The Effect of Mobile Education on Anxiety and Activities of Daily Living

NCT05529732 | Completed

• 1 other identifier: CukurovaUnıversıty
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 2

Brief Summary

This study aimed to assess the impact of e-mobile training, structured according to the Life Model, on the anxiety levels and daily living activities of patients who had undergone thyroidectomy. The study was conducted as a prospective, two-arm (1:1), randomized controlled interventional study involving 68 patients. All patients received standard discharge protocols. In addition, patients in the intervention group received Life Model-based e-mobile education through a mobile application. Trait anxiety was assessed before surgery, while state anxiety and activities of daily living were evaluated on postoperative days 3, 7, and 10. The study investigated whether e-mobile education could reduce anxiety levels and improve adaptation to daily living activities after thyroidectomy.

Conditions

Postoperative Anxiety; Thyroidectomy; Benign Thyroid Disease

Keywords

e-mobile education; thyroidectomy; anxiety; activities of daily living; nursing; Life Model

Outcome Measures

Primary Outcomes (1)

• STAI State and Trait Anxiety Inventory

  State and trait anxiety were assessed using the State-Trait Anxiety Inventory (STAI). Trait anxiety was assessed preoperatively, whereas state anxiety was assessed on postoperative days 3, 7, and 10. Higher scores indicate higher anxiety levels.

  Preoperative assessment and postoperative days 3, 7, and 10

Secondary Outcomes (1)

• Assessment and Monitoring Form for Daily Living Activities

  Postoperative days 3, 7, and 10

Study Arms (2)

Application Group

EXPERIMENTAL

Participants in the intervention group received standard discharge protocols and Life Model-based e-mobile education. One day before surgery, the Personal Information Form and Trait Anxiety Scale were administered. The e-mobile application was installed on participants' Android smartphones and individual usernames and passwords were provided. Participants received approximately 15 minutes of one-to-one training on application use. The application included educational content related to preoperative, postoperative, and home-care periods, frequently asked questions, reminder notifications, questionnaires, and a messaging system. State Anxiety Scale and Activities of Daily Living Assessment and Monitoring Form were completed through the application on postoperative days 3, 7, and 10. Reminder notifications were sent through the application to support questionnaire completion.

Other: e-Mobile Application Patient Education for Patients with Thyroidectomy

Control Group

NO INTERVENTION

Participants in the control group received standard discharge protocols only during the study period. One day before surgery, the Personal Information Form and Trait Anxiety Scale were administered. On postoperative days 3, 7, and 10, the researcher contacted participants by telephone and administered the State Anxiety Scale and Activities of Daily Living Assessment and Monitoring Form. No e-mobile education was provided during the intervention period. After completion of the study, participants in the control group were provided access to the educational material.

Interventions

e-Mobile Application Patient Education for Patients with Thyroidectomy OTHER

Its mobile application is prepared according to the "Android Operating System" and can be downloaded free of charge from the Google Play Store, it is an application that provides training and consultancy services for patients who have had thyroidectomy surgery.

Application Group

Eligibility Criteria

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

You may qualify if:

• Planned thyroidectomy for benign thyroid disease
• Hospitalized at least one day before surgery
• Aged between 18 and 65 years
• Able to communicate in Turkish
• Conscious and oriented to person, place, and time
• No psychiatric disorder
• No hearing, speech, or visual impairment
• Undergoing partial thyroidectomy, lobectomy, or total thyroidectomy under general anesthesia
• Possession and use of an Android-based smartphone
• Willing to participate and provide written informed consent

You may not qualify if:

• Presence of psychiatric disorders
• Hearing, speech, or visual impairment
• Refusal to provide informed consent
• Withdrawal from the study after enrollment
• Failure to use the e-mobile application after allocation to the intervention group
• Employment in a health-related profession
• Cancellation of surgery for any reason
• Inability to be contacted during the follow-up period

Sponsors & Collaborators

• Cukurova University: lead

Study Sites (2)

Muaz GÜLŞEN

Adana, Adana, 01250, Turkey (Türkiye)

Location

Muaz Gülşen

Adana, Asia, 01250, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders

Interventions

Thyroidectomy

Condition Hierarchy (Ancestors)

Mental Disorders

Intervention Hierarchy (Ancestors)

Endocrine Surgical Procedures; Surgical Procedures, Operative

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: After the researh report is written, a third person will assing an intervention and control group to the letters
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Academic Lecturer

Model Details: Prospective, 2-arm (1:1), simple randomized controlled interventional study.

Study Record Dates

• First Submitted: September 1, 2022
• First Posted: September 7, 2022
• Study Start: September 1, 2021
• Primary Completion: March 1, 2022
• Study Completion: November 21, 2022
• Last Updated: June 23, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)