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Brief Title: Using Patient Centered Data and Behavioral Economics to Improve Mobility and Reduce Readmissions After Major Abdominal Surgery

Using Patient Centered Data and Behavioral Economics to Improve Mobility and Reduce Readmissions After Major Abdominal Surgery for Cancer

INTRODUCTION

  • Org Study ID: 833829
  • Secondary ID: N/A
  • NCT ID: NCT04314778
  • Sponsor: University of Pennsylvania

BRIEF SUMMARY

This is a two-arm randomized, controlled trial during the postoperative period after major abdominal surgery for cancer, including for example radical cystectomy, nephrectomy, colectomy, comparing a control group that uses a wearable device to track physical activity to an intervention group that uses the same wearable devices and receives a supportive social incentive-based gamification intervention to adhere to a step goal program.

DETAILED DESCRIPTION

We will conduct a two-arm randomized, controlled trial during the postoperative period after a radical cystectomy for bladder cancer, comparing a control group that uses a wearable device to track physical activity to an intervention group that uses the same wearable devices and receives a supportive social incentive-based gamification intervention to adhere to a step goal program. Patients will be enrolled after being diagnosed with bladder cancer and scheduled to undergo a radical cystectomy. The median length of stay after a radical cystectomy is 8 days, with 90% being discharged within two weeks. Postoperatively, the baseline step count will be averaged by taking the steps taken during the first two days outside of the intensive care unit. There will be two postoperative phases: Phase I will be while the patient is hospitalized postoperatively. Phase II will be when the patient is discharged for three months.

5.2 Study

  • Overall Status
    Completed
  • Start Date
    November 15, 2019
  • Phase
    Not Applicable
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Change in Mean Daily Step Count From the Baseline Step Count During Two Days After the Surgery to the Hospital Discharge

Primary Outcome 1 - Timeframe: From baseline step count after a two-day run-in period after the surgery to the time of hospital discharge postoperatively. As the time to discharge was variable

CONDITION

  • Bladder Cancer

ELIGIBILITY

Inclusion Criteria:
* Age 18 years or older

- * diagnosis of cancer undergoing definitive surgical treatment
Exclusion Criteria:
* Inability to provide consent

- * does not have daily access to a smartphone compatible with the wearable device and not willing to use a device that the investigators can provide them

- * any other medical conditions that would prohibit participation in a physical activity program

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: Daniel Lee, MD

Role: Principal Investigator

Affiliation: University of Pennsylvania

Overall Contact

Name: N/A

Phone: N/A

Email: N/A

LOCATION

Facility Status Contact