E-Health-Supported Preoperative Education

NCT07588321 | Completed

• 1 other identifier: E-14585038-21201-113088
• Study Type: interventional
• Target: 128
• Locations: 1 country
• Sites: 1

Brief Summary

In the context of patient education, the integration of mobile applications-an e-health modality-among healthcare professionals and patients has garnered significant attention alongside technological advancements. Mobile applications offer distinct advantages, notably the vast global population capable of accessing and utilizing these digital tools. A study evaluating the impact of mobile applications on the recovery of patients undergoing ambulatory surgery demonstrated that the quality of recovery was superior in the intervention group. In research investigating mobile application-based education following breast cancer surgery, significant improvements were observed in pain levels, affected shoulder functions, and anxiety levels within the intervention group . Among patients undergoing cardiac surgery, 98% of those who received education via a mobile application reported that the application was beneficial to their recovery process . Furthermore, in a study involving a mobile application for patients undergoing heart valve surgery, the intervention group exhibited significantly lower probabilities of hospitalization, emergency department visits, and complications . An integrative review of mobile applications in the health education of surgical patients noted that while research has involved bariatric, orthopedic, colorectal, mastectomy, urological, and neurological surgical patients, there is an emphasized need for further nursing research utilizing emerging communication technologies. To date, no studies evaluating the effectiveness of preoperative education delivered via mobile application for patients undergoing thoracic surgery have been identified. Initiating preoperative preparation for patients scheduled for thoracic surgery is anticipated to positively influence postoperative recovery and quality of life, highlighting the necessity for research in this domain.

Conditions

Thoracic Surgery; E-health App; Preoperative Care; E-health; Education of Patients

Keywords

Thoracic Surgery; e-health app; Preoperative care; e-health; Education of Patients; Lung Cancer; Surgery Nursing

Outcome Measures

Primary Outcomes (5)

• Health-Related Quality of Life (EQ-5D-5L)

  Health-related quality of life will be assessed using the Turkish version of the EQ-5D-5L scale. The scale consists of two parts: a descriptive system covering five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and the EQ Visual Analogue Scale (EQ VAS). The descriptive system provides a health state profile across five levels for each dimension. The EQ VAS is a vertical 0-100 scale where 0 represents "the worst health you can imagine" and 100 represents "the best health you can imagine." Assessments will be conducted 10 days before surgery and 10 days after surgery. The study will utilize the official Turkish translation provided by the EuroQol Research Foundation.

  10 days before surgery and 10 days after surgery.

• Postoperative Physical Capacity (6-Minute Walk Test)

  Postoperative physical capacity will be evaluated using the 6-Minute Walk Test (6MWT). This test measures the maximum distance (in meters) a patient can walk at a self-selected pace on a flat surface in 6 minutes. The mobilization levels and total walking time (in minutes) will also be recorded to compare the physical recovery and functional capacity between the intervention group (mobile app-based training) and the control group (standard training).

  Day 3 post-operatively

• Postoperative Pulmonary Complications

  Evaluation of respiratory complications based on clinical signs and laboratory findings. A complication is defined as meeting two or more criteria, including respiratory distress, abnormal breath sounds, and abnormal white blood cell counts (leukopenia or leukocytosis) according to standard clinical reference ranges.

  Day 3 post-operatively

• State Anxiety Inventory (STAI-I)

  The State Anxiety Inventory (STAI-I) is a 20-item self-report scale that measures current anxiety. Scores range from 20 to 80, with higher scores indicating higher anxiety levels. It uses a 4-point Likert-type scale for each item.

  10 days before surgery and Day 3 post-operatively

• Length of Hospital Stay

  The length of hospital stay (measured in days) will be recorded and compared between the intervention and control groups. The duration will be calculated from the day of surgery until the day of discharge. Data will be obtained from the patients' medical records after discharge to evaluate whether mobile application-based training has an impact on the timing of clinical recovery and hospital resource utilization.

  From the date of surgery until the date of hospital discharge

Study Arms (2)

E-health preoperative education

EXPERIMENTAL

E-health education group

Other: E-health education

Control

NO INTERVENTION

Standard care group

Interventions

E-health education OTHER

Preoperative education provided to patients via a mobile e-health application including video-based and written educational content developed based on current thoracic surgery guidelines.

