Ambulation Difficulty Clinical Trial
Official title:
IText For ICOUGH: Improving Ambulation of Surgical Patients Through Text Messaging
NCT number | NCT03834428 |
Other study ID # | H-38265 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | March 21, 2019 |
Est. completion date | July 13, 2019 |
Verified date | July 2019 |
Source | Boston Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The investigators plan to conduct a study that evaluates if text messaging increases
patients' adherence to ambulation (specifically reminding patients to get out of bed three or
more times daily) which is one component of a protocol called ICOUGH, which is a mnemonic
that stands for: Incentive spirometry (a breathing device that expands the lungs), Coughing
and deep breathing, Oral hygiene (using a toothbrush for example),Understanding (patient and
family education), Getting out of bed at least three times daily, and Head-of-bed elevation
to prevent choking; each letter representing steps of a protocol developed at Boston Medical
Center (BMC) shown to decrease lung-related complications of surgery. Other outcomes,
including frequency of ambulation, pain score, number of visitors per day, head-of-bed
elevation, education on importance of ambulation, and falls will also be assessed. The
hypothesis is that a reminder text message to ambulate will improve these outcomes over time.
While beneficial to patients and health care facilities, the ICOUGH protocol is sometimes
both difficult to implement and sustain at an acute care hospital, because: (1) patient
motivation fluctuates and is the key determinant of patient ambulation (2) it relies heavily
on nurses to both educate patients and then keep them accountable to the protocol, (3) an
unfavorable nurse-to-patient ratio, (4) high inpatient turnover for elective surgical cases,
and (5) an aging baby boomer population—a higher volume of older, higher- risk patients will
require more time and attention per nurse. Therefore, utilization of text message reminders
may promote better patient, family, and provider engagement and adherence to ambulation which
can improve outcomes and decrease healthcare spending.
Status | Completed |
Enrollment | 37 |
Est. completion date | July 13, 2019 |
Est. primary completion date | June 7, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patients of all genders on any surgical service at Boston Medical Center - English speaking - Ability to read at 5th grade level - Able to ambulate, with or without assistance - Possession of a personal cell phone that can receive text messages Exclusion Criteria: - Visually impaired or blind - Presence of neuromuscular disease or inability to perform all the measures in the ICOUGH protocol - Prisoners - Pregnant women |
Country | Name | City | State |
---|---|---|---|
United States | Boston Medical Center | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Boston Medical Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in the frequency of ambulation daily while hospitalized | The frequency of ambulation will be tracked for each participant each day of their hospitalization after ICOUGH education. Ambulation is defined as leaving a patient's room. | baseline and 10 days | |
Secondary | Pain Level Scale twice daily while hospitalized | Participants will be asked twice daily (in the morning and evening) until discharge, "On a scale of 1-10, with 10 being the worst pain imaginable, what is your pain now?" Lower scores are more favorable. | Twice daily until hospital discharge or for 10 days maximum | |
Secondary | Number of participants that received ambulation education during hospitalization | Participants will be asked whether they received any education on the importance of ambulation while hospitalized. | At hospital discharge or hospital day #10 | |
Secondary | Daily chair usage during hospitalization | Participants will be asked about the number of times they sit in the chair in their room each day. | Daily until hospital discharge or for 10 days maximum | |
Secondary | Number of daily visitors while hospitalized | Participants will be asked how many visitors they had while hospitalized | Daily until hospital discharge or for 10 days maximum | |
Secondary | Number of visitors who helped participants ambulate | Participants will be asked how many visitors helped them ambulate. | Daily until hospital discharge or for 10 days maximum | |
Secondary | Usefulness of the text messages in the experimental group | At discharge participants in the experimental arm will be interviewed as to their opinions about the text messages. The qualitative answers will be analyzed for themes and content. | At hospital discharge or hospital day #10 |
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