- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05990946
Smartphone-based Remote Symptom Monitoring to Improve Postoperative Rehabilitation Exercise Adherence After Video-assisted Thoracic Surgery (VATS) for Lung Cancer
March 8, 2024 updated by: Xiaojuan Yang, Zhongshan People's Hospital, Guangdong, China
A Prospective, Randomized, Controlled Study to Evaluate the Impact of Remote Symptom Management Via Smartphone App Based on Electronic Patient-Reported Outcomes on Rehabilitation Exercise Adherence After Minimally Invasive Surgery in Lung Cancer Patients
Brief Summary: This randomized controlled trial aims to evaluate whether active remote symptom monitoring and management via a smartphone app utilizing electronic patient-reported outcomes (ePRO) can improve adherence to prescribed outpatient pulmonary rehabilitation exercises among postsurgical lung cancer patients.
Eligible patients will use the app for perioperative care and be randomized to an intervention group receiving ePRO-based symptom monitoring with clinician feedback or a control group receiving ePRO without feedback.
The primary outcome is rehabilitation exercise adherence rate over 1 month after discharge.
If proven effective, the app-enabled remote rehabilitation model can be scaled up to enhance recovery for more postoperative patients.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Adherence to postoperative pulmonary rehabilitation exercises is crucial but challenging to address in lung cancer patients after hospital discharge.
Pain, fatigue, cough and other symptoms may hinder adherence.
This study will enroll 224 patients undergoing Video-assisted thoracic surgery (VATS) for lung Cancer.
All patients will use a smartphone app for perioperative care and periodic PRO measurement.
Before discharge, patients will be randomized 1:1 to an intervention group or control group.
The intervention group will complete ePRO symptom severity scores on the PSA-Lung Scale questionnaire on discharge and post-discharge days 3, 7, 14, 21, 28.
Alerts are triggered if any of 5 core symptoms scored ≥4, prompting remote clinician feedback and guidance.
The control group will complete ePRO without clinician alerts.
The primary outcome is rehabilitation exercise adherence rate over 1 month after discharge.
Secondary outcomes include postoperative complications, hospital readmissions, symptom changes, exercise participation rate, and patient satisfaction.
If proven effective, this innovative rehabilitation model can be scaled up to enhance recovery for more postoperative patients.
Study Type
Interventional
Enrollment (Estimated)
238
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Xiaojuan Yang
- Phone Number: +86 0760-88823566
- Email: 1002381745@qq.com
Study Locations
-
-
Guangdong
-
Zhongshan, Guangdong, China, 528403
- Recruiting
- No.2 Sunwen East Rd.
-
Contact:
- Xiaojuan Yang
- Phone Number: +86 0760-88823566
- Email: 1002381745@qq.com
-
-
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
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age 18-75 years old
- Undergoing minimally invasive lung cancer resection
- Able to use smartphones and complete electronic questionnaires
- Signed informed consent
Exclusion Criteria:
- conversions to open thoracotomy during surgery
- ECOG score > 1
- Received neoadjuvant therapy
- Previous lung resection surgery
- Unable to exercise due to physical limitations
- Continuous systemic corticosteroid use within 1 month before enrollment
- Unresolved toxicity above Grade 1 from previous treatments
- Significant comorbidities or medical history
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
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention Group
Participants randomized to the intervention group will complete ePRO symptom severity scores on the PSA-Lung questionnaire via the smartphone app on discharge and post-discharge days 3, 7, 14, 21, 28.
Alerts are triggered if any of 5 core symptoms scored ≥4, prompting remote clinician feedback and guidance on symptom management.
|
Alerts are triggered if any of 5 core symptoms scored ≥4, prompting remote clinician feedback and guidance on symptom management.
This is facilitated through the "Shuyu" mobile application, which serves as the platform for monitoring symptoms and communication.
Other Names:
|
No Intervention: Control Group
Participants randomized to the control group will complete ePRO symptom severity scores on the PSA-Lung questionnaire via the smartphone app on discharge and post-discharge days 3, 7, 14, 21, 28, without clinician alerts.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rehabilitation exercise adherence rate over 1 month after discharge
Time Frame: From the day of discharge to 30 days after discharge
|
Rehabilitation exercise adherence rate over 1 month after discharge, defined as the proportion of patients completing the prescribed outpatient exercise regimen.
|
From the day of discharge to 30 days after discharge
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Post-discharge pulmonary complication rate
Time Frame: From the day of discharge to 30 days after discharge
|
From the day of discharge to 30 days after discharge
|
30-day hospital readmission rate
Time Frame: From the day of discharge to 30 days after discharge
|
From the day of discharge to 30 days after discharge
|
Changes in symptom severity scores from discharge to 30 days
Time Frame: From the day of discharge to 30 days after discharge
|
From the day of discharge to 30 days after discharge
|
Patient satisfaction scores
Time Frame: From the day of discharge to 30 days after discharge
|
From the day of discharge to 30 days after discharge
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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 (Actual)
June 1, 2023
Primary Completion (Estimated)
April 30, 2024
Study Completion (Estimated)
June 30, 2024
Study Registration Dates
First Submitted
August 6, 2023
First Submitted That Met QC Criteria
August 6, 2023
First Posted (Actual)
August 14, 2023
Study Record Updates
Last Update Posted (Actual)
March 12, 2024
Last Update Submitted That Met QC Criteria
March 8, 2024
Last Verified
March 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- K2022-285
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
Not available.
The individual participant data collected in this study will not be shared with external researchers.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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