signs information and a text message component addressing symptoms, functional status, and medical regimen compliance. Steventon et al (2013) NR 4. People with social care 8. Followed up for 12 months 10. NR 13. Telecare as implemented needs, aged over 18 proportion admitted to care in the Whole Systems 2. Telecare using functional Secondary endpoints 11 Decision-making should Demonstrator trial did not UK monitoring included: mortality Health wait until results relation to indicate any significant 5 people with social care care utilization: number of the quality of life, carer reductions in service use Cluster Randomised trial needs e.g. minimum level of weeks receiving domiciliary outcomes and experience are assessed over 12 months 3’Functional monitoring, (n=2426) social care service, mobility care, inpatient hospital bed available including the ‘Lifeline’ base difficulties; At risk of falling; days, emergency admissions, 14. No major units and pendants, bed and cognitive impairment elective admissions, 12NR recommendations chair occupancy sensors, Telecare was compared with admissions for falls, enuresis sensors, epilepsy 6. All general practices in outpatient attendances and ‘usual care’ and sensors, fall detectors Cornwall, Kent and Newham accident and emergency medication dispensers. • with 238 practices allocated visits. Security monitoring, to control or intervention including bogus caller groups, of which 217 9 Of intervention group buttons, infrared movement ultimately supplied 46.8% were admitted to sensors and property exit participants for the trial hospital compared with sensors. • Environmental 49.2% of controls. This monitoring, including gas, 7 practice nurse difference was not monoxide and smoke statistically significant There detectors, heat sensors, were also no significant temperature extremes sensors differences in the number of and flood detectors weeks receiving domiciliary Standalone devices not • social care between groups linked to a monitoring centre, General practitioner contacts such as big button phones, were significantly higher key safes for careers and among intervention than memo minders. controls (incidence rate ratio: Data from the peripheral 1.18, 95% CI: 1.01–1.38, P = devices were sent to a 0.033), There were no
signs information and a text message component addressing symptoms, functional status, and medical regimen compliance. Steventon et al (2013) UK Cluster Randomised trial (n=2426) Telecare was compared with ‘usual care’ NR 2. Telecare using functional monitoring 3’Functional monitoring, including the ‘Lifeline’ base units and pendants, bed and chair occupancy sensors, enuresis sensors, epilepsy sensors, fall detectors and medication dispensers. • Security monitoring, including bogus caller buttons, infrared movement sensors and property exit sensors. • Environmental monitoring, including gas, monoxide and smoke detectors, heat sensors, temperature extremes sensors and flood detectors • Standalone devices not linked to a monitoring centre, such as big button phones, key safes for careers and memo minders. Data from the peripheral devices were sent to a 4. People with social care needs, aged over 18 5 people with social care needs e.g. minimum level of social care service, mobility difficulties; At risk of falling; cognitive impairment 6. All general practices in Cornwall, Kent and Newham with 238 practices allocated to control or intervention groups, of which 217 ultimately supplied participants for the trial 7 practice nurse 8. Followed up for 12 months proportion admitted to care Secondary endpoints included: mortality Health care utilization: number of weeks receiving domiciliary care, inpatient hospital bed days, emergency admissions, elective admissions, admissions for falls, outpatient attendances and accident and emergency visits. 9 Of intervention group 46.8% were admitted to hospital compared with 49.2% of controls. This difference was not statistically significant There were also no significant differences in the number of weeks receiving domiciliary social care between groups General practitioner contacts were significantly higher among intervention than controls (incidence rate ratio: 1.18, 95% CI: 1.01–1.38, P = 0.033), There were no 10. NR 11 Decision-making should wait until results relation to the quality of life, carer outcomes and experience are available 12NR 13. Telecare as implemented in the Whole Systems Demonstrator trial did not indicate any significant reductions in service use assessed over 12 months 14. No major recommendations
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