Clinical trial NCT06291688: Applying Mobile Healthcare Education to Improve Cutaneous Self-care Capability
Official title: The Efficacy of Applying Mobile Healthcare Education to Improve Cutaneous Self-care Capability for Patients Receiving Targeted Therapy
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: EGFR Gene Mutation
Drug-Related Side Effects and Adverse Reactions
Cancer, Treatment-Related
Cancer
Keywords: Mobile Healthcare education
Game-based learning
Self-care capability
Learning motivation
Quality of life
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
First posted: 2024-03-04
Enrollment: 110
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The goal of this clinical interventional study is to compare the efficacy of mobile healthcare education in two ways (game-based or text-based) to improve cutaneous self-care capability in cancer patients receiving EGFR-based target therapy. The main questions it aims to answer are:

Impact of different mobile healthcare education ways on cutaneous self-care capability of patients Impact of different mobile healthcare education ways on learning motivation of patients towards cutaneous self-care knowledge and skills

Participants will be randomly divided into two groups. Both groups will download a healthcare education application on their phone. One group will accept the education about the knowledge and self-care skills of cutaneous adverse drug reaction by playing game. In contrast, the other group will accept the same education content by reading text on the phone. Subjects will be asked to use the application at home for two weeks after giving consent to participate this study, and then completed questionnaire three times during study period. The timepoints of completing questionnaire are listed following:

Baseline / pre-intervention test (after signing informed consent form, D1) First post-intervention test (after finishing intervention, D15) Second post-intervention test (D30) Researchers will compare game group and text group to see if game group has better performance on cutaneous self-care capability and learning motivation.

Detailed description: This study is a randomized controlled study. Researchers use a random assignment, parallel two-group pre-test and post-test design to conduct a 1-month interventional study regarding giving health education to patients receiving EGFR-targeted drugs. A total of 3 questionnaires were collected to compare the learning efficacy of giving health education through mobile game and through text. Learning motivation, compliance with prevention care measures, the quality of life and the user experience will be also discussed.

Once the subjects sign the Informed Consent Form, they will be asked to conduct the pre-test questionnaire (D1). Then, the block-randomized assignment will be used to divide subjects into the experimental group or the control group. Both the experimental group and the control group downloaded a health educational APP, regarding cutaneous adverse drug reactions related to EGFR-targeted drugs, on their mobile phones.

After randomization, the researchers will give subjects a randomly generated 4-digit code. Subjects can use this code to log in the APP. After log-in, the subjects in the experimental group will see the interface of an educational game. Meanwhile, the subjects in the control group will see the interface of the text of educational content. Subjects will be asked to play the game or read the text at home for 2 weeks. The subjects will not know the difference between the experimental group and the control group, nor will they know whether they are assigned to the experimental group or the control group, thus maintaining the blindness of the subjects.

After 2 weeks, subjects will be asked to do the first post-test questionnaire (D15) to explore the short-term effect of the APP. Then, they will be encouraged to keep using the APP during the following 2 weeks. At D30, subjects will be asked to do the first post-test questionnaire (D15) to investigate the long-term effect of the APP.

Eligibility criteria: Inclusion Criteria:

* Adults whose age is above 18.
* Patients are receiving EGFR-base target drugs now.
* Patients can use smart phone.

Exclusion Criteria:

* Patients with visually impaired, hearing impared or other health related factors cause inability to use smart phone.
* Patients cannot understand study aims and procedures by communicating in Mandarin or Taiwanese.
* Patients cannot follow study procedures.

Primary outcomes:
measure: Change from baseline in the score of cutaneous adverse drug reaction (CADR) knowledge on researcher-designed questionnaire at Day 15 and Day 30.
timeFrame: Day 1, Day 15, Day 30
Secondary outcomes:
measure: Investigate the learning motivation towards CADR by self-designed questionnaire at Day 15
timeFrame: Day 15
measure: Change from baseline in the score of the quality of life on DLQI questionnaire at Day 15 and Day 30
timeFrame: Day 1, Day15, Day 30
measure: Investigate the user-experience of the mobile healthcare education APP by researcher-designed questionnaire at Day 15.
timeFrame: Day 15
measure: Change from baseline in the score of the self-care measurement adherence on researcher-designed questionnaire at Day 15 and Day30.
timeFrame: Day1, Day15, Day30
Other outcomes:
measure: The correlation among APP usability, learning motivation and self-care capability.
timeFrame: Day 1, Day 15, Day 30
Locations:
city: Taipei
country: Taiwan
facility: National Taiwan University Hospital
Study officials:
affiliation: National Taiwan University
name: Jung-Chen Chang, Phd
role: PRINCIPAL_INVESTIGATOR
References: