Patient-Centered Perioperative Care Through Mobile Application: Patient Engagement Prospective Cohort Study in Elective Cesarean Delivery Patients
试验速览
- 阶段
- 不适用
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Median number of information topics viewed per participant
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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.
结局指标
主要结局
Median number of information topics viewed per participant
时间窗: 30 days
Quantitative mobile application usage data
Median number of self-monitoring questionnaires completed per participant
时间窗: 30 days
Quantitative mobile application usage data
Median number of total visits to the mobile application per participant
时间窗: 30 days
Quantitative mobile application usage data
Satisfaction score (scale of 0 to 10, 10 being extremely satisfied, 0 being not satisfied)
时间窗: 2 to 3 weeks
Quantitative responses from survey
Percentage of participants who would recommend the C-Care App to other women undergoing Cesarean delivery
时间窗: 2 to 3 weeks
Quantitative responses from survey
Percentage of self-monitoring questionnaires completed (out of 5) per participant
时间窗: 30 days
Quantitative mobile application usage data
次要结局
- Which topics were viewed the most (rank by topic name and by postoperative day)(30 days)
- Which self-monitoring questionnaires were filled the most (rank by postoperative day number)(30 days)
- Incidence of important potential anesthetic-related problems entered by the patient (pain, headache, weakness and numbness)(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(30 days)
- Time of the day patient filled out the questionnaire(30 days)
- % participant who responded "yes" to the question that C-Care App provided them with knowledge about Cesarean delivery and anesthesia(2 to 3 weeks)
- Number of visits vs. postoperative day(30 days)
- Median duration (number of days starting from delivery date until the last day of visit) patient interacted with application.(30 days)
- % participant who responded "yes" to the question that C-Care App provided them with knowledge about potential complications to monitor for(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(2 to 3 weeks)
- Anything the patient wanted to change about this application, in terms of content, navigation, appearance, and overall experience?(2 to 3 weeks)
- If the patient did not use the mobile application, what were the reasons?(2 to 3 weeks)
- How could we make the mobile application more helpful for the patient?(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?(2 to 3 weeks)
- Any other comments and/or suggestions(2 to 3 weeks)