Clinical trial NCT04968145: Home To Stay: a Randomized Trial Evaluating a Post-discharge Mobile App for Elective Colorectal Surgery
Official title: Home To Stay: a Randomized Controlled Trial Evaluating the Effect of a Post-discharge Mobile App on 30-day Re-admission Following Elective Colorectal Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Colorectal Cancer
Inflammatory Bowel Diseases
Utilization, Health Care
Surgery
Post Discharge Monitoring
Lead sponsor: Division of General Surgery , Mt. Sinai Hospital
Sponsor class: OTHER
First posted: 2021-07-20
Enrollment: 282
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* Patients undergoing elective, inpatient colorectal surgery
* Able to speak and read in English
* Able to provide informed consent
* Have access to a smartphone/tablet or desktop computer with internet access

Exclusion Criteria:

* Patients undergoing semi-elective/emergent procedure
* Patients undergoing elective day surgery
* Expected post operative admission of less than 3 days
* Discharge to another institution (rehabilitation facility/nursing home/long term care).

Primary outcomes:
measure: 30-day re-admission
timeFrame: 30 Days
Secondary outcomes:
measure: 30-day ER visits
timeFrame: 30 Days
measure: 30-day primary care visits
timeFrame: 30 Days
measure: 30-day unplanned health care visits
timeFrame: 30 Days
measure: Patient reported outcomes
timeFrame: 30 Days
Other outcomes:
Locations:
city: Toronto
country: Canada
facility: Mt Sinai Hospital
state: Ontario
Study officials:
References:
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