet Patricia Commiskey
April W Armstrong
Tumaini R Coker
Earl Ray Dorsey
John C Fortney
Kenneth J Gaines
Brittany M Gibbons
Huong Q Nguyen
Daisy R Singla
Eva Szigethy
Elizabeth A Krupinski
author_sort Patricia Commiskey
collection DOAJ
description Recent literature supports the efficacy and efficiency of telemedicine in improving various health outcomes despite the wide variability in results. Understanding site-specific issues in the implementation of telemedicine trials for broader replication and generalizability of results is needed. Lessons can be learned from existing trials, and a blueprint can guide researchers to conduct these challenging studies using telemedicine more efficiently and effectively. This viewpoint presents relevant challenges and solutions for conducting multisite telemedicine trials using 7 ongoing and completed studies funded by the Patient-Centered Outcomes Research Institute portfolio of large multisite trials to highlight the challenges in implementing telemedicine trials. Critical issues of ensuring leadership and buy-in, appropriate funding, and diverse and representative trials are identified and described, as well as challenges related to clinical, informatics, regulatory, legal, quality, and billing. The lessons learned from these studies were used to create a blueprint of key aspects to consider for the design and implementation of multisite telemedicine trials.
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spelling doaj.art-9f047aff6d174fd1a178f148c4b41ac42023-08-28T19:06:27ZengJMIR PublicationsJournal of Medical Internet Research1438-88712021-09-01239e2951110.2196/29511A Blueprint for the Conduct of Large, Multisite Trials in TelemedicinePatricia Commiskeyhttps://orcid.org/0000-0001-6376-4698April W Armstronghttps://orcid.org/0000-0003-0064-8707Tumaini R Cokerhttps://orcid.org/0000-0002-5111-6527Earl Ray Dorseyhttps://orcid.org/0000-0002-5140-1248John C Fortneyhttps://orcid.org/0000-0001-9409-8894Kenneth J Gaineshttps://orcid.org/0000-0002-4861-6117Brittany M Gibbonshttps://orcid.org/0000-0002-1197-7752Huong Q Nguyenhttps://orcid.org/0000-0002-3650-3705Daisy R Singlahttps://orcid.org/0000-0001-9865-7112Eva Szigethyhttps://orcid.org/0000-0001-6783-581XElizabeth A Krupinskihttps://orcid.org/0000-0003-2996-7242 Recent literature supports the efficacy and efficiency of telemedicine in improving various health outcomes despite the wide variability in results. Understanding site-specific issues in the implementation of telemedicine trials for broader replication and generalizability of results is needed. Lessons can be learned from existing trials, and a blueprint can guide researchers to conduct these challenging studies using telemedicine more efficiently and effectively. This viewpoint presents relevant challenges and solutions for conducting multisite telemedicine trials using 7 ongoing and completed studies funded by the Patient-Centered Outcomes Research Institute portfolio of large multisite trials to highlight the challenges in implementing telemedicine trials. Critical issues of ensuring leadership and buy-in, appropriate funding, and diverse and representative trials are identified and described, as well as challenges related to clinical, informatics, regulatory, legal, quality, and billing. The lessons learned from these studies were used to create a blueprint of key aspects to consider for the design and implementation of multisite telemedicine trials.https://www.jmir.org/2021/9/e29511
spellingShingle Patricia Commiskey
April W Armstrong
Tumaini R Coker
Earl Ray Dorsey
John C Fortney
Kenneth J Gaines
Brittany M Gibbons
Huong Q Nguyen
Daisy R Singla
Eva Szigethy
Elizabeth A Krupinski
A Blueprint for the Conduct of Large, Multisite Trials in Telemedicine
Journal of Medical Internet Research
title A Blueprint for the Conduct of Large, Multisite Trials in Telemedicine
title_full A Blueprint for the Conduct of Large, Multisite Trials in Telemedicine
title_fullStr A Blueprint for the Conduct of Large, Multisite Trials in Telemedicine
title_full_unstemmed A Blueprint for the Conduct of Large, Multisite Trials in Telemedicine
title_short A Blueprint for the Conduct of Large, Multisite Trials in Telemedicine
title_sort blueprint for the conduct of large multisite trials in telemedicine
url https://www.jmir.org/2021/9/e29511
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