An interventional study of Home To Stay Mobile Health Application in Colorectal Cancer, Inflammatory Bowel Diseases and Utilization, Health Care, sponsored by Division of General Surgery , Mt. Sinai Hospital. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-20.
Sponsored by Division of General Surgery , Mt. Sinai Hospital · Not applicable, Interventional, and Treatment
A single center randomized controlled trial to evaluate the effect of a post-discharge mobile health application on 30-day re-admission and patient reported outcomes following elective colorectal surgery
Background: Following elective colorectal surgery, rates of re-admission are high and result in significant healthcare resource use. However, up to 20% of these re-admissions may be preventable. This represents an opportunity to improve patient outcomes, reduce health care utilization and costs through targeted interventions.
Home To Stay is an integrated discharge monitoring program using a mobile app platform that was developed to support the needs of patients following discharge after colorectal surgery. In the initial pilot testing, the 30-day re-admission rate for patients using Home to Stay was reduced from 18% to 6% and patient anxiety was reduced in over 75% of the participants.
Methods: This study is a two arm, single center, randomized control trial that will be conducted in the colorectal unit of an academic tertiary care center. Patients will be randomized1:1 using a single randomized consent design to either usual follow up in the control group or post discharge monitoring with Home to Stay in the intervention group.
Objective: The objective of this study is to evaluate the Home to Stay app and its effect on healthcare utilization and patient reported outcomes.
1,460 studies on the registry are indexed under Inflammatory Bowel Diseases; 438 are open to participants now.
This study's enrollment of 282 is above the median of 70 across 770 interventional studies indexed under Inflammatory Bowel Diseases.
Browse Inflammatory Bowel Diseases studies →This is the only study on the registry with Division of General Surgery , Mt. Sinai Hospital as lead sponsor.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants in the control group receive routine follow up care which consists of (i) written instructions regarding potential complications and the contact information of their treating surgeon, (ii) a follow up telephone call 4 weeks following discharge by a member of the health care team and (iii) an in-person follow up visit in clinic with the treating surgeon 4-6 weeks following discharge.
The participants in the intrevention group receive the same routine care as the control group in addition to post discharge monitoring with the Home to Stay app
Other: Home To Stay Mobile Health Application
Home to stay is an integrated discharge monitoring system with a mobile application. Features of the application include a "Daily Health Check" to report on post-operative recovery, picture taking capability to photograph incisions/wounds and educational information on post-operative care at home. Patients will complete a "Daily Health Check" on post-discharge Day #1-14, #21 and #30. The Daily Health Check consists of a series of questions specific to colorectal surgery as well as the Quality of Recovery (QoR-15) questionnaire. After completion, the participant will receive a list of recommendations tailored to their responses including relevant education modules, to contact the surgical team or in urgent cases to go to the nearest emergency room. The participants' responses will be monitored daily via a secure web site. Any participants' responses in the extreme ranges are automatically "red flagged" and notify the health care team that a follow up telephone call is required.
30-day re-admission
Patient reported re-admission to any hospital within 30 days of discharge following surgery
Time frame: 30 Days
30-day ER visits
Patient reported presentation to any hospital emergency room within 30 days of discharge following surgery
Time frame: 30 Days
30-day primary care visits
Patient reported presentation to their primary care physician within 30 days of discharge following surgery
Time frame: 30 Days
30-day unplanned health care visits
A composite of any re-admission, ER presentation or primary care visit within 30 days following the date of discharge.
Time frame: 30 Days
Patient reported outcomes
satisfaction with the discharge process, overall well-being and level of anxiety during 30-day post-discharge period were rated on a 10- point Likert scale
Time frame: 30 Days
Plan to share: No
This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.
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