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RAPP, a systematic e-assessment of postoperative recovery in patients undergoing day surgery: study protocol for a mixed-methods study design including a multicentre, two-group, parallel, single-blind randomised controlled trial and qualitative interview studies
Örebro University, School of Health Sciences. (Perioperativ omvårdnad)ORCID iD: 0000-0001-5403-4183
Örebro University, School of Health Sciences. (Perioperativ omvårdnad)ORCID iD: 0000-0001-7574-6745
Örebro University, School of Health Sciences. (Perioperativ omvårdnad)ORCID iD: 0000-0002-4170-6451
Örebro University, School of Health Sciences. (Perioperativ omvårdnad)ORCID iD: 0000-0002-1991-1555
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2016 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 6, no 1, e009901Article in journal (Refereed) Published
Abstract [en]

Introduction: Day surgery is a well-established practice in many European countries, but only limited information is available regarding postoperative recovery at home though there is a current lack of a standard procedure regarding postoperative follow-up. Furthermore, there is also a need for improvement of modern technology in assessing patient-related outcomes such as mobile applications. This article describes the Recovery Assessment by Phone Points (RAPP) study protocol, a mixed-methods study to evaluate if a systematic e-assessment follow-up in patients undergoing day surgery is cost-effective and improves postoperative recovery, health and quality of life.

Methods and analysis: This study has a mixed-methods study design that includes a multicentre, two-group, parallel, single-blind randomised controlled trial and qualitative interview studies. 1000 patients >17 years of age who are undergoing day surgery will be randomly assigned to either eassessed postoperative recovery follow-up daily in 14 days measured via smartphone app including the Swedish web-version of Quality of Recovery (SwQoR) or to standard care (ie, no follow-up). The primary aim is cost-effectiveness. Secondary aims are (A) to explore whether a systematic e-assessment follow-up after day surgery has a positive effect on postoperative recovery, health-related quality of life (QoL) and overall health; (B) to determine whether differences in postoperative recovery have an association with patient characteristic, type of surgery and anaesthesia; (C) to determine whether differences in health literacy have a substantial and distinct effect on postoperative recovery, health and QoL; and (D) to describe day surgery patient and staff experiences with a systematic e-assessment follow-up after day surgery.

The primary aim will be measured at 2 weeks postoperatively and secondary outcomes (A–C) at 1 and 2 weeks and (D) at 1 and 4 months.

Place, publisher, year, edition, pages
London, United Kingdom: B M J Group , 2016. Vol. 6, no 1, e009901
National Category
Medical and Health Sciences Surgery
Research subject
Caring Sciences w. Medical Focus
Identifiers
URN: urn:nbn:se:oru:diva-47385DOI: 10.1136/bmjopen-2015-009901ISI: 000369993900142PubMedID: 26769788Scopus ID: 2-s2.0-84960371476OAI: oai:DiVA.org:oru-47385DiVA: diva2:893274
Projects
RAPP http://www.oru.se/Forskning/Forskningsprojekt/Forskningsprojekt-efter-amne/Forskningsprojekt/?rdb=1027
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-4765Swedish Research Council, 2015-02273
Available from: 2016-01-12 Created: 2016-01-12 Last updated: 2017-02-07Bibliographically approved

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Nilsson, UlricaJaensson, MariaDahlberg, KarunaOdencrants, SigridGrönlund, ÅkeHagberg, LarsEriksson, Mats
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School of Health SciencesOrebro University School of Business, Örebro University, Sweden
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BMJ Open
Medical and Health SciencesSurgery

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CiteExportLink to record
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