| Title |
An app for patient education and self-audit within an enhanced recovery program for bowel surgery: a pilot study assessing validity and usability
|
|---|---|
| Published in |
Surgical Endoscopy, November 2017
|
| DOI | 10.1007/s00464-017-5920-3 |
| Pubmed ID | |
| Authors |
Nicolò Pecorelli, Julio F. Fiore, Pepa Kaneva, Abarna Somasundram, Patrick Charlebois, A. Sender Liberman, Barry L. Stein, Franco Carli, Liane S. Feldman |
| Abstract |
While patient engagement and clinical audit are key components of successful enhanced recovery programs (ERPs), they require substantial resource allocation. The objective of this study was to assess the validity and usability of a novel mobile device application for education and self-reporting of adherence for patients undergoing bowel surgery within an established ERP. Prospectively recruited patients undergoing bowel surgery within an ERP used a novel app specifically designed to provide daily recovery milestones and record adherence to 15 different ERP processes and six patient-reported outcomes (PROs). Validity was measured by the agreement index (Cohen's kappa coefficient for categorical, and interclass correlation coefficient (ICC) for continuous variables) between patient-reported data through the app and data recorded by a clinical auditor. Acceptability and usability of the app were measured by the System Usability Scale (SUS). Forty-five patients participated in the study (mean age 61, 64% male). Overall, patients completed 159 of 179 (89%) of the available questionnaires through the app. Median time to complete a questionnaire was 2 min 49 s (i.q.r. 2'32″-4'36″). Substantial (kappa > 0.6) or almost perfect agreement (kappa > 0.8) and strong correlation (ICC > 0.7) between data collected through the app and by the clinical auditor was found for 14 ERP processes and four PROs. Patient-reported usability was high; mean SUS score was 87 (95% CI 83-91). Only 6 (13%) patients needed technical support to use the app. Forty (89%) patients found the app was helpful to achieve their daily goals, and 34 (76%) thought it increased their motivation to recover after surgery. This novel application provides a tool to record patient adherence to care processes and PROs, with high agreement with traditional clinical audit, high usability, and patient satisfaction. Future studies should investigate the use of mobile device apps as strategies to increase adherence to perioperative interventions. |
X Demographics
The data shown below were collected from the profiles of 24 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 7 | 29% |
| United States | 4 | 17% |
| Canada | 3 | 13% |
| Chile | 1 | 4% |
| Italy | 1 | 4% |
| Ecuador | 1 | 4% |
| Switzerland | 1 | 4% |
| Australia | 1 | 4% |
| Unknown | 5 | 21% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 9 | 38% |
| Practitioners (doctors, other healthcare professionals) | 6 | 25% |
| Scientists | 6 | 25% |
| Science communicators (journalists, bloggers, editors) | 3 | 13% |
Mendeley readers
The data shown below were compiled from readership statistics for 157 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 157 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 23 | 15% |
| Student > Bachelor | 19 | 12% |
| Researcher | 18 | 11% |
| Student > Ph. D. Student | 14 | 9% |
| Student > Doctoral Student | 12 | 8% |
| Other | 32 | 20% |
| Unknown | 39 | 25% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 41 | 26% |
| Nursing and Health Professions | 28 | 18% |
| Computer Science | 6 | 4% |
| Social Sciences | 6 | 4% |
| Psychology | 5 | 3% |
| Other | 29 | 18% |
| Unknown | 42 | 27% |
Attention Score in Context
This research output has an Altmetric Attention Score of 13. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 June 2020.
All research outputs
#2,347,793
of 23,007,053 outputs
Outputs from Surgical Endoscopy
#260
of 6,101 outputs
Outputs of similar age
#48,550
of 329,244 outputs
Outputs of similar age from Surgical Endoscopy
#8
of 117 outputs
Altmetric has tracked 23,007,053 research outputs across all sources so far. Compared to these this one has done well and is in the 89th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,101 research outputs from this source. They receive a mean Attention Score of 4.1. This one has done particularly well, scoring higher than 95% of its peers.
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We're also able to compare this research output to 117 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 93% of its contemporaries.