Blood and Lymph Conditions

Diseases and Abnormalities at or Before Birth

All Conditions

Respiratory Tract (Lung and Bronchial) Diseases

Immune System Diseases

Nutritional and Metabolic Diseases

Symptoms and General Pathology

Rare Diseases

Anemia, Sickle Cell

Asthma

Metabolism, Inborn Errors

Anemia

Hemolysis

Anemia, Hemolytic

Anemia, Hemolytic, Congenital

Hematologic Diseases

Hemoglobinopathies

Genetic Diseases, Inborn

Metabolic Diseases

Sickle Cell Anemia

Participants will be receiving their standard medical care.

Participants will be receiving the intervention on top of their standard medical care.

A sphygmanometer, a digital thermometer, a pulse oximeter and a peak flow meter will be given to participants in the intervention arm to use during their telemedicine consultations with health care providers.

A sphygmanometer, a digital thermometer, a pulse oximeter and a peak flow meter will be given to participants to use during their telemedicine consultations with health care providers.

Maria Ntessalen

Peter Murchie

This project assesses feasibility of providing medically vulnerable rural patients with Medical-Self-Assessment-Boxes containing equipment to use at home during telephone and video consultations (telemedicine) with GPs and other healthcare professionals. COVID-19 has caused an upsurge in primary care telemedicine which the investigators believe can be sustained and optimized to make things better for medically vulnerable rural patients beyond the pandemic. The investigators will achieve this by equipping the participants to self-measure and report key clinical measurements (e.g. blood pressure, temperature, oxygen levels) during telemedicine consultations. Before conducting a major evaluation of the Medical-Self-Assessment-Box for medically vulnerable rural patients the investigators must establish three things: First, to show the investigators can issue a Medical-Self-Assessment-Box to medically vulnerable rural patients and enable them to use it properly. Second, to determine that patients can use the Medical-Self-Assessment-Box effectively during telemedicine consultations. Third, to show that it is possible to measure how well the Medical-Self-Assessment-Box is working by counting how often the boxes are being used and whether use is appropriate and helpful. The knowledge gained will provide the investigators with the information needed to develop a funding proposal to evaluate Medical-Self-Assessment-Boxes for medically vulnerable rural patients in the whole of the UK.

ORCHARD- Optimising Home Assessment of Rural Patients

Optimising Remote Consulting and Home Assessment of Medically Vulnerable Rural Patients During Unscheduled and Planned Primary Care- Assessing Feasibility of the ORCHARD Intervention

The questionnaire will assess use of equipment, perception of how helpful the equipment was for the consultation and the reasons why it was helpful.

Qualitative data collected at the end of the study according to a topic guide.

Number of Scottish ambulance service call-outs

Number of face-to-face paramedic assessment

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
ORCHARD- Optimising Home Assessment of Rural Patients	NCT05732922	Organ Transplan... Cancer Inborn Errors o... Immunosuppressi... COPD Asthma Sickle Cell Dis...	A sphygmanomete...	18 Years - 100 Years	University of Aberdeen
ORCHARD- Optimising Home Assessment of Rural Patients	NCT05732922	Organ Transplan... Cancer Inborn Errors o... Immunosuppressi... COPD Asthma Sickle Cell Dis...	A sphygmanomete...	18 Years - 100 Years	University of Aberdeen
ORCHARD- Optimising Home Assessment of Rural Patients	NCT05732922	Organ Transplan... Cancer Inborn Errors o... Immunosuppressi... COPD Asthma Sickle Cell Dis...	A sphygmanomete...	18 Years - 100 Years	University of Aberdeen

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