Home To Stay: a Randomized Trial Evaluating a Post-discharge Mobile App for Elective Colorectal Surgery

Not Applicable

Completed

• Conditions: Utilization, Health Care; Surgery; Post Discharge Monitoring; Inflammatory Bowel Diseases; Colorectal Cancer
• Interventions: Other: Home To Stay Mobile Health Application

• Registration Number: NCT04968145
• Lead Sponsor: Division of General Surgery , Mt. Sinai Hospital

Brief Summary

A single center randomized controlled trial to evaluate the effect of a post-discharge mobile health application on 30-day re-admission and patient reported outcomes following elective colorectal surgery

Detailed Description

Background: Following elective colorectal surgery, rates of re-admission are high and result in significant healthcare resource use. However, up to 20% of these re-admissions may be preventable. This represents an opportunity to improve patient outcomes, reduce health care utilization and costs through targeted interventions.

Home To Stay is an integrated discharge monitoring program using a mobile app platform that was developed to support the needs of patients following discharge after colorectal surgery. In the initial pilot testing, the 30-day re-admission rate for patients using Home to Stay was reduced from 18% to 6% and patient anxiety was reduced in over 75% of the participants.

Methods: This study is a two arm, single center, randomized control trial that will be conducted in the colorectal unit of an academic tertiary care center. Patients will be randomized1:1 using a single randomized consent design to either usual follow up in the control group or post discharge monitoring with Home to Stay in the intervention group.

Objective: The objective of this study is to evaluate the Home to Stay app and its effect on healthcare utilization and patient reported outcomes.

Study Timeline

• Study Start: 2017-07-19
• Primary Completion: 2020-01-21
• Study Completion: 2020-01-21
• Status Verified: 2021-07
• Study First Submitted: 2021-07-13
• Study First Submitted QC: 2021-07-13
• Last Update Submitted: 2021-07-13
• Study First Posted: 2021-07-20
• Last Update Posted: 2021-07-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 282

Inclusion Criteria

• Patients undergoing elective, inpatient colorectal surgery
• Able to speak and read in English
• Able to provide informed consent
• Have access to a smartphone/tablet or desktop computer with internet access

Exclusion Criteria

• Patients undergoing semi-elective/emergent procedure
• Patients undergoing elective day surgery
• Expected post operative admission of less than 3 days
• Discharge to another institution (rehabilitation facility/nursing home/long term care).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention Group	Home To Stay Mobile Health Application	The participants in the intrevention group receive the same routine care as the control group in addition to post discharge monitoring with the Home to Stay app

Primary Outcome Measures

Name	Time	Method
30-day re-admission	30 Days	Patient reported re-admission to any hospital within 30 days of discharge following surgery

Secondary Outcome Measures

Name	Time	Method
30-day primary care visits	30 Days	Patient reported presentation to their primary care physician within 30 days of discharge following surgery
30-day unplanned health care visits	30 Days	A composite of any re-admission, ER presentation or primary care visit within 30 days following the date of discharge.
Patient reported outcomes	30 Days	satisfaction with the discharge process, overall well-being and level of anxiety during 30-day post-discharge period were rated on a 10- point Likert scale
30-day ER visits	30 Days	Patient reported presentation to any hospital emergency room within 30 days of discharge following surgery

Trial Locations

Locations (1)

Mt Sinai Hospital; 🇨🇦 Toronto, Ontario, Canada