SAPHE Trial Approach

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SAPHE Trial Approach

• SAPHE Steering Committee 12 Oct 07

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Logistic Information Pathway diagram
Care Package Development
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Differential benefits to Telecare users

Welfare

Full service care at home
Nursing Home


Community Matron

Cost
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Selection of user subjects

• From current case load of Community Matrons
• Matched observational and control groups
• Should be selected from patient group which will
  be differentially affected by SAPHE approach
  (i.e. Amber or Green)

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Focus of trial
Service User Welfare gains
Service provider (Community Matrons) Patterns of delivery Costs and benefits model
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Character of trial

• Action research based methodology
• Select a sample of 20 20 people, ideally from
  Amber population
• Set up data collection
• Instrument homes
• Defining questionnaires
• Regular case conferences SAPHE team and
  community matrons

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Trial Process

• Commissioning
• Phase 1
• Phase 2
• Decommissioning/exit interviews

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Commissioning

• Selection of user subject pairs
• Identification of needs
• Assessment for telecare
• Telecare prescription
• Monitoring system
• Definition of questionnaire data capture
• Questionnaire to establish baseline expectations
• Installation and familiarisation for users,
  carers and providers

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Phase 1

• Minimum disruption of existing working practices
• System operating primarily in passive monitoring
  mode (not responding to alerts)
• Periodic reviews of data (e.g. weekly)
• Limited flows of information to users and
  informal carers (defined by community matrons)

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Phase 2

• Transition from Phase 1 at Community Matrons
  discretion
• Refinement of data capture regime
• Real-time access to information
• For community matrons
• Possible extension to users and informal carers
• Implementation of preventative response service

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Decommissioning/exit interviews

• Negotiated withdrawal of system from users
• Satisfaction surveys (Exit interviews)
• Community matrons
• Users, Carers
• Identification of benefits realised

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Data gathered (qualitative and semi-quantitative)

• Characterisation of users and carers
• Identified needs vs. telecare installation
• Monitoring data
• Sensor and derived data
• Questionnaire data
• Satisfaction surveys on completion
• Comparison of outcomes with control group

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Trial outcomes

• Likely to be complicated
• Series of single case studies
• Possible generic messages
• Identification of reliability and acceptability
  of sensors and data transforms
• Response to alternative data presentations
• Identification of benefits to all stakeholder
  groups
• Verification of a preventative telecare service
  delivery model for Liverpool PCT