Surgery
Conditions
Keywords
Ambulation, Length of stay, Patient Satisfaction, Activity Monitor, Digital Health
Brief summary
This is a randomized controlled trial that compares a system using activity monitors to provide real-time feedback on daily ambulation to patients undergoing major surgeries, paired with step-count-measured art tours of the surgical units, versus standard of care, on step count. The hypothesis is that the feedback system + art tours will encourage patients to ambulate more.
Detailed description
After major surgery, patients are encouraged to walk early and often, since early ambulation is linked with improved clinical and efficiency outcomes. This research study tests whether providing goal-directed feedback on daily ambulation to patients using activity monitors in combination with an app that provides step count-rated art tours of the surgical floors will increase the amount of steps taken after surgery. Upon enrollment, all patients will be assigned to either the control (no intervention) or experimental (activity monitor feedback + art tours) group, stratified by surgery type. This randomized controlled trial aims to determine if this feedback system/art tours approach improves: (1) daily step count, (2) length of stay, and (3) patient satisfaction compared with standard of care.
Interventions
OTHERActivity monitor feedback loop
The intervention arm will test if the feedback system (i.e., activity monitor, real-time feedback, and art tours) increases daily step count, decreases length of stay, and improves patient and provider communication, patient awareness of step count goals, and patient confidence in accomplishment of daily goals.
Sponsors
Cedars-Sinai Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
This randomized controlled trial will involve two arms: (1) and intervention arm consisting of activity monitor feedback loop and art tours and (2) control group consisting of standard of care.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Undergoing one of the 14 surgeries: Gynecological (Total Abdominal Hysterectomy, Gyn Ex Lap); Orthopedic (Total Hip Replacement, Total Knee Replacement); Minimally Invasive Surgery (Hiatal Hernia Repair/Fundoplication, Gastric Bypass, Gastric Sleeve); Colorectal Surgery (Lap/Robotic Colectomy, Ileocolic Resection, Open Colectomy); Thoracic (Lung Lobectomy); Urologic (Robotic Cystectomy, Radical Prostatectomy, Partial Nephrectomy). * Able to provide informed consent * Non-English speakers will be included with the use of short forms in the 7 available languages * Must have access to an IOS or Android device
Exclusion criteria
* Unable to provide consent * Not undergoing procedure of interest * Admitted to ICU directly after operation (except esophagectomy, where all patients are admitted to ICU directly after the operation) * Use of walker, cane, or wheelchair at baseline * Presence of physical limitations on walking (i.e. amputation) * Usual place of residence is skilled nursing facility * Cognitive inability to follow directions to maintain activity monitor in place * Unable to place activity monitor on patient's wrist
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Daily Step Count | During hospitalization within approximately 1-2 weeks | Daily step count will be captured with activity monitor |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay | Within approximately 1-2 weeks, Date patient was admitted through hospital discharge | Length of stay in intervention arm compared to control |
| Patient Satisfaction | Within approximately 1-2 weeks, Day patient is discharged from hospital | Patient satisfaction measured using likert-scale rated items. Scale measures patient/physician communication, patient awareness of step goals, and patient confidence in accomplishment of daily goals. The following scale ranges will be used: 1. Never, Once a day, Twice a day, Three times a day, More than three times a day 2. Much lower, Lower, About the same, Higher, Much higher 3. Not at all, Slightly, Moderately, Very, Extremely Positive answer in likert-scales indicate higher patient/physician communication, patient awareness, and patient confidence in accomplishing daily step goals. |
Countries
United States
Contacts
Primary ContactTimothy Daskivich, MD, MSHPM
Backup ContactMayra L Lopez, MPH
Outcome results
None listed