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Effect of Smart Phone App-based Human Coaching Program in Gastrectomized Patients

Not Applicable
Completed
Conditions
Stage I Gastric Cancer
Interventions
Behavioral: smart phone app based human coaching program
Registration Number
NCT04394585
Lead Sponsor
National Cancer Center, Korea
Brief Summary

This study is a single center, prospective, randomized controlled study. The aim of this study is to evaluate the effect of smart phone app-based human coaching program on QOL in patients who underwent gastrectomy for stage I gastric cancer. The hypothesis of this study is the patients who used smart phone app-based human coaching program for three months after surgery will have better QOL than patients who did not use it. The QOL will be assessed using EORTC QLQ C30 and STO22 at 3 months postoperatively. The secondary endpoints are QOL at 6 months postoperatively, 12 months postoperative, food intake, body composition, and nutritional indicators from blood test.

Detailed Description

\< Patient enrollment\>

* 90 patients in each group, a total of 180 patients

* 1:1 Randomization using permutated mixed block randomization

* stratified by surgical extent (distal gastrectomy vs. total gastrectomy)

* using nQuery program and web-based management system

* Before discharge, patients are informed how to use the smart phone app and registered to the app.

* Patients use the app after discharge until 3 months postoperatively.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
180
Inclusion Criteria
  • patient aged 19 or more
  • patient diagnosed as stage I in preoperative examination
  • planned distal gastrectomy or total gastrectomy
  • patient who can use smart phone app or whose family can help the
  • patient to use the smart phone app
Exclusion Criteria
  • pregnant
  • disabled to communication
  • patient who cannot use smart phone app

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Nutritional consultation groupsmart phone app based human coaching programPatients have two consulting with clinical nutritionist at 1 month and 3 months postoperatively.
Smart phone app groupsmart phone app based human coaching programPatients used smart phone app based human coaching program for 3 months postoperatively.
Primary Outcome Measures
NameTimeMethod
Eating restriction score (XEatR) at 1 month postoperatively1 month postoperatively

Eating resection scale is calculated according to the following equation. a. Add questionnaire items 41,42, 43 and 46 and divide this sum by the number of items (4): EatR = (Q41+Q42+Q43+Q46)/4 b. Carry out a linear transformation to convert to a 1-100 scale: XEatR = (EatR-1)\*100/3 The 4 items are belong to European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) STO22. Each item has a value among 1, 2, 3, and 4 according to the answer and the scale score has a value ranging 0 (minimum) to 100 (maximum). Higher scores mean having more symptom and worse quality of life.

Eating restriction score (XEatR) at 3 months postoperatively3 months postoperatively

Eating resection scale is calcuated according to the following equation.

1. Add questionnaire items 41,42, 43 and 46 and divide this sum by the number of items (4):

EatR = (Q41+Q42+Q43+Q46)/4

2. Carry out a linear transformation to convert to a 1-100 scale:

XEatR = (EatR-1)\*100/3

The 4 items are belong to European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) STO22.

Each item has a value among 1, 2, 3, and 4 according to the answer and the scale score has a value ranging 0 (minimum) to 100 (maximum).

Higher scores mean having more symptom and worse quality of life.

Secondary Outcome Measures
NameTimeMethod
serum albumin3 months postoperatively

g/dL

Eating restriction score (XEatR) at 6 months postoperatively6 months postoperatively

Eating resection scale is calcuated according to the following equation.

1. Add questionnaire items 41,42, 43 and 46 and divide this sum by the number of items (4):

EatR = (Q41+Q42+Q43+Q46)/4

2. Carry out a linear transformation to convert to a 1-100 scale:

XEatR = (EatR-1)\*100/3

The 4 items are belong to European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) STO22.

Each item has a value among 1, 2, 3, and 4 according to the answer and the scale score has a value ranging 0 (minimum) to 100 (maximum).

Higher scores mean having more symptom and worse quality of life.

seum hemoglobin3 months postoperatively

g/dL

food intakedischarge day: up to 3 weeks postoperatively,1 month postoperatively

difference of food amount between discharge day and postoperative 1 month

Body weight3 months postoperatively

patient's weight in kilograms

Eating restriction score (XEatR) at 12 months postoperatively12 months postoperatively

Eating resection scale is calcuated according to the following equation.

1. Add questionnaire items 41,42, 43 and 46 and divide this sum by the number of items (4):

EatR = (Q41+Q42+Q43+Q46)/4

2. Carry out a linear transformation to convert to a 1-100 scale:

XEatR = (EatR-1)\*100/3

The 4 items are belong to European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) STO22.

Each item has a value among 1, 2, 3, and 4 according to the answer and the scale score has a value ranging 0 (minimum) to 100 (maximum).

Higher scores mean having more symptom and worse quality of life.

serum protein3 months postoperatively

g/dL

serum cholesterol3 months postoperatively

g/dL

Trial Locations

Locations (1)

Bang Wool Eom

🇰🇷

Goyang, Gyeonggi-do, Korea, Republic of

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