Clinical trial NCT02724189: The Evaluation of MyPreOp, an Online Preoperative Assessment Tool
Official title: The Evaluation of MyPreOp© (Online Pre-assessment Tool) Over a Conventional Nurse Led Pre-assessment Clinic: a Pilot and Feasibility Study.
Study type: OBSERVATIONAL
Overall status: TERMINATED
Conditions: Focus of Study: The Safety of an Online Pre-assessment Tool
Keywords: electronic pre-assessment
preoperative assessment
Lead sponsor: University College London Hospitals
Sponsor class: OTHER
First posted: 2016-03-31
Enrollment: 200
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CROSSOVER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The study group will be taken from a single centre. The patient population will be patients being assessed prior to general, gynaecological, urological and orthopaedic surgery. The investigators selected this population as they represent a diverse sample of patients of both genders with a varying range of ages and co-morbidities for both ambulatory and inpatient surgery.

Brief summary: This pilot study will intend to assess the feasibility and acceptability of MyPreOp (online pre-operative assessment tool). The study will aim to assess the quality of the MyPreOp assessment in comparison to standard practice of a nurse led face to face assessment. The investigators will also assess the acceptability of MyPreOp amongst patient participants and staff participants.

Detailed description: MyPreOp is a patient online pre-assessment tool that has been developed as a means of an alternative to the current existing model of a nurse led pre-assessment service.

This pilot study will intend to assess the feasibility and acceptability of MyPreOp. The study will primarily evaluate the quality of the MyPreOp assessment in comparison to standard practice of a nurse led assessment. The investigators will also assess the acceptability of MyPreOp amongst patient participants and pre-assessment nurses and anaesthetists.

Participants will be recruited directly from the pre-assessment clinic. Consenting participants will alternate undergoing either the MyPreOp assessment or the nurse assessment first. Participants will complete the MyPreOp assessment on a computer device at the hospital. Participants will also complete a nurse led pre-assessment process as per standard practice. Following the completion of both the MyPreOp assessment and the nurse assessment, participants will be asked to complete a satisfaction questionnaire about their experience of using MyPreOp, together with further questions about their home internet access, usage and their preference of electronic or nurse led assessments.

Similarly pre-assessment nurses will review a random sample of MyPreOp assessments and complete a questionnaire about their views of the MyPreOp assessment summary and recommended actions.

The MyPreOp assessments will be compared with the nurse assessments through an independent adjudication process. Nominated adjudicators will be Consultant Anaesthetists with regular clinical duties in the pre-assessment clinic. Adjudicators will not be blinded with respects to the assessments so that the manner in which the patient data is presented can also be compared as well as the data itself. Adjudicators will assess the performance of the MyPreOp assessment in two domains, medical history and recommended investigations, and assign them into graded categories of over or under assessment, with or without clinical significance.

Eligibility criteria: Inclusion Criteria:

* All patients due to see a pre-assessment nurse on that day
* Read and able to write English
* Lucid patients with mental capacity

Exclusion Criteria:

* Patients unable to understand spoken or written English.
* Not able to see a pre-assessment nurse on the same day
* Patients too unwell or confused to be able to complete the questionnaire.
* Patient refusal.

Primary outcomes:
measure: The event rate of MyPreOp assessments that are judged as under assessments that would affect perioperative management following an adjudication review
timeFrame: Through study completion,an average of 6 months
Secondary outcomes:
measure: Percentage of participants requiring assistance to complete MyPreOp
timeFrame: Through study completion,an average of 6 months
measure: The median time taken for a nurse assessment of the MyPreOp summaries
timeFrame: Through study completion,an average of 6 months
measure: Patient satisfaction
timeFrame: Through study completion,an average of 6 months
measure: Nurse satisfaction
timeFrame: Through study completion,an average of 6 months
measure: Anaesthetist satisfaction
timeFrame: Through study completion,an average of 6 months
Other outcomes:
Locations:
Study officials:
affiliation: Director UCL/UCLH Surgical Outcomes Resource Centre, Consultant Anaesthetics and Intensive Care Medicine, UCLH Honorary Lecturer
name: Ramani Moonesinghe, FRCA MD(Res)
role: STUDY_CHAIR
References: