Patient-Centred Perioperative Mobile Application
- Conditions
- Cesarean Delivery
- Interventions
- Other: C-Care Mobile Application
- Registration Number
- NCT03746678
- Lead Sponsor
- IWK Health Centre
- Brief Summary
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.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 36
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
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.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description C-Care Mobile Application C-Care Mobile Application -
- Primary Outcome Measures
Name Time Method Median number of information topics viewed per participant 30 days Quantitative mobile application usage data
Median number of self-monitoring questionnaires completed per participant 30 days Quantitative mobile application usage data
Median number of total visits to the mobile application per participant 30 days Quantitative mobile application usage data
Satisfaction score (scale of 0 to 10, 10 being extremely satisfied, 0 being not satisfied) 2 to 3 weeks Quantitative responses from survey
Percentage of participants who would recommend the C-Care App to other women undergoing Cesarean delivery 2 to 3 weeks Quantitative responses from survey
Percentage of self-monitoring questionnaires completed (out of 5) per participant 30 days Quantitative mobile application usage data
- Secondary Outcome Measures
Name Time Method Which topics were viewed the most (rank by topic name and by postoperative day) 30 days Quantitative mobile application usage data
Which self-monitoring questionnaires were filled the most (rank by postoperative day number) 30 days Quantitative mobile application usage data
Incidence of important potential anesthetic-related problems entered by the patient (pain, headache, weakness and numbness) 30 days Quantitative mobile application usage data
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 Quantitative mobile application usage data
Time of the day patient filled out the questionnaire 30 days Quantitative mobile application usage data
Number of visits vs. postoperative day 30 days Quantitative mobile application usage data
Median duration (number of days starting from delivery date until the last day of visit) patient interacted with application. 30 days Quantitative mobile application usage data
% participant who responded "yes" to the question that C-Care App provided them with knowledge about Cesarean delivery and anesthesia 2 to 3 weeks Quantitative responses from survey
% 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 Quantitative responses from survey
% 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 Quantitative responses from survey
Anything the patient wanted to change about this application, in terms of content, navigation, appearance, and overall experience? 2 to 3 weeks Qualitative responses from survey
If the patient did not use the mobile application, what were the reasons? 2 to 3 weeks Qualitative responses from survey
How could we make the mobile application more helpful for the patient? 2 to 3 weeks Qualitative responses from survey
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 Qualitative responses from survey
Any other comments and/or suggestions 2 to 3 weeks Qualitative responses from survey
Trial Locations
- Locations (1)
Women's and Obstetric Anesthesia, IWK Health Centre
🇨🇦Halifax, Nova Scotia, Canada