A Mobile Application for Post-op Analgesic Consumption
2019年10月6日 更新者：Boston University
A Mobile Application to Monitor Patient's Analgesic Consumption After Minor Oral Surgery.
Surgical extraction of third molars is one of the most common outpatient procedures performed by oral surgeons. The prescription of postoperative narcotic and NSAID analgesics is the standard of care practice to relieve symptoms of pain, swelling, and trismus after these procedures. The majority of these patients do not return for follow up unless they experience a problem. There is limited data on whether the patients use the narcotics as directed and what is their practice of disposal of the remaining medications that were not consumed.
In this research the effectiveness of postop analgesic consumption, analgesic disposal practice, pain control, and patient satisfaction will be compared between patients who are randomized to the intervention group who will use a developed mobile application and a control group who will not use the mobile app.
調査の概要
詳細な説明
A pilot randomized clinical trial will be conducted to determine if use of a mobile application improves adherence to narcotic analgesic use and their disposal and patient satisfaction post-surgical extraction of third molars in an outpatient setting.
Eligible consented subjects will be randomized into either the mobile app group or the control group.
Both groups will receive standard of care which includes prescription of postoperative narcotic and NSAID analgesics and usual postoperative instructions.For the mobile group, the Medable Axon Software developed by Stanford University will be used to customize a mobile application that will be used one week post surgery to monitor postoperative analgesic consumption and disposal practices, pain control, and patient satisfaction, In the control group, case report forms will be used to gather data from the electronic medical records and a telephone survey will be done one week post surgery to obtain data on patient satisfaction.
A total of 20 consecutive eligible patients will be enrolled in this pilot trial..
研究の種類
介入
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
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Massachusetts
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Boston、Massachusetts、アメリカ、02118
- Boston University Medical Campus
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年～40年 (大人)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- Patients between the age of 18-40 years
- Patients who require two mandibular third molars extracted
- Patients with a smartphone
Exclusion Criteria:
- Patients taking any recreational drugs and medications for chronic pain
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Mobile app group
In addition to receiving standard of care which includes prescription of postoperative narcotic and NSAID analgesics and usual postoperative instructions a customized mobile app will be downloaded to the participant's smartphone to application to monitor postoperative analgesic consumption, disposal and pain control and patient satisfaction for one week after surgery.
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A customized mobile application will be developed and downloaded to subjects; smartphones to monitor postoperative analgesic consumption, and disposal; pain control and patient satisfaction.
The mobile app will provide notifications for medications and select education links on the prescribed analgesics.
Subjects will receive reminders to take medications as directed.
Subjects will be able to monitor and report their pain during the first week after surgery.
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介入なし：Control group
The control group will receive the standard of care which includes prescription of postoperative narcotic and NSAID analgesics and usual postoperative instructions and a case report form will be used to gather data from the medical record and from a post op telephone survey a week after surgery..
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Assessment of quantity of postop analgesic (narcotic and non narcotic) medications used.
時間枠：At the end of 7 days
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Each patient will be given 18-24 tablets the prescription: 1. Acetaminophen with 5mg oxycodone 2. Acetaminophen with 5mg hydrocodone 3. Acetaminophen with 30 mg codine and asked to report each time they take a tablet via the app in the experimental group while the control group will answer the question how many tablets do you have remaining as part of the post survey at the end of 1 week.
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At the end of 7 days
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Assessment of change in Postoperative pain control
時間枠：Daily for 7 days post-op (experimental group) and At the end of 7 days (control group)
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The Short Form McGill Pain Questionnaire (SF-MPQ) will be used to assess post-op pain control.
It consists of 15 descriptors (11 sensory; 4 affective) which are rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate or 3 = severe.
Three pain scores are derived from the sum of the intensity rank values of the words chosen for sensory, affective and total descriptors.
Lower scores are associated with less pain..
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Daily for 7 days post-op (experimental group) and At the end of 7 days (control group)
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Satisfaction with the education received regarding the prescribed medications.
時間枠：Daily for 7 days post-op (experimental group) and At the end of 7 days (control group)
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Assessment of patient satisfaction using a survey.
For the subjects in the experimental group, they will be asked to complete a emoticon survey on the app which would correspond to the following descriptions: Excellent=4, good=3, average=2, poor=1.The subjects in the control group will be asked the same question as part of the post satisfaction survey without the emoticons as a sentence question.
A lower score indicates low satisfaction.
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Daily for 7 days post-op (experimental group) and At the end of 7 days (control group)
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Use of the analgesic and post-op care education links on the mobile app.
時間枠：Daily for 7 days post-op (experimental group) and At the end of 7 days (control group)
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Educational links will be available to view as part of the app and usage will be monitored by website traffic.
Higher numbers would indicate greater usage of educational links.
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Daily for 7 days post-op (experimental group) and At the end of 7 days (control group)
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
捜査官
- スタディディレクター：Radhika Chigurupati, DMD, MS、Boston University Medical Campus
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (予想される)
2019年10月1日
一次修了 (予想される)
2020年9月1日
研究の完了 (予想される)
2020年9月1日
試験登録日
最初に提出
2017年6月21日
QC基準を満たした最初の提出物
2017年6月22日
最初の投稿 (実際)
2017年6月23日
学習記録の更新
投稿された最後の更新 (実際)
2019年10月8日
QC基準を満たした最後の更新が送信されました
2019年10月6日
最終確認日
2019年10月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
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