Online Peri-operative Education Program for Patients Undergoing Major Head & Neck Surgery

Study Overview
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Brief Summary
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This phase of the project will evaluate the utility and efficacy of a personalized online patient education platform developed from efforts in Phase 1 in 1) increasing patients' and caregivers' pre- and post-operative preparedness and satisfaction, and 2) reducing readmission, ED/Urgent care/unplanned clinic visits and telephone calls to clinic staff.

Official Title
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Effects of Online Peri-operative Education Program for Patients Undergoing Major Head & Neck Surgery

Conditions
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Head and Neck Cancer, Head and Neck Neoplasms

Intervention / Treatment
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* Other: CareOrbit


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age or older Have had or are undergoing free flap surgery and/or total laryngetomy Have internet access English speaking Exclusion Criteria: Younger than 18 years of age No internet access Non-English speaking

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: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CareOrbit - Patients<br>Patients will be assigned a username and password to access their CareOrbit account via the internet (caregivers will use the same account information). These patients may designate up to 3 additional individuals who will be participating in the patient's postoperative care to receive the link along with a unique username and password via email. All patients will additionally receive standard pre- and post-operative instructions and care. This will include verbal education by the surgeons at their pre-operative visits. Patient questionnaires will be distributed at the first and second post-operative visits (typically 1-2 weeks after discharge and 3 months after post-operative clinic visit). At 30 days following discharge, the patients' medical records will be reviewed by the study team to assess for the primary or secondary outcomes. Patients will be contacted by telephone to inquire about ED/UC visits outside of the BJC system. | Other: CareOrbit<br>* CareOrbit is a third-party organization that provides a HIPAA-compliant, patient-centered digital engagement platform that helps create, organize, and update content to educate and serve the patient and caregivers through their entire treatment journey.<br>|
| Experimental: CareOrbit - Caregivers<br>Patients will be assigned a username and password to access their CareOrbit account via the internet (caregivers will use the same account information). These patients may designate up to 3 additional individuals who will be participating in the patient's postoperative care to receive the link along with a unique username and password via email. All patients will additionally receive standard pre- and post-operative instructions and care. This will include verbal education by the surgeons at their pre-operative visits. Patient questionnaires will be distributed at the first and second post-operative visits (typically 1-2 weeks after discharge and 3 months after post-operative clinic visit). At 30 days following discharge, the patients' medical records will be reviewed by the study team to assess for the primary or secondary outcomes. Patients will be contacted by telephone to inquire about ED/UC visits outside of the BJC system. | Other: CareOrbit<br>* CareOrbit is a third-party organization that provides a HIPAA-compliant, patient-centered digital engagement platform that helps create, organize, and update content to educate and serve the patient and caregivers through their entire treatment journey.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 30-day readmission |  | At Day 30 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of emergency room/urgent care visits |  | Through 3 months post-operative | 
| Number of unplanned clinic visits |  | Through 3 months post-operative | 
| Number of telephone calls/electronic messages to clinic staff |  | Through 3 months post-operative | 
| Satisfaction of education | Participants will complete a survey asking satisfaction of the educational material. Answers range from 1=excellent to 5=poor. A higher score indicates a higher level of satisfaction. | At pre-operative visit, 2 weeks post-operative, and 3 months post-operative | 
| Preparedness for head and neck surgery and post-operative care | Participants will complete a survey asking satisfaction of the educational material. Answers range from 1=excellent to 5=poor. A higher score indicates a higher level of preparedness. | At pre-operative visit, 2 weeks post-operative, and 3 months post-operative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Head and neck cancer, CareOrbit, Peri-operative education