Readiness for Discharge Following Lobectomy

NCT00247832 | Unknown

• 1 other identifier: C05 - 0500
• Study Type: interventional
• Target: 99
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to examine the relationship between the patient's perception of readiness for discharge after lobectomy and mobilization rates, frequency of visitation by family and friends, anxiety levels and pain levels. We will test the hypotheses that a) those patients who walk farther early after surgery and who have more visitors and decreased anxiety and pain levels will have a greater self-perceived readiness for discharge and b) that patients who receive daily ambulation goals and personal motivation will have higher step rates, and therefore have a greater self-perceived readiness for discharge, than those that do not. We will monitor patients, during the post-operative recovery period using pedometers to count steps taken, visitor log sheets, and questionnaires on the patients' anxiety, pain and perceived readiness for discharge. Furthermore, we will examine how the patient's self-perceived readiness for discharge is affected by study interventions which include ambulation goals and daily personal motivation.

Conditions

Pain; Anxiety

Keywords

Monitoring, early mobilization, motivation modality, visitation rate, step rates, anxiety, pain; Elective lobectomy

Outcome Measures

Primary Outcomes (1)

• Perceived readiness for discharge VAS score (at discharge)

Secondary Outcomes (1)

• Length of stay, physician's and nurses perceived readiness for discharge, visitation rates, anxiety score, pain score (at discharge), primary and secondary outcomes (at post-op days 3, 5 and follow-up)

Study Arms (3)

1

NO INTERVENTION

2

EXPERIMENTAL

Self-directed motivation

Behavioral: Self-directed motivation

3

EXPERIMENTAL

Personal motivational interviewing

Behavioral: Personal motivational interviewing

Interventions

Self-directed motivation BEHAVIORAL

Post-lobectomy patients are provided with a booklet that outlines expected physical activities (sitting up, walking arm exercises) to aim for each day after surgery. It also provides room for the patients to record what they have accomplished.

2

Personal motivational interviewing BEHAVIORAL

Post-lobectomy patients receive daily visits from a study coordinator aimed to motivate the patient to complete various physical activities each day after surgery. The study coordinator goes through the same booklet that is given to Group 2 and helps patients set goals and record their accomplishments.

3

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Undergoing elective lobectomy,
• speak, write and read English,
• ambulate prior to surgery

Sponsors & Collaborators

• University of British Columbia: lead
• Canadian Institutes of Health Research (CIHR): collaborator

Study Sites (1)

Vancouver General Hospital Chest Centre

Vancouver, British Columbia, V5Z 1M9, Canada

RECRUITING

MeSH Terms

Conditions

Pain; Anxiety Disorders

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Officials

• John Yee, MD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Jennifer Rattenbury, MSc.

CONTACT

604-875-4111; jrattenbury@shaw.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 31, 2005
• First Posted: November 2, 2005
• Study Start: October 1, 2005
• Primary Completion: December 1, 2011
• Study Completion: December 1, 2011
• Last Updated: November 16, 2011

Record last verified: 2011-11

Locations

CA (1)