The Effect of Mobile Health Education on Adaptation to Stoma, Self-efficacy, and Peristomal Lesions

NCT05664503 | Completed

• 1 other identifier: IstanbulU 2022-07/12
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

To explore the effect of the Stoma Mobile application-based training method on the psychosocial adjustment, self-efficacy, and development of peristomal skin complications in individuals with a stoma. Quasi-experimental study with a post-test control group. Patients who met the inclusion criteria were randomly selected. While the experimental group (n=30) received training with the Stoma Mobile application, the control group (n=30) received training with the booklet. Stoma compliance, self-efficacy level, and the presence of complications were compared in both groups in the first and third months after discharge. H11: Individuals who receive stoma care training via STOMA-M will have a higher adaptation to stomas than individuals who receive stoma care training via a booklet. H12: The SE levels of individuals who receive stoma care training via STOMA-M will be higher than those who receive stoma care training via a booklet. H13: Peristomal skin complications of individuals who receive stoma care training via STOMA-M will be lower than those who receive stoma care training via a booklet. The population of the study included patients who had a stoma for the first time, were in a university hospital in Istanbul between December 2020 and December 2021, and who were 18 years of age and older, literate, without any physical and psychological disabilities, able to use smartphones, and willing to participate in the study. Patients who were in the same room or underwent a urostomy were not included in the study. The experimental group using the Stoma Health Mobile application had higher psychosocial adjustment and self-efficacy scores than the control group, and the peristomal skin lesion complication rate was lower than that of the control group. Social self-efficacy positively affects stoma compliance, and the Stoma Mobile application positively affects the level of social self-efficacy and adaptation of ostomates to the stoma

Conditions

Nurse's Role; Patient Compliance; Peristomal Skin Complication; Self Efficacy

Keywords

ostomy adjustment; mobile application; self-efficacy; peristomal skin lesions; nursing

Outcome Measures

Primary Outcomes (1)

• Change in Adjustment Scale for Individuals with Ostomy

  It is a self-assessment scale consisting of 23 items developed by to determine the compliance of individuals with stoma. The scale, which is graded in a five-point Likert type, has four sub-dimensions. These four dimensions are anger, social adaptation, anxiety/worry and acceptance. While the lowest score on the scale is '0', the highest score is '92'

  Evaluation of the differences between scales score - The scale is filled in 2 times; After being discharged from the hospital the first months(1) and third months (2)

Secondary Outcomes (1)

• Stoma Self-Efficacy Scale

  Evaluation of the differences between scales score - The scale is filled in 2 times; After being discharged from the hospital the first months(1) and third months (2)

Other Outcomes (1)

• Evaluation Tool for Peristomal Skin Lesions; SACS

  Evaluation of the differences between scales score - The scale is filled in 2 times; After being discharged from the hospital the first months(1) and third months (2)

Study Arms (2)

Booklet

NO INTERVENTION

Control-Classical patient education before the operation, the patient is educated with the classical method brochure.

STOMA-M

EXPERIMENTAL

Patients are educated with the mobil aplikasyon method.

Other: Assigned Interventions STOMA-M

Interventions

Assigned Interventions STOMA-M OTHER

The training, which includes information on stoma care, maintenance of daily life activities, and complication management, was given to the patients in the experimental group via the STOMA-M.

STOMA-M

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age and older
• Literate,
• Without any physical and psychological disabilities,
• Able to use smartphones
• Willing to participate in the study.

You may not qualify if:

• Patients who were in the same room or underwent a urostomy were not included in the study.

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Eylem Toğluk Yiğitoğlu

Istanbul, Turkey (Türkiye)

Location

Related Publications (12)

• Yigitoglu ET, Sendir M. Effect of a mobile patient education application on adjustment to stoma and development of peristomal skin lesions: a quasi-experimental study. Wound Manag Prev. 2021 Dec;67(12):30-40.

