Implementation of Clinical Studies Using a Telemedicine System
The aim of the plan is to conduct pilot and subsequently full-fledged clinical studies based on the collection of data from the daily life of patients with chronic diseases. For this purpose, the Diani telemedicine system is used with modules aimed at patients with diabetes, hypertension and patients in whom the level of physical activity needs to be monitored on an ongoing basis.
The Diani telemedicine system is built on the core of the SeniorInspect system, which has been developed since 2010. The SeniorInspect system, later renamed Protect, is a technology ensuring the operation of the mobile assistance service of the same name for seniors. The Diani system is a telemedicine extension that enables the automated collection of a range of health information about patients with chronic diseases. This information is collected using a mobile application or mini-PC located at the patient‘s home or in a medical facility. Data are collected from devices such as glucometers, tonometers, bio impedance scales, smart bracelets, electronic diaries or a questionnaire system. The data is then stored in the cloud and presented to patients, doctors or caregivers. Data can also be sent automatically to hospital information systems.
Using the Diani system, a SOMA clinical study was carried out aimed at monitoring the physical activity of patients hospitalized at the Bohnice Psychiatric Hospital. Furthermore, the system was used in a pilot project of telemedicine, which was implemented by the City of Prague. The system is also actively used in two ongoing clinical trials, one aimed at optimizing treatment and controlling the treatment regimen of patients with diabetes and the other at patients with hypertension. The system is also used in a clinical study verifying the accuracy of smart bracelets in patients with a gait stereotype disorder, which is currently underway at the Kladruby Rehabilitation Institute.
Research and development were supported by Operational Programme Prague – Growth Pole of the Czech Republic, Operational Programme Enterprise and Innovation for Competitiveness and Grant Agency of Charles University.