CLEAR Care Companion Application
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 28
- 试验地点
- 2
- 主要终点
- Patient Experience Survey -- Overall Care (all participants)
研究概览
简要总结
Hospital readmissions are common after major cancer surgery, leading to poorer patient outcomes, increased mortality and additional costs. In this study, Clinical and Engineering Approaches to Readmission (CLEAR) Care Companion Application, investigators aim to utilize a smartphone application that tracks concerning postoperative symptoms and provides educational interventions to determine if this can minimize delays in communication between patients and medical providers, increase patient satisfaction with the care received, and reduce or lessen the severity of readmissions.
详细描述
Patients complete clinically meaningful questions and validated questionnaires pertaining to physiological and psychological symptoms that serve as early indicators of readmission, with the aim to improve experience by empowering patient to be active participants in their recovery, identify complications early to minimize morbidity and reduce overall readmissions.
The study has the following three objectives: (1) Assess patient engagement with the CLEAR Care Companion application for patients that have undergone radical cystectomy (2) Measure patient experience with the application and its effect on satisfaction with overall care (3) Evaluate the effect of the application on case complexity (readmission intensity) and overall readmission rates.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients undergoing a radical cystectomy with reconstruction through GU Oncology Clinic
- •Patient at the University of Michigan (Michigan Medicine)
- •Access to compatible smartphone or tablet device
排除标准
- •Non-English speaking patients
- •Patients without access to a smart phone or tablet with internet capacity
结局指标
主要结局
Patient Experience Survey -- Overall Care (all participants)
时间窗: 42 days post hospital discharge
Assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS®) GLOBAL 10 questionnaire.
Frequency of engagement with application
时间窗: 42 days post hospital discharge
To measure patient engagement with the application, the number of responses to application notifications and patient inputs will be captured in the electronic medical record (EMR). Descriptive statistics will be used to assess frequency and duration of engagement.
Duration of engagement with application
时间窗: 42 days post hospital discharge
To measure patient engagement with the application, the number of responses to application notifications and patient inputs will be captured in the electronic medical record (EMR). Descriptive statistics will be used to assess frequency and duration of engagement.
Patient Experience Survey -- Overall Care (first 20 participants)
时间窗: 42 days post hospital discharge
The first 20 participants will complete a qualtrix survey.
Readmission intensity
时间窗: 42 days post hospital discharge
To measure the change in complexity of readmissions (readmission intensity), readmissions will be captured in the application and the EMR. For patients readmitted to Michigan Medicine, readmission parameters (reason for readmission, length of stay, interventions, ICU admission, etc.) will be captured and used to create a measure of readmission intensity. Descriptive statistics including (but not limited to) mean and standard deviation.
次要结局
- Readmission rate(42 days post hospital discharge)
- Patient Experience Survey -- Application (all participants)(42 days post hospital discharge)
- Patient Experience Survey -- Application (first 20 participants)(42 days post hospital discharge)