Promoting patient engagement during care transitions after surgery using mobile technology: Lessons learned from the MobiMD pilot study

Diehl, Thomas M.; Barrett, James; Doorn, Rachel Van; Stafford, Linda; Hanlon, Bret; Weber, Sharon M.; Voils, Corrine I.; Abbott, Daniel E.

doi:10.1016/j.surg.2021.12.018

Cited by 10 publications

(13 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These apps had a completion rate of the daily assessments between 21 and 84%, and had good patient satisfaction. [14][15][16][17][18][19][20][21][22][23][24]. The app of Keng et al had a 30-day readmission rate of 6% in comparison with a reported rate of 18% prior to the start of the cohort study [14].…”

Section: Monitoringmentioning

confidence: 98%

“…The app of Symer et al generated alerts for 26,7% of the patients and one patient within this group was readmitted [21]. The app "MobiMD" was initially developed for several gastrointestinal procedures but its feasibility was successfully tested on mainly colorectal patients [22]. The effect of the app on hospital readmissions will be evaluated in a RCT [23].…”

Section: Monitoringmentioning

confidence: 99%

“…The app "MobiMD" was initially developed for several gastrointestinal procedures but its feasibility was successfully tested on mainly colorectal patients [22]. The effect of the app on hospital readmissions will be evaluated in a RCT [23]. The app "how2trak" is focused on surgical wound and symptom surveillance and its feasibility evaluation has not yet been completed [24].…”

Section: Monitoringmentioning

confidence: 99%

See 2 more Smart Citations

Mobile applications in gastrointestinal surgery: a systematic review

et al. 2023

View full text Add to dashboard Cite

Background Mobile applications can facilitate or improve gastrointestinal surgical care by benefiting patients, healthcare providers, or both. The extent to which applications are currently in use in gastrointestinal surgical care is largely unknown, as reported in literature. This systematic review was conducted to provide an overview of the available gastrointestinal surgical applications and evaluate their prospects for surgical care provision. Methods The PubMed, EMBASE and Cochrane databases were searched for articles up to October 6th 2022. Articles were considered eligible if they assessed or described mobile applications used in a gastrointestinal surgery setting for healthcare purposes. Two authors independently evaluated selected studies and extracted data for analysis. Descriptive data analysis was conducted. The revised Cochrane risk of bias (RoB-2) tool and ROBINS-I assessment tool were used to determine the methodological quality of studies. Results Thirty-eight articles describing twenty-nine applications were included. The applications were classified into seven categories: monitoring, weight loss, postoperative recovery, education, communication, prognosis, and clinical decision-making. Most applications were reported for colorectal surgery, half of which focused on monitoring. Overall, a low-quality evidence was found. Most applications have only been evaluated on their usability or feasibility but not on the proposed clinical benefits. Studies with high quality evidence were identified in the areas of colorectal (2), hepatopancreatobiliary (1) and bariatric surgery (1), reporting significantly positive outcomes in terms of postoperative recovery, complications and weight loss. Conclusions The interest for applications and their use in gastrointestinal surgery is increasing. From our study, it appears that most studies using applications fail to report adequate clinical evaluation, and do not provide evidence on the effectiveness or safety of applications. Clinical evaluation of objective outcomes is much needed to evaluate the efficacy, quality and safety of applications being used as a medical device across user groups and settings.

show abstract

Section: Monitoringmentioning

confidence: 98%

Section: Monitoringmentioning

confidence: 99%

Section: Monitoringmentioning

confidence: 99%

See 1 more Smart Citation

Mobile applications in gastrointestinal surgery: a systematic review

et al. 2023

View full text Add to dashboard Cite

show abstract

“…The World Health Organization (WHO, 2011) introduced mHealth and defined it as a new model of health care that provides medical services and health management to patients through devices such as smartphones, personal digital assistants, patient monitoring devices, and other wireless mobile devices. A recent study indicated that transitional care using mHealth technology could reduce readmission and control the inflated health care spending in colorectal surgery (Diehl et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Application of WeChat-Utilized Mobile Health in Transitional Care Among Patients Undergoing Hepatectomy: A Pilot Study

et al. 2022

View full text Add to dashboard Cite

This study aimed to investigate whether mobile health (mHealth)-based transitional care, which utilized WeChat, could benefit patients undergoing hepatectomy. From January 2019 to December 2020, 807 patients who underwent hepatectomy in a tertiary care hospital were included in the study. Patients were divided into a transitional care group (TC group) ( n = 238) and a control group ( n = 569) based on whether they participated in mHealth-based transitional care, which utilized the WeChat application. Depending on the type of variables, t-tests, χ2 tests, and other statistical methods were used to compare differences between groups. Propensity score matching analysis was conducted for factors that differed in basic characteristics. After 1:1 matching, 238 patients were included in each group. Less readmission within 90 days of discharge, better quality of life, and higher satisfaction were found in the TC group both before and after matching ( p < .05). This study showed the potential of applying mHealth-based transitional care among post-hepatectomy patients.

