Набор скоро начнётся NCT07201870

Digital Preparation for Bariatric Surgery: Feasability Pilot Trial

Без фазы С лечением Obesity Bariatric Surgery Patients Online Education eHealth Literacy

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Acces to Precare online platform.
Кому может быть актуально: Состояния в реестре: Obesity, Bariatric Surgery Patients, Online Education, eHealth Literacy. Базовые параметры: от 18 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Канада
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

A Pilot Feasibility Study of the Implementation, Usability, Acceptability and Effectiveness of an Online Bariatric Surgery Preparation Platform

Обзор

Metabolic and bariatric surgery (MBS) is in increasing demand due to the growing prevalence of severe obesity and the cumulating evidence of long-term benefits on weight loss, cardiometabolic and functional health outcomes, and quality of life for individuals living with severe obesity. The time spent on the waiting list for an MBS follow the same trend with an estimated waiting time of more than 18 months and rising. The lack of resources and multidisciplinary capabilities among MBS centers impacts the quality of care and outcomes, which greatly contributes to delayed surgery. In 2023, 31% of patients who had an initial appointment with the MBS nurse at the Quebec Heart and Lung Institute - Laval University(IUCPQ) did not proceed with the surgery due to fear, uncertainty, or timing issues. Additionally, 49% reported that their concerns (e.g., financial, home support) were not addressed before MBS. These data highlight the urgent need to implement strategies to optimize wait time and ensure that MBS preparation is tailored to patients' expectations. Telehealth has significantly impacted surgical preparation, including for MBS, by enhancing accessibility, reducing dropout rates, and maintaining clinical outcomes that are comparable to traditional in-person visits but it requires real-time multidisciplinary execution, limiting the applicability for MBS waiting list patients. An interesting complement to telehealth intervention is online education platforms which offer digital flexibility, a significant advantage over in-person session. To date, most MBS online resources are fee-based or driven by commercial interests and lack of clinical evidence, which raises concerns about their efficacy and safety for users who are seeking reliable support during their MBS journey. A free online education platform could optimize the time spent on the MBS waiting list by increasing patients' readiness for MBS, furnishing invaluable insights into the patient journey to MBS, and empowering individuals undergoing MBS. The IUCPQ is in the process of working on the care trajectory of patients with obesity. The Healthcare Direction and the Bariatric Surgery Clinic decided to use a platform called Precare. This platform offers personalized educational content as well as a calendar and appointment management system. It has been accredited by the Quebec Ministry of Health and Social Services. The present research focuses on the pilot testing the implementation and effectiveness of the PreCare solution for patients awaiting bariatric surgery at the IUCPQ. The objectives of the research proposal are: 1) To assess the usability and acceptability of the Precare platform using a mixed design methodology; 2) To evaluate the logistical feasibility of using the platform in a clinical setting; 3) To determine whether extensive self-questionnaire assessments may impact the use of the Precare platform; 4) To explore barriers and facilitators to enhance patient engagement and knowledge retention; and 5) To derive estimates variables related to gender, ethnicity, cultural background, learners and psychological profiles for future phases. Our hypotheses are: 1. The Precare platform will exhibit high usability and acceptability. 2. Testing the Precare platform in real clinical settings is viable and will yield promising results for improving patient readiness for Metabolic and Bariatric Surgery.

Вмешательства

Другое Acces to Precare online platform
Precare is an online educational platform for patients on the waiting list for bariatric surgery. Precare offers personalized educational content as well as a calendar and appointment management system. It has been accredited by the Quebec Ministry of Health and Social Services.

Первичные конечные точки

Self-perceived barriers to metabolic and bariatric surgery [Срок оценки: At baseline]
eHeals Literacy Scale [Срок оценки: At baseline]
Index of Learning Styles [Срок оценки: At baseline]
University of Rhode Island Change Assessment Scale (URICA) [Срок оценки: At baseline, 3 months and 6 months]
Home-made survey [Срок оценки: At baseline, 3 months and 6 months]
System Usability Scale score(SUS) [Срок оценки: at 3 and 6 months]

Вторичные конечные точки (12)

Mental Health Continuum Short Form [Срок оценки: At baseline, 3 months and 6 months]
Motivation to attempt metabolic and bariatric surgery [Срок оценки: At baseline]
Physical and psychological comorbidities [Срок оценки: At baseline]
Body Mass Index in kg.m-2 [Срок оценки: At baseline]
Age of first weight gain [Срок оценки: At baseline]
Weight Loss Attempts [Срок оценки: At Baseline]
Adherence to weight loss attempts [Срок оценки: At baseline]
Minimal weight [Срок оценки: At baseline]
Maximum weight [Срок оценки: At baseline]
Binge Eating Scale score [Срок оценки: At baseline, 3 months and 6 months]
modified Yale Food Addiction Scale 2.0 (mYFAS 2.0) [Срок оценки: At baseline, 3 months and 6 months]
Hospital Anxiety and Depression Scale (HADS) [Срок оценки: At baseline, 3 months and 6 months]

Критерии участия

Критерии включения

Be on the waiting list for metabolic and bariatric surgery at IUCPQ
not yet assessed by the local team and with an expected wait time of more than 6 months
understand French
Have an active email address