A study to determine the feasibility and impact of using a remote (app-based) lifestyle change program to reduce the length of stay and complications after colorectal resection surgery

SAPIEN Feasibility Study - Impact of a remote lifestyle change program on length of stay and complications in patients undergoing elective colorectal resection

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN11288262

Enrollment

Registered

2022-02-03

Start date

2022-01-03

Completion date

Unknown

Last updated

2022-02-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colorectal cancer surgery Surgery

Interventions

This feasibility study aims to recruit 44 participants (interventional arm) into the study. These 44 participants will use the app within their peri-operative management for a minimum of 2 weeks pre-o

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Adults (>18 years) of age listed for elective bowel resection for colorectal cancer 2. Date of surgery is (or expected to be) a minimum of 2 weeks from the date of onboarding for entry into the ‘interventional arm’ if less, participants can be entered into the ‘control arm’. 3. Access to a smartphone with Apple IOS or Android operating systems and willingness to install the Sapien Health application 4. Sufficient confidence in written and spoken English to provide informed consent and utilise the Sapien Health application

Exclusion criteria

Exclusion criteria: 1. Individuals undergoing emergency surgery 2. Pregnant or breastfeeding individuals.

Design outcomes

Primary

Measure	Time frame
Length of stay (days) measured using patient records at the end of the study	—

Secondary

Measure	Time frame
Measured using patient records: 1. Postoperative complications within 30-days of surgery 2. Readmission to hospital within 30 days after surgery 3. The Patient Activation Measure (PAM) at programme entry and pre-admission (before surgery). This will be done via the SAPIEN application. 4. Cancellation of surgery Collected from participants at program entry,pre-admission (before surgery) and up to 90 days post-surgery: 5. Physical activity level measured using DASI 6. Physical fitness - Self assessment using Numerical Rating Scale 0 (Very unwell) to 10 (Very well) 7. Smoking status 8. Alcohol consumption (units per week) 9. Diet - self rated assessment using Numerical Rating Scale 0 (Very unhealthy) to 10 (Very healthy) 10. Sleep quality - self rated assessment using Numerical Rating Scale 0 (Very poor) to 10 (Very good) 11. Sleep duration - self reported sleep duration 12. Mental and emotional wellbeing - self rated assessment using Numerical Rating Scale 0 (Very unwell) to 10 (Very well) 13. Participants will be invited to take part in optional semi-structured telephone interviews at various points throughout their programme to capture qualitative feedback that may be used to inform design changes at a later study and enable better PPI involvement	—

Measure

Time frame

Measured using patient records: 1. Postoperative complications within 30-days of surgery 2. Readmission to hospital within 30 days after surgery 3. The Patient Activation Measure (PAM) at programme entry and pre-admission (before surgery). This will be done via the SAPIEN application. 4. Cancellation of surgery Collected from participants at program entry,pre-admission (before surgery) and up to 90 days post-surgery: 5. Physical activity level measured using DASI 6. Physical fitness - Self assessment using Numerical Rating Scale 0 (Very unwell) to 10 (Very well) 7. Smoking status 8. Alcohol consumption (units per week) 9. Diet - self rated assessment using Numerical Rating Scale 0 (Very unhealthy) to 10 (Very healthy) 10. Sleep quality - self rated assessment using Numerical Rating Scale 0 (Very poor) to 10 (Very good) 11. Sleep duration - self reported sleep duration 12. Mental and emotional wellbeing - self rated assessment using Numerical Rating Scale 0 (Very unwell) to 10 (Very well) 13. Participants will be invited to take part in optional semi-structured telephone interviews at various points throughout their programme to capture qualitative feedback that may be used to inform design changes at a later study and enable better PPI involvement

—

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026