A Mobile Device App to Improve Adherence to an Enhanced Recovery Program for Colorectal Surgery
A Mobile Device App to Improve Adherence to an Enhanced Recovery Program for Colorectal Surgery: A Randomized Control Trial
연구 개요
상세 설명
Introduction: Enhanced Recovery Programs (ERP) in colorectal surgery reduce postoperative morbidity and shorten length of hospital stay with no increase in readmission rates. However, poor adherence to ERP elements remains a challenge. Recent studies suggest that the use of mobile device applications has the potential to improve patient compliance with treatment guidelines. We recently developed and pilot tested a mobile app to support an ERP for colorectal surgery which collects patient-reported recovery information and engages patients as stakeholders in their recovery process. The overall aim of this study is to estimate the extent to which the use of this mobile device app impacts adherence to postoperative ERP elements in comparison to standard preoperative education.
Methods. The proposal is for a two-group, assessor-blind, randomized trial including adult patients with colorectal diseases planned for surgical resection.
Participants will be randomly assigned into one of two groups:
- usual perioperative education and audit, or
- a mobile device application for postoperative education and self-audit.
The intervention will be delivered through a tablet present at the bedside with an application which links education, recovery planning, and daily self-assessment to a plan of care. It educates patients about daily recovery milestones and track their adherence. The primary outcome will be patient adherence to postoperative enhanced recovery elements. Other targeted outcomes include self-reported recovery, satisfaction and patient activation. According to an a priori power analysis, a sample of 104 patients (52 per group) is targeted for this trial.
Significance: This study will contribute evidence regarding the use of mobile device technology for education and the direct involvement of patients as stakeholders in postoperative recovery.
The study findings have the potential to increase patient engagement in the care pathway, which has the potential to increase compliance to pathway elements and improve postoperative outcomes.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
-
-
Quebec
-
Montréal, Quebec, 캐나다, h3g1a4
- Montreal General Hospital
-
-
참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- elective laparoscopic colorectal resection.
- Proficient in english or french
Exclusion Criteria:
- intellectual disabilities
- major simultaneous procedures
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
가짜 비교기: control
Patients receive an ipad with no app.
|
Patient receive an ipad with no application.
|
|
실험적: Mobile application no stoma
Patients who did not receive a stoma receive an ipad containing the app and are instructed how to use it.
|
A mobile application designed specifically for colorectal patients treated within an enhanced recovery pathway.
Contains information, guidelines, questionnaires and feedback
|
|
실험적: Mobile application stoma
Patients who receive a stoma receive an ipad containing the app and are instructed how to use it.
|
A mobile application designed specifically for colorectal patients treated within an enhanced recovery pathway.
Contains information, guidelines, questionnaires and feedback
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Completion of 5 patient-dependent pathway interventions that involve patient participation on the initial 48 hrs after surgery.
기간: postoperative day 2
|
Questionnaire including 5 pathway interventions that involve patient participation during the first 48 hours after surgery (mobilization, gum chewing, consumption of oral liquids, breathing exercises, nutritional supplement).
|
postoperative day 2
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Length of stay
기간: one month
|
Number of days spent in the hospital after surgery
|
one month
|
|
Complications
기간: one month
|
Comprehensive complication index (CCI)
|
one month
|
|
Successful Recovery
기간: postoperative day 4
|
Discharge by postoperative day 4 with no complications.
|
postoperative day 4
|
공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
결장직장 장애에 대한 임상 시험
-
Jordi Zaragoza아직 모집하지 않음
Control.에 대한 임상 시험
-
Gonzalo Jorquera, PhDUniversidad de Valparaiso완전한
-
Anglia Ruskin UniversityDanone Global Research & Innovation Center완전한
-
Hacettepe University아직 모집하지 않음
-
Ryme Medical, Inc.아직 모집하지 않음COPD | 폐질환, 만성 폐쇄성 | COPD 환자 | COPD 급성 악화 | COPD(만성폐쇄성폐질환) | 폐 질환 항공 | COPD 악화
-
Indiana UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)종료됨
-
Khyber Medical University PeshawarKhyber Teaching Hospital; Northwest General Hospital and Research centre모병
-
Rethink Medical SLEvidenze Health España (CRO); Centro para el Desarrollo Tecnológico y la Innovación (CDTI)...정지된
-
University of Sao PauloGrand Challenges Canada; Fundaçao Maria Cecilia Souto Vidigal빼는