The Evaluation of MyPreOp, an Online Preoperative Assessment Tool

October 25, 2016 updated by: Michelle Cole

The Evaluation of MyPreOp© (Online Pre-assessment Tool) Over a Conventional Nurse Led Pre-assessment Clinic: a Pilot and Feasibility Study.

This pilot study will intend to assess the feasibility and acceptability of MyPreOp (online pre-operative assessment tool). The study will aim to assess the quality of the MyPreOp assessment in comparison to standard practice of a nurse led face to face assessment. The investigators will also assess the acceptability of MyPreOp amongst patient participants and staff participants.

Study Overview

Status

Terminated

Conditions

Intervention / Treatment

Detailed Description

MyPreOp is a patient online pre-assessment tool that has been developed as a means of an alternative to the current existing model of a nurse led pre-assessment service.

This pilot study will intend to assess the feasibility and acceptability of MyPreOp. The study will primarily evaluate the quality of the MyPreOp assessment in comparison to standard practice of a nurse led assessment. The investigators will also assess the acceptability of MyPreOp amongst patient participants and pre-assessment nurses and anaesthetists.

Participants will be recruited directly from the pre-assessment clinic. Consenting participants will alternate undergoing either the MyPreOp assessment or the nurse assessment first. Participants will complete the MyPreOp assessment on a computer device at the hospital. Participants will also complete a nurse led pre-assessment process as per standard practice. Following the completion of both the MyPreOp assessment and the nurse assessment, participants will be asked to complete a satisfaction questionnaire about their experience of using MyPreOp, together with further questions about their home internet access, usage and their preference of electronic or nurse led assessments.

Similarly pre-assessment nurses will review a random sample of MyPreOp assessments and complete a questionnaire about their views of the MyPreOp assessment summary and recommended actions.

The MyPreOp assessments will be compared with the nurse assessments through an independent adjudication process. Nominated adjudicators will be Consultant Anaesthetists with regular clinical duties in the pre-assessment clinic. Adjudicators will not be blinded with respects to the assessments so that the manner in which the patient data is presented can also be compared as well as the data itself. Adjudicators will assess the performance of the MyPreOp assessment in two domains, medical history and recommended investigations, and assign them into graded categories of over or under assessment, with or without clinical significance.

Study Type

Observational

Enrollment (Actual)

200

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

The study group will be taken from a single centre. The patient population will be patients being assessed prior to general, gynaecological, urological and orthopaedic surgery. The investigators selected this population as they represent a diverse sample of patients of both genders with a varying range of ages and co-morbidities for both ambulatory and inpatient surgery.

Description

Inclusion Criteria:

  • All patients due to see a pre-assessment nurse on that day
  • Read and able to write English
  • Lucid patients with mental capacity

Exclusion Criteria:

  • Patients unable to understand spoken or written English.
  • Not able to see a pre-assessment nurse on the same day
  • Patients too unwell or confused to be able to complete the questionnaire.
  • Patient refusal.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Case-Crossover
  • Time Perspectives: Prospective

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Patients attending the preoperative assessment clinic
Patients in preoperative assessment clinic
Device: MyPreOp assessment
MyPreOp is an online preoperative assessment programme created by a medical software company called Ultramed.
Other: Nurse led assessment
Standard practise is where patients undergo a face to face preoperative assessment led by a qualified nurse specialising in this field.
Other Names:
  • Standard

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
The event rate of MyPreOp assessments that are judged as under assessments that would affect perioperative management following an adjudication review
Time Frame: Through study completion,an average of 6 months
Through study completion,an average of 6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Percentage of participants requiring assistance to complete MyPreOp
Time Frame: Through study completion,an average of 6 months
Through study completion,an average of 6 months
The median time taken for a nurse assessment of the MyPreOp summaries
Time Frame: Through study completion,an average of 6 months
This will be collected from the nurse questionnaire data ie the nurse would report the time taken to assess the MyPreOp summaries. The investigators will not be directly measuring the time.
Through study completion,an average of 6 months
Patient satisfaction
Time Frame: Through study completion,an average of 6 months
Qualitative analysis of patient satisfaction when using MyPreOp. The data will be extracted from the patient satisfaction questionnaire.
Through study completion,an average of 6 months
Nurse satisfaction
Time Frame: Through study completion,an average of 6 months
Qualitative analysis of nurse satisfaction when evaluating the MyPreOp summaries. The data will be extracted from the nurse satisfaction questionnaire.
Through study completion,an average of 6 months
Anaesthetist satisfaction
Time Frame: Through study completion,an average of 6 months
Qualitative analysis of anaesthetic satisfaction when evaluating the MyPreOp summaries. The data will be extracted from the anaesthetic satisfaction questionnaire.
Through study completion,an average of 6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Michelle Cole

Investigators

  • Study Chair: Ramani Moonesinghe, FRCA MD(Res), Director UCL/UCLH Surgical Outcomes Resource Centre, Consultant Anaesthetics and Intensive Care Medicine, UCLH Honorary Lecturer

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

April 1, 2016

Primary Completion (Actual)

June 1, 2016

Study Completion (Actual)

June 1, 2016

Study Registration Dates

First Submitted

March 21, 2016

First Submitted That Met QC Criteria

March 25, 2016

First Posted (Estimate)

March 31, 2016

Study Record Updates

Last Update Posted (Estimate)

October 27, 2016

Last Update Submitted That Met QC Criteria

October 25, 2016

Last Verified

October 1, 2016

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 15/0795

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Yes

IPD Plan Description

The investigators plan to publish anonymised study results on the Surgical Outcome Research Centre website. http://www.uclsource.com/

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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