title: A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: protocol for the whole systems demonstrator cluster randomised trial.
abstract: BACKGROUND
  It is expected that increased demands on services will result from expanding numbers of older people with long-term conditions and social care needs. There is significant interest in the potential for technology to reduce utilisation of health services in these patient populations, including telecare (the remote, automatic and passive monitoring of changes in an individual's condition or lifestyle) and telehealth (the remote exchange of data between a patient and health care professional). The potential of telehealth and telecare technology to improve care and reduce costs is limited by a lack of rigorous evidence of actual impact.
  
  
  METHODS
  We are conducting a large scale, multi-site study of the implementation, impact and acceptability of these new technologies. A major part of the evaluation is a cluster-randomised controlled trial of telehealth and telecare versus usual care in patients with long-term conditions or social care needs. The trial involves a number of outcomes, including health care utilisation and quality of life. We describe the broad evaluation and the methods of the cluster randomised trial
  
  
  CONCLUSIONS
  If telehealth and telecare technology proves effective, it will provide additional options for health services worldwide to deliver care for populations with high levels of need.
  
  
  BACKGROUND
  Current Controlled Trials ISRCTN43002091.
authors.affiliation: Health Sciences Research Group, University of Manchester, Manchester, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Bower
authors.forename: Martin
authors.initials: M
authors.lastname: Cartwright
authors.forename: Shashivadan P
authors.initials: SP
authors.lastname: Hirani
authors.forename: James
authors.initials: J
authors.lastname: Barlow
authors.forename: Jane
authors.initials: J
authors.lastname: Hendy
authors.forename: Martin
authors.initials: M
authors.lastname: Knapp
authors.forename: Catherine
authors.initials: C
authors.lastname: Henderson
authors.forename: Anne
authors.initials: A
authors.lastname: Rogers
authors.forename: Caroline
authors.initials: C
authors.lastname: Sanders
authors.forename: Martin
authors.initials: M
authors.lastname: Bardsley
authors.forename: Adam
authors.initials: A
authors.lastname: Steventon
authors.forename: Raymond
authors.initials: R
authors.lastname: Fitzpatrick
authors.forename: Helen
authors.initials: H
authors.lastname: Doll
authors.forename: Stanton
authors.initials: S
authors.lastname: Newman
mesh_terms: D002908:Chronic Disease; D016000:Cluster Analysis; D005069:Evaluation Studies as Topic; D006301:Health Services Needs and Demand; D006801:Humans; D008991:Monitoring, Physiologic; D012107:Research Design; D012944:Social Support; D017216:Telemedicine