  PMID: 35030542 BACKGROUND

• Yigitoglu, E. T., & Sendir, M. (2021a). Mobile Application in Stoma Care Education: Stoma-M. Journal of Education and Research in Nursing, 18 (2), 210-216. DOI: 10.5152/jern.2021.85688

  BACKGROUND

• Karacay P, Togluk Yigitoglu E, Karadag A. The validity and reliability of the Stoma Self-Efficacy Scale: A methodological study. Int J Nurs Pract. 2020 Dec;26(6):e12840. doi: 10.1111/ijn.12840. Epub 2020 Apr 17.

  PMID: 32301580 BACKGROUND

• Karadağ, A., Göçmen, Z. B., Korkut, H., & Çelik, B. (2011). Turkish adaptation of the adjustment scale for individuals with ostomy. National Journal of Surgery, 27(4), 206-211.

  BACKGROUND

• Ay A, Bulut H. Assessing the Validity and Reliability of the Peristomal Skin Lesion Assessment Instrument Adapted for Use in Turkey. Ostomy Wound Manage. 2015 Aug;61(8):26-34.

  PMID: 26291898 BACKGROUND

• Pate K, Powers K, Coffman MJ, Morton S. Improving Self-Efficacy of Patients With a New Ostomy With Written Education Materials: A Quality Improvement Project. J Perianesth Nurs. 2022 Oct;37(5):620-625. doi: 10.1016/j.jopan.2021.11.020. Epub 2022 Mar 5.

  PMID: 35260298 BACKGROUND

• Wang QQ, Zhao J, Huo XR, Wu L, Yang LF, Li JY, Wang J. Effects of a home care mobile app on the outcomes of discharged patients with a stoma: A randomised controlled trial. J Clin Nurs. 2018 Oct;27(19-20):3592-3602. doi: 10.1111/jocn.14515. Epub 2018 Jul 10.

  PMID: 29775491 BACKGROUND

• Seo HW. Effects of the frequency of ostomy management reinforcement education on self-care knowledge, self-efficacy, and ability of stoma appliance change among Korean hospitalised ostomates. Int Wound J. 2019 Mar;16 Suppl 1(Suppl 1):21-28. doi: 10.1111/iwj.13047.

  PMID: 30793857 BACKGROUND

• Wound, Ostomy and Continence Nurses Society; Guideline Development Task Force. WOCN Society Clinical Guideline: Management of the Adult Patient With a Fecal or Urinary Ostomy-An Executive Summary. J Wound Ostomy Continence Nurs. 2018 Jan/Feb;45(1):50-58. doi: 10.1097/WON.0000000000000396.

  PMID: 29300288 BACKGROUND

• Yaşar, Z., & Üstündağ, H. (2021). Determination of quality of life and self-efficacy levels of patients with stoma. Journal of Celal Bayar University Health Sciences Institute, 8(1), 107-115.

  BACKGROUND

• Collado-Boira EJ, Machancoses FH, Folch-Ayora A, Salas-Medina P, Bernat-Adell MD, Bernalte-Marti V, Temprado-Albalat MD. Self-Care and Health-Related Quality of Life in Patients with Drainage Enterostomy: A Multicenter, Cross Sectional Study. Int J Environ Res Public Health. 2021 Mar 2;18(5):2443. doi: 10.3390/ijerph18052443.

  PMID: 33801488 BACKGROUND

• Heidari-Beni F, Esmaeilian S, Yousefi F, Zarei MR, Farahani MA. Comparison of Face-to-Face Education and Multimedia Software Education on Adjustment of Patients With Intestinal Ostomy: A Randomized Controlled Trial. J Wound Ostomy Continence Nurs. 2022 Mar-Apr 01;49(2):152-157. doi: 10.1097/WON.0000000000000854.

  PMID: 35255067 BACKGROUND

MeSH Terms

Conditions

Patient Compliance

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asisst. Prof.

Model Details: Quasi-experimental study with a post-test control group.

Study Record Dates

• First Submitted: December 7, 2022
• First Posted: December 23, 2022
• Study Start: November 18, 2020
• Primary Completion: December 10, 2020
• Study Completion: December 20, 2021
• Last Updated: December 23, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)