show abstract

“…,45,59,60,66-69,75,81,89,102,106,107,113,125], which included several treatment types, such as a combination of chemotherapy and radiotherapy. Nonpharmacological treatments include surgery (8/73, 11%)[8,49,61,79,96,109,123,130] and transplantation (3/73, 4%)[77,97,100,103]. mHealth users can be patients, clinicians, a broader pool of health care professionals (HCPs), or different combinations of users.…”

mentioning

confidence: 99%

Evaluating Barriers and Facilitators to the Uptake of mHealth Apps in Cancer Care Using the Consolidated Framework for Implementation Research: Scoping Literature Review

Ardito¹,

Golubev²,

Ciani³

et al. 2023

JMIR Cancer

View full text Add to dashboard Cite

Background Mobile health (mHealth) solutions have proven to be effective in a wide range of patient outcomes and have proliferated over time. However, a persistent challenge of digital health technologies, including mHealth, is that they are characterized by early dropouts in clinical practice and struggle to be used outside experimental settings or on larger scales. Objective This study aimed to explore barriers and enablers to the uptake of mHealth solutions used by patients with cancer undergoing treatment, using a theory-guided implementation science model, that is, the Consolidated Framework for Implementation Research (CFIR). Methods A scoping literature review was conducted using PubMed (MEDLINE), Web of Science, and ScienceDirect databases in March 2022. We selected studies that analyzed the development, evaluation, and implementation of mHealth solutions for patients with cancer that were used in addition to the standard of care. Only empirical designs (eg, randomized controlled trials, observational studies, and qualitative studies) were considered. First, information on the study characteristics, patient population, app functionalities, and study outcomes was extracted. Then, the CFIR model was used as a practical tool to guide data collection and interpretation of evidence on mHealth uptake. Results Overall, 91 papers were included in the data synthesis. The selected records were mostly randomized controlled trials (26/91, 29%) and single-arm, noncomparative studies (52/91, 57%). Most of the apps (42/73, 58%) were designed for both patients and clinicians and could be used to support any type of cancer (29/73, 40%) and a range of oncological treatments. Following the CFIR scheme (intervention, outer setting, inner setting, individuals, process), multistakeholder co-design, codevelopment, and testing of mHealth interventions were identified as key enablers for later uptake. A variety of external drivers emerged, although the most relevant outer incentive fostering mHealth use was addressing patient needs. Among organizational factors likely to influence technology uptake, interoperability was the most prominent, whereas other providers’ dimensions such as managerial attitudes or organizational culture were not systematically discussed. Technology-related impediments that could hamper the use of mHealth at the individual level were considered least often. Conclusions The hype surrounding mHealth in cancer care is hindered by several factors that can affect its use in real world and nonexperimental settings. Compared with the growing evidence on mHealth efficacy, knowledge to inform the uptake of mHealth solutions in clinical cancer care is still scarce. Although some of our findings are supported by previous implementation research, our analysis elaborates on the distinguishing features of mHealth apps and provides an integrated perspective on the factors that should be accounted for implementation efforts. Future syntheses should liaise these dimensions with strategies observed in successful implementation initiatives.

show abstract

Promoting patient engagement during care transitions after surgery using mobile technology: Lessons learned from the MobiMD pilot study

Cited by 10 publications

References 29 publications

Mobile applications in gastrointestinal surgery: a systematic review

Mobile applications in gastrointestinal surgery: a systematic review

Application of WeChat-Utilized Mobile Health in Transitional Care Among Patients Undergoing Hepatectomy: A Pilot Study

Evaluating Barriers and Facilitators to the Uptake of mHealth Apps in Cancer Care Using the Consolidated Framework for Implementation Research: Scoping Literature Review

Contact Info

Product

Resources

About