An app for patient education and self-audit within an enhanced recovery program for bowel surgery: a pilot study assessing validity and usability
Abstract
Introduction 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.Methods 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).Results 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.Conclusions 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.
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Pecorelli et al [44] had high response rates (96%) to usability analyses.
“Some studies, such as Pecorelli et al [44], had high response rates (96%) to usability analyses.”
From Usability of Mobile Health Apps for Postoperative Care: Systematic Review (2020) · cites this paper as [44]
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“In 2001, researchers developed the concept of ERAS for reducing the average length of postoperative hospital stays and improving the quality of patients after surgery [12,13].”
BackgroundThe Value of Preoperative Assessment
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Testing Phases for RFID Inventory Management System
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Development of mobile application in dermatological and aesthetic dysfunction
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- Authors
- Pecorelli, N., Fiore, J. F., Kaneva, P., Somasundram, A., Charlebois, P., Liberman, A. S., Stein, B. L., Carli, F., & Feldman, L. S.
- Affiliations
- McGill University Health Centre (CA)
- Corresponding author
- Feldman, Liane S.
- ORCID
- Venue
- Surgical Endoscopy
- Published
- 2017-11-02
- Volume
- 32
- Issue
- 5
- Pages
- 2263-2273
- ISSN
- 0930-2794 (ISSN-L)
- 1432-2218
- OpenAlex
- W2765714776
- Cited by
- 68
- References
- 33
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 6 · 2023: 7 · 2022: 5 · 2021: 17 · 2020: 10 · 2019: 9 · 2018: 3 · 2017: 1 · 2015: 1
- FWCI
- 10.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Surgical Endoscopy (publishedVersion)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Funders
- Society of American Gastrointestinal and Endoscopic Surgeons (SAGES SMART research grant 2015)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
- Keywords
- enhanced recovery after surgery, intestinal surgery, mobile health apps, patient education, self-audit, clinical audit, patient-reported outcomes, app usability, patient engagement, perioperative care
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Patient Compliance, Patient Education as Topic, Pilot Projects, Prospective Studies, Digestive System Surgical Procedures, Reproducibility of Results, Patient Satisfaction, Outcome Assessment, Health Care, Perioperative Care, Clinical Audit, Self Report, Mobile Applications
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