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CompletedNCT02173002myIBDcoachUpdated Mar 28, 2017

Integrated Care for Inflammatory Bowel Disease Patients in the Netherlands With the Novel Telemedicine Tool myIBDcoach: a Randomized Controlled Trial

An interventional study of myIBDcoach and Standard care in Inflammatory Bowel Disease, sponsored by Maastricht University Medical Center. Completed at 1 site in Netherlands. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-03-28.

Sponsored by Maastricht University Medical Center · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
909
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Inflammatory bowel diseases (IBD) is an invalidating disease mainly diagnosed in young people. The disease is characterized by a heterogenic phenotype and the disease course by flares and remissions. As in most chronic diseases the economic burden of IBD is important due to direct health care costs and disability. Health care reorganization for IBD patients in the Netherlands is necessary for several reasons. First chronic (sub)clinical mucosal inflammation results in irreversible bowel damage and complications and none of the presently available drugs is effective for all patients and many drugs have possible severe side effects. To prevent complications of the disease and side effects IBD should be monitored carefully. In the Netherlands however there is a shortage of gastroenterologists where the incidence of IBD is rising. Secondly evidence exists that direct involvement of health care workers, patient empowerment and integrated care can improve the outcome of chronic diseases. Thirdly many clinically relevant aspects (e.g. malnutrition) of this complex disease are not systematically followed in routine care. Finally the government demands registration of efficacy endpoints for expensive drugs in the near future. Therefore the investigators developed a web-based Telemedicine tool for IBD patients in collaboration with the Dutch IBD patient's organization (CCUVN). "myIBcoach" contains E-learning modules, monitors disease activity, disability, quality of life, adherence, infections, smoking status, side effects, stress and malnutrition on fixed time points with validated questionnaires, allows the patient to communicate with health care workers and gives feedback to the back office and the patient. A feasibility study in 30 IBD patients in 3 centres showed a high satisfaction and compliance of IBD-patients and health care workers with this telemedicine tool.

The aim of this study is to compare standard care for IBD patients in 3 hospitals with a care via the telemedicine tool myIBDcoach.

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Conditions studied

  • Inflammatory Bowel Disease

Keywords

  • Telemedicine
  • Patient empowerment
  • Integrated care
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In context

Intestinal Diseases

964 studies on the registry are indexed under Intestinal Diseases; 176 are open to participants now.

This study's enrollment of 909 is above the median of 70 across 552 interventional studies indexed under Intestinal Diseases.

Browse Intestinal Diseases studies →

Lead sponsor

Maastricht University Medical Center is the lead sponsor of 835 studies on the registry; 122 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosed IBD
  • Age 18-75 years
  • Patients who have access to internet by computer, tabloid or smartphone

Exclusion criteria

Exclusion Criteria:

  • Not able to give informed consent
  • Not able to understand and use the Dutch language
  • In the two weeks after a hospital admission patients can not be included
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
909 participants (actual)

Study arms

  • Active comparator
    Standard care

    Standard care

    Other: Standard care

  • Experimental
    myIBDcoach

    myIBDcoach

    Other: myIBDcoach

Interventions

  • OthermyIBDcoach
  • OtherStandard care
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What researchers measure

Primary outcomes

  1. Outpatient hospital visits

    Amount of outpatient hospital visits between the two study-arms

    Time frame: 1 year

  2. Satisfaction

    Questionnaire: Patient reported satisfaction with IBD care 0-10

    Time frame: 1 year

Secondary outcomes

  1. Complications (hospital admissions)

    Hospital admission rate

    Time frame: 1 year

  2. Compliance with IBD care

    Time frame: 1 year

  3. Quality of care

    Questionnaire: patient reported quality of care 0-10

    Time frame: 1 year

  4. Disease specific knowledge

    Questionnaire: How do you score your IBD specific knowledge on a scale from 0-10?

    Time frame: 1 year

  5. Knowledge about treatment

    Questionnaire: How do you score your knowledge about the medication you use on a scale from 0-10?

    Time frame: 1 Year

  6. Medication Adherence

    Morisky Medication Adherence Scale

    Time frame: 1 year

  7. Quality of life

    Short IBD questionnaire EQ-6D

    Time frame: 1 year

  8. Disease activity

    Monitor IBD At Home score

    Time frame: 1 year

  9. Smoking

    Change of smoking habits after 1 year

    Time frame: 1 year

  10. Health care consumption

    Questionnaire every 3 months

    Time frame: 1 year

  11. Self-efficacy

    IBD self-efficacy scale

    Time frame: 1 year

07

Study locations

1 site
  • Maastricht University
    Maastricht, Netherlands
08

References and documents

Publications

  • de Jong MJ, Boonen A, van der Meulen-de Jong AE, Romberg-Camps MJ, van Bodegraven AA, Mahmmod N, Markus T, Dijkstra G, Winkens B, van Tubergen A, Masclee A, Jonkers DM, Pierik MJ. Cost-effectiveness of Telemedicine-directed Specialized vs Standard Care for Patients With Inflammatory Bowel Diseases in a Randomized Trial. Clin Gastroenterol Hepatol. 2020 Jul;18(8):1744-1752. doi: 10.1016/j.cgh.2020.04.038. Epub 2020 Apr 23. PubMed 32335133 ↗
  • de Jong MJ, van der Meulen-de Jong AE, Romberg-Camps MJ, Becx MC, Maljaars JP, Cilissen M, van Bodegraven AA, Mahmmod N, Markus T, Hameeteman WM, Dijkstra G, Masclee AA, Boonen A, Winkens B, van Tubergen A, Jonkers DM, Pierik MJ. Telemedicine for management of inflammatory bowel disease (myIBDcoach): a pragmatic, multicentre, randomised controlled trial. Lancet. 2017 Sep 2;390(10098):959-968. doi: 10.1016/S0140-6736(17)31327-2. Epub 2017 Jul 14. PubMed 28716313 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 28, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02173002
Lead sponsor
Maastricht University Medical Center
Responsible party
Sponsor
First posted
Jun 24, 2014
Start date
Jul 2014
Primary completion
Jul 2016
Completion
Jul 2016
Last update
Mar 28, 2017

Study contacts

M. Pierik, MD, PhD
principal investigator · Maastricht University Medical Centre

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.

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