PANDA-Regional Feasibility Study of a Smartphone Pain Management Application

Study Overview
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Brief Summary
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Despite the numerous benefits of peripheral nerve blocks (PNBs) over general anesthesia (GA) in a variety of surgical procedures, PNBs can be associated with increased post-operative pain if pain medications are not taken correctly (titrated). Unfortunately, this is a common occurrence as patients often have difficulty titrating medications in the absence of direct medical care. PANDA, a smartphone-based postoperative pain management tool, is designed to address this issue by helping patients manage their pain medications. The purpose of this study is to demonstrate the feasibility of this application in patients who are discharged after receiving PNBs. The goal is to identify areas of improvement for the application itself. It is hypothesize that PANDA will be successful in supporting patients' postoperative pain management.

Detailed Description
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As above

Official Title
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The At-home Feasibility Evaluation of PANDA-Regional, a Smartphone Application Designed to Support Post-operative Pain Management in Patients Undergoing Peripheral Nerve Blocks

Conditions
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Postoperative Pain, Anesthesia, Conduction

Intervention / Treatment
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* Other: Panda application


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Undergoing ambulatory surgical procedures that require peripheral nerve blocks for which there is an anticipated post-surgical pain model Planned post-discharge analgesic medications including non-steroidal anti-inflammatory drugs, acetaminophen and/or opioids for at least 2 days ASA I-III Written informed consent Have a smartphone device at their disposal Exclusion Criteria: Inability or refusal to provide informed consent Presence of significant cognitive impairment, visual impairments, neurological injury, or psychomotor dysfunction that impairs ability to use the app Inability to follow study instructions and complete questionnaires in English

Ages Eligible for Study
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Minimum Age: 19 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Feasibility Cycle 1<br>Participants use the initial PANDA application. | Other: Panda application<br>* A smartphone-based postoperative pain management tool<br>|
| Experimental: Feasibility Cycle 2<br>Participants use the PANDA application after modifications are made based on suggestions from participants in cycle 1. | Other: Panda application<br>* A smartphone-based postoperative pain management tool<br>|
| Experimental: Feasibility Cycle 3<br>Participants use the PANDA application after modifications are made based on suggestions from participants in cycle 1 and 2. | Other: Panda application<br>* A smartphone-based postoperative pain management tool<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of the PANDA application | Measured by assessing the participants' compliance with the application in supporting ongoing pain assessments and analgesic administration. | 2-7 days post-operatively | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Identify usability issues | Assessed by having participants complete a Computer Systems Usability Questionnaire (CSUQ) and a brief phone interview | 2-7 days post-operatively |