Show simple item record

dc.contributor.authorMcGillion, Michael
dc.contributor.authorYost, Jennifer
dc.contributor.authorTurner, Andrew
dc.contributor.authorBender, Duane
dc.contributor.authorScott, Ted
dc.contributor.authorCarroll, Sandra
dc.contributor.authorRitvo, Paul
dc.contributor.authorPeter, Elizabeth
dc.contributor.authorLAMY, ANDRE
dc.contributor.authorFurze, Gill
dc.contributor.authorKrull, Kirsten
dc.contributor.authorDunlop, Valerie
dc.contributor.authorGood, Amber
dc.contributor.authorDvirnik, Nazari
dc.contributor.authorBedini, Deb
dc.contributor.authorNaus, Frank
dc.contributor.authorPettit, Shirley
dc.contributor.authorHenry, Shaunattonie
dc.contributor.authorProbst, Christine
dc.contributor.authorMills, Joseph
dc.contributor.authorGossage, E
dc.contributor.authorTravale, Irene
dc.contributor.authorDuquette, J
dc.contributor.authorTaberner, Christy
dc.contributor.authorBhavnani, Sanjeev
dc.contributor.authorKhan, James
dc.contributor.authorCowan, David
dc.contributor.authorFu, Lizhi
dc.contributor.authorLee, John
dc.contributor.authorColella, Tracey JF
dc.contributor.authorChoinière, Manon
dc.contributor.authorBusse, Jason
dc.contributor.authorKatz, Joel
dc.contributor.authorVictor, J Charles
dc.contributor.authorHoch, Jeffrey S.
dc.contributor.authorIsaranuwatchai, W
dc.contributor.authorKaasalainen, Sharon
dc.contributor.authorLadak, Salima
dc.contributor.authorO'Keefe-McCarthy, Sheila
dc.contributor.authorParry, Monica
dc.contributor.authorSessler, Daniel
dc.contributor.authorStacey, Michael
dc.contributor.authorStevens, Bonnie
dc.contributor.authorHerum, Emily
dc.contributor.authorThabane, Lehana
dc.contributor.authorWatt-Watson, Judy
dc.contributor.authorWhitlock, Richard
dc.contributor.authorMacDermid, Joy
dc.contributor.authorLeegaard, Marit
dc.contributor.authorMcKelvie, Robert
dc.contributor.authorHillmer, Michael
dc.contributor.authorCooper, Lynn
dc.contributor.authorArthur, Gavin
dc.contributor.authorSider, Krista
dc.contributor.authorOliver, Susan
dc.contributor.authorBoyajian, Karen
dc.contributor.authorFarrow, Mark
dc.contributor.authorLawton, Christopher
dc.contributor.authorGamble, Darryl
dc.contributor.authorWalsh, Jake
dc.contributor.authorField, Mark
dc.contributor.authorLeFort, Sandra
dc.contributor.authorClyne, Wendy
dc.contributor.authorRicupero, Maria
dc.contributor.authorPoole, Laurie
dc.contributor.authorRussell-Wood, Karsten
dc.contributor.authorWeber, Michael
dc.contributor.authorMcNeil, Jolene
dc.contributor.authorAlpert, Robyn
dc.contributor.authorSharpe, S
dc.contributor.authorBhella, Sue
dc.contributor.authorMohajer, David
dc.contributor.authorPonnambalam, Sem
dc.contributor.authorLakhani, Naeem
dc.contributor.authorKhan, Rabia
dc.contributor.authorLiu, Peter
dc.contributor.authorDevereaux, PJ
dc.date.accessioned2020-09-15T09:17:33Z
dc.date.available2020-09-15T09:17:33Z
dc.date.issued2016-08-01
dc.identifier.issn1929-0748
dc.identifier.issn1929-0748
dc.identifier.urihttp://hdl.handle.net/10026.1/16320
dc.description.abstract

BACKGROUND: Tens of thousands of cardiac and vascular surgeries (CaVS) are performed on seniors in Canada and the United Kingdom each year to improve survival, relieve disease symptoms, and improve health-related quality of life (HRQL). However, chronic postsurgical pain (CPSP), undetected or delayed detection of hemodynamic compromise, complications, and related poor functional status are major problems for substantial numbers of patients during the recovery process. To tackle this problem, we aim to refine and test the effectiveness of an eHealth-enabled service delivery intervention, TecHnology-Enabled remote monitoring and Self-MAnagemenT-VIsion for patient EmpoWerment following Cardiac and VasculaR surgery (THE SMArTVIEW, CoVeRed), which combines remote monitoring, education, and self-management training to optimize recovery outcomes and experience of seniors undergoing CaVS in Canada and the United Kingdom. OBJECTIVE: Our objectives are to (1) refine SMArTVIEW via high-fidelity user testing and (2) examine the effectiveness of SMArTVIEW via a randomized controlled trial (RCT). METHODS: CaVS patients and clinicians will engage in two cycles of focus groups and usability testing at each site; feedback will be elicited about expectations and experience of SMArTVIEW, in context. The data will be used to refine the SMArTVIEW eHealth delivery program. Upon transfer to the surgical ward (ie, post-intensive care unit [ICU]), 256 CaVS patients will be reassessed postoperatively and randomly allocated via an interactive Web randomization system to the intervention group or usual care. The SMArTVIEW intervention will run from surgical ward day 2 until 8 weeks following surgery. Outcome assessments will occur on postoperative day 30; at week 8; and at 3, 6, 9, and 12 months. The primary outcome is worst postop pain intensity upon movement in the previous 24 hours (Brief Pain Inventory-Short Form), averaged across the previous 14 days. Secondary outcomes include a composite of postoperative complications related to hemodynamic compromise-death, myocardial infarction, and nonfatal stroke- all-cause mortality and surgical site infections, functional status (Medical Outcomes Study Short Form-12), depressive symptoms (Geriatric Depression Scale), health service utilization-related costs (health service utilization data from the Institute for Clinical Evaluative Sciences data repository), and patient-level cost of recovery (Ambulatory Home Care Record). A linear mixed model will be used to assess the effects of the intervention on the primary outcome, with an a priori contrast of weekly average worst pain intensity upon movement to evaluate the primary endpoint of pain at 8 weeks postoperation. We will also examine the incremental cost of the intervention compared to usual care using a regression model to estimate the difference in expected health care costs between groups. RESULTS: Study start-up is underway and usability testing is scheduled to begin in the fall of 2016. CONCLUSIONS: Given our experience, dedicated industry partners, and related RCT infrastructure, we are confident we can make a lasting contribution to improving the care of seniors who undergo CaVS.

dc.format.extente149-e149
dc.format.mediumElectronic
dc.languageen
dc.language.isoeng
dc.publisherJMIR Publications Inc.
dc.subjectrandomized controlled trial
dc.subjectremote automated external monitoring
dc.subjecttechnology-enabled self-management
dc.subjectusability testing
dc.titleTechnology-Enabled Remote Monitoring and Self-Management — Vision for Patient Empowerment Following Cardiac and Vascular Surgery: User Testing and Randomized Controlled Trial Protocol
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/27480247
plymouth.issue3
plymouth.volume5
plymouth.publication-statusPublished online
plymouth.journalJMIR Research Protocols
dc.identifier.doi10.2196/resprot.5763
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeCanada
dcterms.dateAccepted2016-05-19
dc.identifier.eissn1929-0748
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.2196/resprot.5763
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2016-08-01
rioxxterms.typeJournal Article/Review


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record


All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
Atmire NV