Proactive Telemedicine to Improve Healthcare Access and Prevention in Rural Primary Care (PTM)

The study evaluates whether Proactive Telemedicine (PTM) can improve healthcare access for individuals who have not contacted their primary care team for at least one year, compared with face-to-face visits. PTM consists of brief, remote behavioral interventions addressing modifiable risk factors such as tobacco use, alcohol consumption (AUDIT-C: Alcohol Use Disorders Identification Test - Consumption), physical activity (IPAQ: International Physical Activity Questionnaire), and Mediterranean diet adherence (PREDIMED: Prevención con Dieta Mediterránea). PTM follows national preventive protocols including PAPPS (Programa de Actividades Preventivas y de Promoción de la Salud) and uses validated tools such as EuroQol-5D-5L (EQ-5D-5L) to measure healthcare accessibility and quality-of-life outcomes. This randomized non-inferiority trial aims to determine whether PTM is as effective and safe as traditional in-person consultations.

NCT Number	NCT07299201
Lead Sponsor	Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina Collaborators: Institut Catala de Salut
Conditions	Primary Health Care, Telemedicine, Face to Face Consultation, Health Care Access, Prevention, Quality of Life, Adverse Effects, Cardiovascular (CV) Risk +2 more
Enrollment	120 participants
Start Date	2024-06-25
Primary Completion	2025-07-16 (estimated)
Study Completion	2026-03-16 (estimated)
Updated on ClinicalTrials.gov	2025-12-23