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Patient-Centred Perioperative Mobile Application

19. november 2018 oppdatert av: IWK Health Centre

Patient-Centered Perioperative Care Through Mobile Application: Patient Engagement Prospective Cohort Study in Elective Cesarean Delivery Patients

With increasingly more complex surgical patients and the trend toward decreased hospital stay after operations, continuity of care and prompt management of symptoms and side effects perioperatively are ever more crucial. The investigators' goal is to improve perioperative care with a patient-centred mobile application, starting with a pilot in patients undergoing elective Cesarean delivery. The investigators have completed a research study where they created a prototype based on feedback from patients and anesthesiologists. In this study, the investigators would like to learn about how patients use our mobile application after delivery and how the mobile application can be integrated into daily practice.

Studieoversikt

Status

Ukjent

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

The objective of this cohort study is to build the mobile application and evaluate its feasibility in providing patient education and reminders for self-monitoring for cesarean delivery patients. The investigators will measure the extent of patient engagement with our application through in-app usage data, as well as receive quantitative and qualitative feedback regarding feasibility. By understanding user behavior and needs through questionnaires and application usage data, the investigators could design more effective and tailored interventions for patients. Results of this study will help further development and implementation of an interdisciplinary mobile monitoring and communication platform for perioperative care.

This study is funded by the Dalhousie University Department of Anesthesia, Pain Management & Perioperative Medicine.

Studietype

Observasjonsmessig

Registrering (Forventet)

36

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Canada
    • Nova Scotia
      • Halifax, Nova Scotia, Canada, B3K 6R8
        • Rekruttering
        • Women's and Obstetric Anesthesia, IWK Health Centre
        • Ta kontakt med:
          • Janny X Ke, MD
        • Underetterforsker:
          • Ronald B George, MD FRCPC
        • Underetterforsker:
          • Lori Wozney, PhD

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Hunn

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Elective Cesarean delivery patients at the IWK Health Centre

Beskrivelse

Inclusion Criteria:

Part 1 (screened by asking nurse)

  • Patient scheduled for elective Cesarean delivery
  • Age equal or greater than 18
  • American Society of Anesthesiologists (ASA) Physical Status I-III (i.e. not in life-threatening situation)

Part 2 (screened in person)

  • Possesses an iOS Smartphone with active data plan and access to WiFi, and self-reported use of it on a regular basis (at this stage in development, the mobile application prototype is only available on iOS)
  • Self-reported proficiency with Smartphone and mobile applications
  • Reported fluency in English

Exclusion Criteria:

Self-reported physical or psychiatric condition that may impair the ability to use the mobile application, answer questionnaires and surveys, and/or provide insights representative of the general population, such as blindness, under current influence of recreational drugs or alcohol.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

Gruppe / Kohort
Intervensjon / Behandling
C-Care Mobile Application
Annen: C-Care Mobile Application
C-care is a mobile application developed based on previous research at the IWK Health Centre. It contains topics relevant to Cesarean delivery and the recovery process, which the patient could access at anytime. Patient engagement with the application will be monitored anonymously for 30 days after delivery. On days one to five after delivery, patients will receive a short self-monitoring questionnaire (approximately 1 minute). At the end of two weeks (14 days), patients will complete an online survey regarding overall satisfaction, potential impact on care, usability and feasibility problems. At any point during the study, patients can email us to report any problems with the application.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Median number of information topics viewed per participant
Tidsramme: 30 days
Quantitative mobile application usage data
30 days
Median number of self-monitoring questionnaires completed per participant
Tidsramme: 30 days
Quantitative mobile application usage data
30 days
Median number of total visits to the mobile application per participant
Tidsramme: 30 days
Quantitative mobile application usage data
30 days
Satisfaction score (scale of 0 to 10, 10 being extremely satisfied, 0 being not satisfied)
Tidsramme: 2 to 3 weeks
Quantitative responses from survey
2 to 3 weeks
Percentage of participants who would recommend the C-Care App to other women undergoing Cesarean delivery
Tidsramme: 2 to 3 weeks
Quantitative responses from survey
2 to 3 weeks
Percentage of self-monitoring questionnaires completed (out of 5) per participant
Tidsramme: 30 days
Quantitative mobile application usage data
30 days

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Which topics were viewed the most (rank by topic name and by postoperative day)
Tidsramme: 30 days
Quantitative mobile application usage data
30 days
Which self-monitoring questionnaires were filled the most (rank by postoperative day number)
Tidsramme: 30 days
Quantitative mobile application usage data
30 days
Incidence of important potential anesthetic-related problems entered by the patient (pain, headache, weakness and numbness)
Tidsramme: 30 days
Quantitative mobile application usage data
30 days
Time of the day patient visited site (scatter plot of Nova Scotia time vs. # visits) - one visit = at least one interaction within app, e.g. opening a topic, navigating within app
Tidsramme: 30 days
Quantitative mobile application usage data
30 days
Time of the day patient filled out the questionnaire
Tidsramme: 30 days
Quantitative mobile application usage data
30 days
Number of visits vs. postoperative day
Tidsramme: 30 days
Quantitative mobile application usage data
30 days
Median duration (number of days starting from delivery date until the last day of visit) patient interacted with application.
Tidsramme: 30 days
Quantitative mobile application usage data
30 days
% participant who responded "yes" to the question that C-Care App provided them with knowledge about Cesarean delivery and anesthesia
Tidsramme: 2 to 3 weeks
Quantitative responses from survey
2 to 3 weeks
% participant who responded "yes" to the question that C-Care App provided them with knowledge about potential complications to monitor for
Tidsramme: 2 to 3 weeks
Quantitative responses from survey
2 to 3 weeks
% participant who responded "yes" to the question that C-Care App provided them with knowledge about the recovery process after Cesarean delivery
Tidsramme: 2 to 3 weeks
Quantitative responses from survey
2 to 3 weeks
Anything the patient wanted to change about this application, in terms of content, navigation, appearance, and overall experience?
Tidsramme: 2 to 3 weeks
Qualitative responses from survey
2 to 3 weeks
If the patient did not use the mobile application, what were the reasons?
Tidsramme: 2 to 3 weeks
Qualitative responses from survey
2 to 3 weeks
How could we make the mobile application more helpful for the patient?
Tidsramme: 2 to 3 weeks
Qualitative responses from survey
2 to 3 weeks
What do patients think about the name of this App, "C-Care"? Do they have any other suggestions for our name/logo?
Tidsramme: 2 to 3 weeks
Qualitative responses from survey
2 to 3 weeks
Any other comments and/or suggestions
Tidsramme: 2 to 3 weeks
Qualitative responses from survey
2 to 3 weeks

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

IWK Health Centre

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Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Forventet)

19. november 2018

Primær fullføring (Forventet)

1. mars 2019

Studiet fullført (Forventet)

1. april 2019

Datoer for studieregistrering

Først innsendt

5. november 2018

Først innsendt som oppfylte QC-kriteriene

19. november 2018

Først lagt ut (Faktiske)

20. november 2018

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

20. november 2018

Siste oppdatering sendt inn som oppfylte QC-kriteriene

19. november 2018

Sist bekreftet

1. november 2018

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Andre studie-ID-numre

  • IWK1023201

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