Clinical trial NCT07010055: Using Digital Health in a Postoperative Setting After Major Surgery: Semi-structured Interview Study
Official title: Using Digital Health in a Postoperative Setting After Major Surgery: a Prospective Single-center Qualitative Semi-structured Interview Study
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Digital Health
Keywords: Remote monitoring
Major surgery
Lead sponsor: Jessa Hospital
Sponsor class: OTHER
First posted: 2025-06-08
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study aims to evaluate whether patients recognize a need for a remote monitoring care pathway during the post-operative period following major surgery at Jessa Hospital by means of a semi- structured interview. Besides this, the study explores patient perceptions and willingness to participate in digital monitoring care pathways, identifies potential barriers to adoption, and addressing concerns related to safety, data security, and privacy. Additionally, the study aims to assess patient needs regarding parameter collection, technology usage, and the overall functionality of digital monitoring systems, while evaluating the perceived usefulness of such a pathway in post-operative care.

Detailed description: Digital health technologies are transforming healthcare, offering new ways to improve patient outcomes and enhance efficiency. Remote clinical monitoring (RCM), which uses digital technologies such as wearable devices and mobile apps to monitor patients outside of the traditional healthcare settings such as a hospital, holds significant potential for supporting post-operative care, especially in the context of faster hospital discharge after major surgery. Major surgery involves procedures on organ systems, such as cancer resections, organ transplants, and lung or abdominal surgeries. However, despite their promise, the successful implementation of these technologies into clinical practice requires a thorough understanding of the perspectives of the end user, being the patient. Patients' comfort, engagement, and perceptions about digital health solutions, such as self-management tools and remote monitoring pathways, are essential to ensuring these technologies are both effective and widely accepted.

Eligibility criteria: Inclusion Criteria:

* Surgical patients

  * \>18 years old, Undergone major surgery at Jessa Hospital Hasselt

Exclusion Criteria:

* Unable to provide informed consent or request to not participate in the study
* Cognitively incapable of understanding the study
* No understanding of the Dutch language

Primary outcomes:
measure: Need for monitoring of vital and subjective parameters after discharge
timeFrame: During a follow-up consultation within one year after major surgery
Secondary outcomes:
measure: Perceptions regarding the implementation of digital monitoring care pathways
timeFrame: During a follow-up consultation within one year after major surgery
measure: Willingness to participate in digital care pathways
timeFrame: During a follow-up consultation within one year after major surgery
measure: Potential barriers to adopt digital care
timeFrame: During a follow-up consultation within one year after major surgery
measure: Concerns about safety
timeFrame: During a follow-up consultation within one year after major surgery
measure: Accuracy of data
timeFrame: During a follow-up consultation within one year after major surgery
measure: Needs regarding parameter collection
timeFrame: During a follow-up consultation within one year after major surgery
measure: Skills regarding working with technology
timeFrame: During a follow-up consultation within one year after major surgery
measure: Desire for notifications when a parameter or questionnaire needs to be entered in an app
timeFrame: During a follow-up consultation within one year after major surgery
measure: Perceptions regarding the usefulness of a digital monitoring care pathway
timeFrame: During a follow-up consultation within one year after major surgery
measure: Willingness to participate in a study with remote monitoring
timeFrame: During a follow-up consultation within one year after major surgery
Other outcomes:
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