Patient-Centred Perioperative Mobile Application
Patient-Centered Perioperative Care Through Mobile Application: Patient Engagement Prospective Cohort Study in Elective Cesarean Delivery Patients
1 other identifier
observational
36
1 country
1
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Nov 2018
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 5, 2018
CompletedStudy Start
First participant enrolled
November 19, 2018
CompletedFirst Posted
Study publicly available on registry
November 20, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2019
CompletedNovember 20, 2018
November 1, 2018
3 months
November 5, 2018
November 19, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Median number of information topics viewed per participant
Quantitative mobile application usage data
30 days
Median number of self-monitoring questionnaires completed per participant
Quantitative mobile application usage data
30 days
Median number of total visits to the mobile application per participant
Quantitative mobile application usage data
30 days
Satisfaction score (scale of 0 to 10, 10 being extremely satisfied, 0 being not satisfied)
Quantitative responses from survey
2 to 3 weeks
Percentage of participants who would recommend the C-Care App to other women undergoing Cesarean delivery
Quantitative responses from survey
2 to 3 weeks
Percentage of self-monitoring questionnaires completed (out of 5) per participant
Quantitative mobile application usage data
30 days
Secondary Outcomes (15)
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
- +10 more secondary outcomes
Study Arms (1)
C-Care Mobile Application
Interventions
C-care is a mobile application developed based on previous research at the IWK Health Centre. It contains topics relevant to Cesarean delivery and the recovery process, which the patient could access at anytime. Patient engagement with the application will be monitored anonymously for 30 days after delivery. On days one to five after delivery, patients will receive a short self-monitoring questionnaire (approximately 1 minute). At the end of two weeks (14 days), patients will complete an online survey regarding overall satisfaction, potential impact on care, usability and feasibility problems. At any point during the study, patients can email us to report any problems with the application.
Eligibility Criteria
Elective Cesarean delivery patients at the IWK Health Centre
You may qualify if:
- 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
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Women's and Obstetric Anesthesia, IWK Health Centre
Halifax, Nova Scotia, B3K 6R8, Canada
Related Publications (1)
Ke JXC, George RB, Wozney L, Munro A. Perioperative mobile application for mothers undergoing Cesarean delivery: a prospective cohort study on patient engagement. Can J Anaesth. 2021 Apr;68(4):505-513. doi: 10.1007/s12630-020-01907-x. Epub 2021 Jan 9.
PMID: 33420678DERIVED
Related Links
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 5, 2018
First Posted
November 20, 2018
Study Start
November 19, 2018
Primary Completion
March 1, 2019
Study Completion
April 1, 2019
Last Updated
November 20, 2018
Record last verified: 2018-11
Data Sharing
- IPD Sharing
- Will not share