Symptoms and General Pathology

All Conditions

Rare Diseases

Chronic Disease

Chronic Graft Versus Host Disease

The randomization is at the level of attending healthcare professional who identifies patients for recruitment. For each participant in the intervention arm, a secure space (called a Patient Loop) is created in the online clinical communication system. A Patient Loop can be accessed by the patient, their caregiver, and the healthcare providers who have permission to do so through an algorithm of invitation, authentication and careful partitioning. In each Patient Loop, team members can post messages that can be read and responded to by the entire team. Each Patient Loop consists of a patient, their caregiver and at least two healthcare professionals.

Loop is a secure online communication system centered on the patient that assembles the patient's actual healthcare team for ongoing collaborative care. The patient and caregiver are integral members of the team. Loop is cross-organizational, cross-setting and interprofessional. It is for ongoing, interactive, contextual, team-based communication. Loop is explicitly for asynchronous communication, not instant messaging. The stream of messages is stored and can be sorted for ease of viewing. The tool was developed with user-centred design and requires no prior training.

Loop

Amna Husain, MD MPH

This project will pilot and test a new online communication tool, Loop, developed within a research framework with participatory and user-centred design. This pilot trial focuses on advanced cancer as an example of complex care. Cancer care involves many healthcare providers, spanning hospital to home. There is no organized way for them to communicate. Loop is a practical tool for ongoing collaboration in the patient's actual team of care that engages patients. The study will answer the questions: does Loop improve communication efficiency, engage patients and family physicians, and show early benefits in quality and health care costs?

My Team of Care: a Pilot Randomized Controlled Trial of an Online Communication Tool for Collaborative Care

My Team of Care (MyTOC) Trial: a Pilot Randomized Controlled Trial of an Online Communication Tool (Loop) for Collaborative Care in Complex Patients

Healthcare providers will be enrolled in the study for between 3 months and 1 year

A 12 item questionnaire measuring patient-reported quality of care

An 8 item questionnaire measuring patient-perceived continuity and coordination of care

Measure of ambulatory, home-based and acute care health services utilization, and associated public and private costs

A 10 item questionnaire measuring symptom intensity

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
My Team of Care: a Pilot Randomized Controlled Trial of an Online Communication Tool for Collaborative Care	NCT02372994	Neoplasms Communication	Loop	18 Years -	Mount Sinai Hospital, Canada
My Team of Care: a Pilot Randomized Controlled Trial of an Online Communication Tool for Collaborative Care	NCT02372994	Neoplasms Communication	Loop	18 Years -	Mount Sinai Hospital, Canada

Spots Global Cancer Trial Database for cost effectiveness analysis