TEC4home: A Case Study of Implementing a Stepped Wedge Trial in BC - Learnings and Practical Considerations from a “Real-world” Clinical Trial

May 27, 2019 - 12:00pm to 1:00pm
700-828 W. 10 Ave., VGH Research Pavilion
Helen Novak Lauscher

TEC4Home Heart Failure is a randomized controlled trial studying how home health monitoring can support the transition of care from hospital to home. The goal of TEC4Home is to reduce the number of 90-day emergency department revisits and readmissions, and increase the quality of life for patients with Heart Failure. The 4-year research project is currently recruiting participants from 20 hospital sites across 4 Health Authorities in BC.

The presentation will highlight the collaborative approach and practical considerations undertaken while implementing this multi-centre, cross-health authority real-world trial. We will examine the TEC4Home experience in: incorporating learnings from its Phase 1 feasibility study; selecting the stepped wedge design for the Phase 2 RCT; navigating harmonized ethics and privacy; site engagement and change management; building distributed research capacity; ensuring patient relevance through engagement of integrated patient advisory; and adapting and aligning to changing priorities and needs.

Learning Objectives:

  1. Provide an example of how multi-sectoral, multi-disciplinary, and multi-level collaboration and integrated knowledge translation is vital to carrying out a complex real-world clinical trial.
  2. Share and discuss practical considerations of carrying out a stepped-wedge home health monitoring trial through illustrative case examples and experiences in TEC4Home.