Effect of an mHealth self-help intervention on readmission after adult cardiac surgery: Protocol for a pilot randomized controlled trial.

Wynne, R; Nolte, J; Matthews, S; Angel, J; Le, A; Moore, A; Campbell, T; Ferguson, C

Effect of an mHealth self-help intervention on readmission after adult cardiac surgery: Protocol for a pilot randomized controlled trial.

Wynne, R Nolte, J Matthews, S Angel, J Le, A Moore, A Campbell, T Ferguson, C

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: J Adv Nurs, 2022, 78, (2), pp. 577-586
Issue Date:: 2022-02-01

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Field	Value	Language
dc.contributor.author	Wynne, R
dc.contributor.author	Nolte, J
dc.contributor.author	Matthews, S
dc.contributor.author	Angel, J
dc.contributor.author	Le, A
dc.contributor.author	Moore, A
dc.contributor.author	Campbell, T
dc.contributor.author	Ferguson, C https://orcid.org/0000-0002-2417-2216
dc.date.accessioned	2022-11-07T00:31:26Z
dc.date.available	2021-11-05
dc.date.available	2022-11-07T00:31:26Z
dc.date.issued	2022-02-01
dc.identifier.citation	J Adv Nurs, 2022, 78, (2), pp. 577-586
dc.identifier.issn	0309-2402
dc.identifier.issn	1365-2648
dc.identifier.uri	http://hdl.handle.net/10453/163258
dc.description.abstract	AIM: To describe a protocol for the pilot phase of a trial designed to test the effect of an mHealth intervention on representation and readmission after adult cardiac surgery. DESIGN: A multisite, parallel group, pilot randomized controlled trial (ethics approval: HREC2020.331-RMH69278). METHODS: Adult patients scheduled to undergo elective cardiac surgery (coronary artery bypass grafting, valve surgery, or a combination of bypass grafting and valve surgery or aortic surgery) will be recruited from three metropolitan tertiary teaching hospitals. Patients allocated to the control group with receive usual care that is comprised of in-patient discharge education and local paper-based written discharge materials. Patients in the intervention group will be provided access to tailored 'GoShare' mHealth bundles preoperatively, in a week of hospital discharge and 30 days after surgery. The mHealth bundles are comprised of patient narrative videos, animations and links to reputable resources. Bundles can be accessed via a smartphone, tablet or computer. Bundles are evidence-based and designed to improve patient self-efficacy and self-management behaviours, and to empower people to have a more active role in their healthcare. Computer-generated permuted block randomization with an allocation ratio of 1:1 will be generated for each site. At the time of consent, and 30, 60 and 90 days after surgery quality of life and level of patient activation will be measured. In addition, rates of representation and readmission to hospital will be tracked and verified via data linkage 1 year after the date of surgery. DISCUSSION: Interventions using mHealth technologies have proven effectiveness for a range of cardiovascular conditions with limited testing in cardiac surgical populations. IMPACT: This study provides an opportunity to improve patient outcome and experience for adults undergoing cardiac surgery by empowering patients as end-users with strategies for self-help. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12621000082808.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	J Adv Nurs
dc.relation.isbasedon	10.1111/jan.15104
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.subject.mesh	Adult
dc.subject.mesh	Australia
dc.subject.mesh	Cardiac Surgical Procedures
dc.subject.mesh	Humans
dc.subject.mesh	Patient Readmission
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Quality of Life
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.subject.mesh	Telemedicine
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Adult
dc.subject.mesh	Australia
dc.subject.mesh	Cardiac Surgical Procedures
dc.subject.mesh	Humans
dc.subject.mesh	Patient Readmission
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Quality of Life
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.subject.mesh	Telemedicine
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Humans
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Patient Readmission
dc.subject.mesh	Cardiac Surgical Procedures
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Telemedicine
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adult
dc.subject.mesh	Australia
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.title	Effect of an mHealth self-help intervention on readmission after adult cardiac surgery: Protocol for a pilot randomized controlled trial.
dc.type	Journal Article
utslib.citation.volume	78
utslib.location.activity	England
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-07T00:31:24Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	78
utslib.citation.issue	2

Abstract:

AIM: To describe a protocol for the pilot phase of a trial designed to test the effect of an mHealth intervention on representation and readmission after adult cardiac surgery. DESIGN: A multisite, parallel group, pilot randomized controlled trial (ethics approval: HREC2020.331-RMH69278). METHODS: Adult patients scheduled to undergo elective cardiac surgery (coronary artery bypass grafting, valve surgery, or a combination of bypass grafting and valve surgery or aortic surgery) will be recruited from three metropolitan tertiary teaching hospitals. Patients allocated to the control group with receive usual care that is comprised of in-patient discharge education and local paper-based written discharge materials. Patients in the intervention group will be provided access to tailored 'GoShare' mHealth bundles preoperatively, in a week of hospital discharge and 30 days after surgery. The mHealth bundles are comprised of patient narrative videos, animations and links to reputable resources. Bundles can be accessed via a smartphone, tablet or computer. Bundles are evidence-based and designed to improve patient self-efficacy and self-management behaviours, and to empower people to have a more active role in their healthcare. Computer-generated permuted block randomization with an allocation ratio of 1:1 will be generated for each site. At the time of consent, and 30, 60 and 90 days after surgery quality of life and level of patient activation will be measured. In addition, rates of representation and readmission to hospital will be tracked and verified via data linkage 1 year after the date of surgery. DISCUSSION: Interventions using mHealth technologies have proven effectiveness for a range of cardiovascular conditions with limited testing in cardiac surgical populations. IMPACT: This study provides an opportunity to improve patient outcome and experience for adults undergoing cardiac surgery by empowering patients as end-users with strategies for self-help. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12621000082808.

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http://hdl.handle.net/10453/163258