Administration, Intravenous, Adverse Effects, Care Givers, Catheterization, Central Venous, Catheterization, Peripheral, Catheter-Related Infections, Central Venous Catheters, Computers, Handheld, Delivery of Health Care, Digital Health, Home Infusion Therapy, Home Nursing, Infusions, Intravenous, Mobile Applications, Nursing, Parenteral Nutrition, Home, Patient Education as Topic, Patient Participation, Self Administration, Smartphone, Telemedicine, User-Computer Interface, Vascular Access Devices
Conditions
Keywords
Catheterization, Peripheral, Vascular Access Devices, Patient Education as Topic, Telemedicine, Mobile Applications
Brief summary
The study focuses on patients who require outpatient infusion of therapy (Infusions, Intravenous\[Mesh\]) Administration, Intravenous\[Mesh\] (Home Infusion Therapy\[Mesh\]) Parenteral Nutrition, Home\[Mesh\] via a peripherally inserted central catheter (PICC) (Central Venous Catheters\[MeSH\] Catheterization, Central Venous\[MeSH\] Catheterization, Peripheral \[MeSH\] Vascular Access Devices\[Mesh\] )
Detailed description
The patients, who receive training (Patient Education as Topic\[Mesh\] patient participation\[MeSH Terms\] ) via an app on their personal mobile phone (User-Computer Interface\[Mesh\] Smartphone\[MeSH\] Mobile Applications\[MeSH\] Computers, Handheld\[Mesh\] Digital Health\[Mesh\] are able to perform specialized care (Nursing\[Mesh\]) Care\[MeSH\] Delivery of Health Care\[Mesh:NoExp\] Home Nursing\[MeSH\] Self Administration\[Mesh\] to reduce complications (adverse effects\[MeSH Subheading\] Catheter-Related Infections\[Mesh\] ) so that they are monitored in real time by those responsible for the catheter. (Telemedicine\[Mesh\]
Interventions
OTHERDigital Transformation of Continuity of Care for Peripherally Inserted Central Catheters
The application is offered to all patients at the time of PICC placement. If they accept, they go to the intervention group. If they do not accept, they go to the control group.
Sponsors
Universidad Pública de Navarra
Fundacion Miguel Servet
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients \>18 years. * Sign the informed consent form. * Have a Smartphone and accept the use of the APP. * Patient with a PICC inserted by the Infusion and Vascular Access Team of the University Hospital of Navarra and with a planned use of at least one month.
Exclusion criteria
* Patients with limitations in the use of digital resources or lack of Smartphone. * Patients who do not want to install the APP on their Smartphone * Patients who do not authorize access to their Computerized Medical Record (HCI).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 1. Patients who use computerized applications are more involved in their care and have fewer complications with the PICC | At the end of intervention: Time from PICC placement to removal. | Number of phlebitis episodes |
| 1. Patients who use computerized applications are more involved in their care and have fewer complications with the PICC. | At the end of intervention: Time from PICC placement to removal. | Number of episodes of catheter removal by reason for removal: pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient experience | At the end of using the application: Time from PICC placement to removal. | Patient satisfaction with the use of the app, through the questionnaire CSUQ: Computer System Usability Questionnaire. The CSUQ scale, or System Usability Satisfaction Questionnaire, is a tool used to assess user satisfaction with a specific system. It is a Likert-type measurement scale, where participants evaluate their level of satisfaction with various aspects of a system, generally on a scale ranging from 1 (totally disagree) to 7 (totally agree). |
| Patient Satisfaction | At the end of using the application: Time from PICC placement to removal. | Overall satisfaction questionnaire with SpadCare, generated by the research team. SpadCare Questionnaire: 1 the worst value to 10 the best value How would you rate the SpadCare application you have just tested? From 1 to 10, where 1 means 'very dissatisfied' and 10 means 'very satisfied' How likely are you to recommend it to other patients? |
Countries
Spain
Contacts
Primary ContactMaría Inés Corcuera Martínez MI Corcuera Martínez, RN-PhD(c)
Outcome results
None listed