Proactive Telemedicine to Improve Healthcare Access and Prevention in Rural Primary Care (PTM)

Summary

The study evaluates whether Proactive Telemedicine (PTM) can improve healthcare access for individuals who have not contacted their primary care team for at least one year, compared with face-to-face visits. PTM consists of brief, remote behavioral interventions addressing modifiable risk factors such as tobacco use, alcohol consumption (AUDIT-C: Alcohol Use Disorders Identification Test - Consumption), physical activity (IPAQ: International Physical Activity Questionnaire), and Mediterranean diet adherence (PREDIMED: Prevención con Dieta Mediterránea). PTM follows national preventive protocols including PAPPS (Programa de Actividades Preventivas y de Promoción de la Salud) and uses validated tools such as EuroQol-5D-5L (EQ-5D-5L) to measure healthcare accessibility and quality-of-life outcomes. This randomized non-inferiority trial aims to determine whether PTM is as effective and safe as traditional in-person consultations.

Conditions

• Primary Health Care
• Telemedicine
• Face to Face Consultation
• Health Care Access
• Prevention
• Quality of Life
• Adverse Effects
• Cardiovascular (CV) Risk
• Behavior Change Interventions
• Brief Intervention

Interventions

BEHAVIORAL

Telemedicine Brief Behavioural Lifestyle Intervention

Participants received proactive digital contact via phone or e-consultation. They underwent a brief behavioural intervention addressing modifiable lifestyle factors such as smoking, alcohol consumption, physical activity, and diet. Additionally, access to the rural primary healthcare system will also be measured.

BEHAVIORAL

Face to face Brief Behavioural Lifestyle Intervention

Participants attend in-person visits where they undergo a brief behavioural intervention addressing modifiable lifestyle factors (smoking, alcohol, physical activity, diet). Additionally, access to the rural primary healthcare system is also measured.

Sponsors & Collaborators

• Institut Catala de Salut

  collaborator OTHER_GOV

• Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

  lead OTHER

Principal Investigators

• Josep Vidal Alaball, PhD · Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

• Robert Panadés Zafra, MD · Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2024-06-25

Primary Completion

2025-07-16

Completion

2026-03-16

Countries

• Spain

Study Locations