The Impact on Quality of Life in Individual with Burn Injury: Utilizing Smartphone Assisted Self-management Education At Aftercare
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Change from Baseline in the Disease Specific Quality of life at Week 4 & Week 12
研究概览
简要总结
Burn rehabilitation management is dependent on the patients themselves, non-treatment adherence may delay the optimal timing of burn rehabilitation and it may not be regained easily. The inevitable sequelae of increasing joint stiffness and tethered soft-tissue glide become more devastating over time. It has a major impact on clinical outcomes such as scarring, deformity and dysfunction, which result in lower quality of life compared to general population
There is a growing body of research on patient-centered interventions including the concept of self-management. Such phenomenon is consistent with burn patients' needs at aftercare. The proposed smartphone self-management program is to change the paradigm from paternalistic to collaborative relationship. Self-management is to build up patient equipping ability in problem solving, decision making, and appropriate use of resources and has led to improved patient engagement, adherence, and better quality of care.
The investigators hypothesize that, upon intervention completion and compared with the control group, burn patients in the intervention group will report:
- Higher level of health-related quality of life,
- Higher level of self-efficacy
- Higher level of score in Burn Rehabilitation Knowledge
- Lower pain level, as measured by Numeric Pain Rating Scale; and
- Lower level of itchiness
The desired smart phone assisted self-management intervention will be carried out by principal investigator to selected adult burn patients before discharge and post discharge period. Before discharge, ward nurses will provide discharge pamphlet and individual face to face education to both groups as usual care. After discharge, instant messaging supportive enquiry service will be provided to both groups via smartphone apps.
For intervention group, principal investigator will assess subject health care needs prior to intervention. Two extra sessions, 20 minutes, face to face, individual self-management education with aid of computer, track log sheet will be provided to intervention group. Concept of motivational interviewing will be incorporated as complement teaching strategy to facilitate self-management learning. Principal investigator will be responsible to deliver burn self-management education upon discharge. Intervention group will receive "Rehabilitation Booklet for Burn Patients" upon discharge. After discharge, only intervention group subject receives two sessions, 10 minutes, telephone follow up calls and five personalized chat-based messaging follow up will be provided. Besides that, self-management education information will be delivered to intervention group via instant messaging service as well. Ad-hoc instant messaging support will be provided to both groups if required.
详细描述
Due to the advancement of medical treatment, burn-related mortality has been reduced especially in developed countries . Long-term undesirable impacts such as wound problems, skin care, exercise training, scar management, psychological and social problems have been detected in both major and non-major burns (less than 20% total body surface area (TBSA). The focus of burn care is shifted not only acute care but also rehabilitation.
Burn rehabilitation management is dependent on the patients themselves, non-treatment adherence may delay the optimal timing of burn rehabilitation and it may not be regained easily. The inevitable sequelae of increasing joint stiffness and tethered soft-tissue glide become more devastating over time. It has a major impact on clinical outcomes such as scarring, deformity and dysfunction, which result in lower quality of life compared to general population
There is a growing body of research on patient-centered interventions including the concept of self-management. Such phenomenon is consistent with burn patients' needs at aftercare. The proposed smartphone self-management program is to change the paradigm from paternalistic to collaborative relationship. Self-management is to build up patient equipping ability in problem solving, decision making, and appropriate use of resources and has led to improved patient engagement, adherence, and better quality of care.
The investigators hypothesize that, upon intervention completion and compared with the control group, burn patients in the intervention group will report:
- Higher level of health-related quality of life,
- Higher level of self-efficacy
- Higher level of score in Burn Rehabilitation Knowledge
- Lower pain level, as measured by Numeric Pain Rating Scale; and
- Lower level of itchiness
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
Only subject will be single blinded to the intervention provided
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
- •Chinese adult aged above 18 years old
- •Hospitalized burn patient
- •Adult who can understand Cantonese
- •Superficial partial thickness burn: TBSA >10%
- •Deep partial thickness burn or full thickness burn: TBSA > 5%
排除标准
- •Inhalation injury solely
- •Sustained burn injury due to self-injury
- •Diagnosed psychiatric illness with or without medication
- •Client who is unable to communicate via instant messaging apps
结局指标
主要结局
Change from Baseline in the Disease Specific Quality of life at Week 4 & Week 12
时间窗: Baseline and Week 4; Week 12
Burn Specific Health Scale-Brief (BSHS-B) Taiwanese version (40-items, Appendix 7) will be used to quantify the recovery of quality of life (QoL) among burn survivor in general, physical, mental, and social health aspects. Responses are measured on a 5-point scale ranging from 0 ("extreme") to 4 ("none at all"). The total (BSHS-B score is the sum of the subscale scores (range: 0-160), with a higher score indicating better quality of life post burn injury.
Change from Baseline in the Generic Quality of life at Week 4 & Week 12
时间窗: Baseline and Week 4; Week 12
5Q-5D-5L Hong Kong- Traditional Chinese version (Appendix 8) ls used to measure the generic health-related quality of life (HRQoL) among subjects. It has five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) with five response levels: no problems (Level 1); slight; moderate; severe; and extreme problems (Level 5). The digits for the five dimensions can be combined in a 5-digit code that describes the respondent's health state.
Change from Baseline in the Burn Rehabilitation Knowledge Questionnaire
时间窗: Baseline and Week 4
The Burn Rehabilitation Knowledge Questionnaire is developed by the principal investigator after reviewing the relevant and recent international scientific literature to identify patients' learning needs and essential concept in facilitating burn rehabilitation. This questionnaire consisted of twenty-four multiple choice questions covering three well-defined areas: general knowledge about burns (8 items), rehabilitation modalities (8 items), and burns related healthy lifestyle modifications (8 items). The total scores were computed out of (24 grades). A higher score indicated better knowledge in burn rehabilitation.
次要结局
- Change from Baseline in the Itchiness of life at Week 4 & Week 12(Baseline and Week 4; Week 12)
- Change from Baseline in the Self efficacy at Week 4 & Week 12(Baseline and Week 4; Week 12)
- Change from Baseline in the Pain level at Week 4 & Week 12(Baseline and Week 4; Week 12)
研究者
Liu Siu Kwong
Associate Nurse Consultant, Department of Surgery, Principal Investigator
Queen Mary Hospital, Hong Kong