mHealth to Improve the Experience, Adherence to Drug Treatment and Positive Mental Health

Study Overview
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Brief Summary
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The present study aims to evaluate the effectiveness of a pharmacological nursing educational intervention (EFE) with Myplan Aplication about the patient's experience, adherence to pharmacological treatment, and positive mental health of patients with femur fracture.

Detailed Description
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Once the informed consent has been obtained, the investigators will explain to the patient the pharmacological treatment with the support of an aplication (what it is for, how the medication should be taken, possible adverse effects), also the investigators will share time with the patient during the 4 face-to-face training sessions. The investigators will accompany during their hospital stay, offering to pacients telematic support upon discharge with the treatment and until the end of the study. This is a quasi-experimental non-randomized study with 3 phases of data collection. Possible adverse reactions, if any, will be recorded.

Official Title
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mHealth to Improve the Experience, Adherence to Drug Treatment and Positive Mental Health of Patients Diagnosed With Femur Fracture: Protocol for a Quasi-experimental Study

Conditions
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Fracture of Femur

Intervention / Treatment
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* Other: Pharmacological education
* Other: Training in the use of MyPlan Aplication
* Other: Patient Experience


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: diagnosis of femur fracture knowledge of the Spanish language 24-hour admission to the traumatology unit level of consciousness on the Glasgow scale of 15 have access to a mobile device ability to participate in the pilot study be able to provide written informed consent or obtain consent from a legal representative. Exclusion Criteria: presence of psychological pathologies or cognitive impairment isolation in hospital admission

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Patient experience<br> | Other: Pharmacological education<br>* Inform the patient of the medication that is being taken and how it has to be taken; What is it for and the side effects and/or adverse reactions.<br>Other: Training in the use of MyPlan Aplication<br>* Review of the use of the aplication<br>Other: Patient Experience<br>* How do you feel? Sad feelings and frustration. Achievements day by day, think positive. Importance of interpersonal relationships. Explain activities to relax the mind<br>|
| Active Comparator: Adherence to drug treatment<br> | Other: Pharmacological education<br>* Inform the patient of the medication that is being taken and how it has to be taken; What is it for and the side effects and/or adverse reactions.<br>Other: Training in the use of MyPlan Aplication<br>* Review of the use of the aplication<br>|
| Active Comparator: Positive mental health<br> | Other: Patient Experience<br>* How do you feel? Sad feelings and frustration. Achievements day by day, think positive. Importance of interpersonal relationships. Explain activities to relax the mind<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient experience questionnaire-15. Changes in outcomes are assessed at three time points. | This questionnaire allows us to explore the perception of patients about the information process and participation in decision-making during hospital admission. The responses range is from always or almost always/quite frequently/sometimes/never or almost never.This questionnaire allows us to explore the perception of patients about the information process and participation in decision-making during hospital admission. The responses range from always or almost always/quite frequently/sometimes/never or almost never. | at 1rst day (before intervention), at 7th day (at discharge after intervention), and 25th day (after discharge) | 
| Morinski-Green Questionnaire. Changes in outcomes are assessed at three time points. | This questionnaire allows assessing adherence to the prescribed treatment. It consists of a series of 4 dichotomous yes/no questions that reflects the degree of behavior of the patient's compliance, information on the causes of non-compliance. | at 1rst day, at 7th day and 25th day. | 
| Positive Mental Health Questionnaire. Changes in outcomes are assessed at three time points. | This scale evaluates mental health from a positive perspective. It consists of 39 items distributed in six factors: personal satisfaction, pro-social attitude, self-control, autonomy, problem solving and self-acting, and interpersonal relationship skills. Its measurement is carried out by means of a Likert-type response that goes from always or almost always, quite frequently, sometimes, never or almost never. Validated in the general population in favorable psychometric values: global reliability of 0.88 and an applied variance of 45%. | at 1rst day, at 7th day and 25th day. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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education, patient experience, adherence medication, mental health, mobile health, nurse, mHealth, protocol