E-health preoperative education

Eligibility Criteria

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

You may qualify if:

• Patients aged 18 years and older
• Patients with full spatial and temporal orientation
• Patients without significant hearing or vision impairments
• Patients with the ability to read and write
• Patients scheduled for elective thoracic surgery due to a lung mass
• Patients who voluntarily agree to participate and provide written informed consent
• Patients who own and can operate a smartphone

You may not qualify if:

• Patients scheduled for emergency thoracic surgery
• Patients with physical limitations that prevent mobilization or participation in study tests
• Patients with cognitive impairments (as they may fail to provide accurate data via the app)

Sponsors & Collaborators

• Dokuz Eylul University: lead

Study Sites (1)

Home

Izmir, Selcuk, 35925, Turkey (Türkiye)

Location

Related Publications (7)

• Wang B, Qi F, Wang Y, Zhang J, Li W, Li X. Effectiveness of refined nursing intervention on postoperative recovery and respiratory function in lung cancer patients after thoracic surgery. Medicine (Baltimore). 2024 Nov 1;103(44):e40209. doi: 10.1097/MD.0000000000040209.

  PMID: 39496000 BACKGROUND

• Ben-Ali, W., & Lamarche, Y. (2021). Aortic Insufficiency in Patients With Left Ventricular Assist Device. Canadian Journal of Cardiology, 37(8), 1253-1262.

  BACKGROUND

• Dawson, R. M., & Felder, T. M. (2020). Exploring the recruitment of African American women in biobehavioral breast cancer research. Journal of Nursing Scholarship, 52(4), 345-354.

  BACKGROUND

• Machado, R. C. G., et al. (2020). Factors associated with patient safety climate in a specialized cardiovascular hospital. Revista Latino-Americana de Enfermagem, 28, e3323.

  BACKGROUND

• Venkatraman, V., & Lad, S. P. (2023). Digital Health and Neurosurgery. Neurosurgery Clinics of North America, 34(4), 519-528.

  BACKGROUND

• Aydin A, Gursoy A. Nurse-led support impact via a mobile app for breast cancer patients after surgery: a quasi-experimental study (step 2). Support Care Cancer. 2024 Aug 20;32(9):598. doi: 10.1007/s00520-024-08819-2.

  PMID: 39164444 BACKGROUND

• Li C, Shao H, Huang S, Zhang T, Su X, Zhu S. Effects of an Individualized Fasting Program on Fasting Time and Comfort in Infants and Young Children During the Perioperative Period. J Perianesth Nurs. 2020 Jun;35(3):326-330. doi: 10.1016/j.jopan.2019.08.014. Epub 2020 Jan 20.

  PMID: 31973960 BACKGROUND

MeSH Terms

Conditions

Lung Neoplasms

Condition Hierarchy (Ancestors)

Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The research was conducted using blinded data analysis. One researcher coded and entered the data into SPSS. Data analysis was performed by another researcher. In this way, blinding was ensured in the data analysis.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: doctoral student

Model Details: This research was conducted as an experimental randomized controlled trial.For randomization, a list was created of patients who came to the thoracic surgery outpatient clinic, were scheduled for surgery, and agreed to undergo surgery. The purpose of the study was explained to the patients, and those who agreed were assigned to experimental and control groups using a simple randomization method via a computer program (https://www.randomizer.org/). Before group assignments, patients were numbered according to their surgery schedule and assigned to either the intervention group (n=64) or the control group (n=64) according to the numbers on the randomization list. The experimental group received preoperative education via a mobile application/web-based system. The control group received standard care. Blinded data analysis was performed in the study. The researcher coded the data and entered it into SPSS. Data analysis was performed by another researcher. This ensured blinding in the dat

Study Record Dates

• First Submitted: April 22, 2026
• First Posted: May 14, 2026
• Study Start: October 18, 2024
• Primary Completion: September 22, 2025
• Study Completion: September 22, 2025
• Last Updated: May 14, 2026

Record last verified: 2025-10

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, ANALYTIC CODE
• Time Frame: IPD will be available upon reasonable request to the corresponding investigator following publication of the study results. Data will be shared for scientific research purposes only, after approval of a proposal and with a signed data use agreement.
• Access Criteria: De-identified individual participant data (IPD) and supporting documents will be available to researchers for scientific research purposes. Access will be granted upon reasonable written request to the corresponding investigator, subject to approval of a research proposal and signing of a data use agreement. Shared materials will be limited to anonymized datasets and relevant study documents (e.g., study protocol, statistical analysis plan). Data will be provided through a secure electronic system.

Locations

TU (1)