Ignite Creation Date:
2024-05-06 @ 8:17 PM
Last Modification Date:
2024-10-26 @ 3:24 PM
Study NCT ID:
NCT06320002
Status:
RECRUITING
Last Update Posted:
2024-03-28
First Post:
2024-03-06
Brief Title:
Communication Intervention for Fecal Ostomy Surgery
Sponsor:
Massachusetts General Hospital
Organization:
Massachusetts General Hospital
Study Overview
Official Title:
Improving Biopsychosocial Outcomes With a Communication Intervention for Patients Undergoing Fecal Ostomy Surgery
Status:
RECRUITING
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
CI-oSurg
Brief Summary:
In this study the investigators will evaluate the acceptability of a communication intervention for fecal ostomy surgery CI-oSurg to address the needs of adults who are undergoing fecal ostomy surgery The investigators will recruit 24 patients and 4 clinicians surgical nurses wound ostomy nurses At least half of patients are 65 years or older to understand the unique needs of older adults recovering from fecal ostomy surgery that might impact intervention acceptability Questionnaires will be administered at two time-points for patient participants upon study start and 4 weeks after exposure to the intervention
Detailed Description:
In this study the investigators are trying to understand the feasibility and acceptability of a psychologically informed communication guide for fecal ostomy Surgery with the overall goal of improving biopsychosocial outcomes of patients undergoing fecal ostomy surgery
An estimated 100000 people in the US undergo fecal ostomy surgery colostomy or ileostomy each year frequently to address severe symptoms ie obstruction perforation and incontinence due to colorectal cancer diverticulitis and pelvic floor dysfunction Complication rates after fecal ostomy surgery are high up to 37 with negative effects on patient and family quality of life Surgeons do not traditionally identify and address health outcomes patients with serious illness prioritize when making treatment decisions such as caregiver burden loss of independence and psychosocial function Communicating this information is key to address patient anxiety when facing major surgery and ensure caregiver preparedness among patients and families considering fecal ostomy surgery
Current surgical guidelines support the use of preoperative communication and education interventions to improve psychosocial adjustment after fecal ostomy surgery based on expert opinion However little evidence exists evaluating the impact of communication interventions or content needs of patients undergoing fecal ostomy surgery or their family Despite these guidelines a recent study notes that inadequate ostomy education remains a frequent concern among patients undergoing fecal ostomy surgery Furthermore patients perception of inadequate education is associated with poor emotional social and marital outcomes after surgery There is a critical need to address this deficit in communication quality between patients undergoing fecal ostomy surgery their family and surgical care providers Our guiding hypothesis is that development of a Communication Intervention for fecal ostomy Surgery CI-oSurg is acceptable to patients and clinicians and will ultimately reduce patient distress and improve quality of life
An estimated 100000 people in the US undergo fecal ostomy surgery colostomy or ileostomy each year frequently to address severe symptoms ie obstruction perforation and incontinence due to colorectal cancer diverticulitis and pelvic floor dysfunction Complication rates after fecal ostomy surgery are high up to 37 with negative effects on patient and family quality of life Surgeons do not traditionally identify and address health outcomes patients with serious illness prioritize when making treatment decisions such as caregiver burden loss of independence and psychosocial function Communicating this information is key to address patient anxiety when facing major surgery and ensure caregiver preparedness among patients and families considering fecal ostomy surgery
Current surgical guidelines support the use of preoperative communication and education interventions to improve psychosocial adjustment after fecal ostomy surgery based on expert opinion However little evidence exists evaluating the impact of communication interventions or content needs of patients undergoing fecal ostomy surgery or their family Despite these guidelines a recent study notes that inadequate ostomy education remains a frequent concern among patients undergoing fecal ostomy surgery Furthermore patients perception of inadequate education is associated with poor emotional social and marital outcomes after surgery There is a critical need to address this deficit in communication quality between patients undergoing fecal ostomy surgery their family and surgical care providers Our guiding hypothesis is that development of a Communication Intervention for fecal ostomy Surgery CI-oSurg is acceptable to patients and clinicians and will ultimately reduce patient distress and improve quality of life
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None