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This study aims to determine if inpatient enrollment into a patient communication app improves clinic follow-up of orthopedic trauma patients and improves survey completion rates after orthopedic trauma.
Follow-up in trauma is historically poor. As a result, outcomes from trauma are difficult to collect via surveys and are often significantly influenced by selection bias. Patient interaction apps like Patient Gateway are thought to facilitate greater participant involvement and adherence to treatment regimens. The investigators will explore if inpatient enrollment into Patient Gateway would improve clinic follow-up rates. Increasing follow-up rates could improve the quality of care delivered.
In addition, self-administered survey questionnaires are an important data collection tool in clinical practice, public health research and epidemiology. However, survey completion rates are typically poor in orthopaedic trauma.
With the evaluation of modern technology, electronic applications are being increasingly used in both hospital and personal settings. In outpatient clinics, questionnaires to measure outcomes and monitor quality of care are administered by staff members using hospital owned tablet devices. Recently, applications to complete these surveys on personal devices have been developed.
In a recent Cochrane review on the comparison of self-administered survey questionnaire responses collected using mobile apps versus other methods it was concluded that there are no data available on response rates. The investigators will attempt to address this question.
All Patient Gateway naïve patients aged 18 years or older able to consent for themselves and admitted to the hospital for an orthopedic condition with the need for outpatient follow-up will be invited to participate in this study. Exclusion criteria will be patients unable to consent for themselves, inability to communicate in English, and no possession of a smartphone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enrollment group | Experimental |
| |
| Information group | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient Gateway | Other | Patients will be enrolled in the Patient Gateway app. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Return to Clinic | The number of patients enrolled who return to clinic for a followup visit at 3 months postop. It will be a count and proportion of the occurrence of a patient returning to clinic for followup | 3 months postoperative |
| Use of Any the Patient Gateway Portal at 3 Months | The number of patients who used the patient gateway portal for any purpose at 3 months. This will be a count of participants. | 3 months postoperative |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35969452 | Derived | Bhashyam AR, Bansal M, McGovern MM, van der Vliet QMJ, Heng M. In-hospital Enrollment Into an Electronic Patient Portal Results in Improved Follow-up After Orthopedic Surgery: Cluster Randomized Controlled Trial. JMIR Perioper Med. 2022 Aug 11;5(1):e37148. doi: 10.2196/37148. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Enrollment Group | Patient Gateway: Patients will be enrolled in the Patient Gateway app with the assistance of a research coordinator as an inpatient. |
| FG001 | Information Group | Patients will be provided with information sheet only on how to enroll for Patient Gateway app. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Enrollment Group | Patient Gateway: Patients will be enrolled in the Patient Gateway app with the assistance of a research coordinator as an inpatient. |
| BG001 | Information Group |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Return to Clinic | The number of patients enrolled who return to clinic for a followup visit at 3 months postop. It will be a count and proportion of the occurrence of a patient returning to clinic for followup | Posted | Count of Participants | Participants | 3 months postoperative |
|
3 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Enrollment Group | Patient Gateway: Patients will be enrolled in the Patient Gateway app with the assistance of a research coordinator as an inpatient. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Marilyn Heng, Principal Investigator | Massachusetts General Hospital | 6176430149 | mheng@mgh.harvard.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 7, 2018 | Apr 8, 2022 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
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Patients will be provided with information sheet only on how to enroll for Patient Gateway app.
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Median income by Zipcode | Median | Standard Deviation | dollars |
|
| Injury vs Acute Infection | Count of Participants | Participants |
|
| Admission Subspecialty | Count of Participants | Participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| Primary | Use of Any the Patient Gateway Portal at 3 Months | The number of patients who used the patient gateway portal for any purpose at 3 months. This will be a count of participants. | Posted | Count of Participants | Participants | 3 months postoperative |
|
|
|
| 0 |
| 113 |
| 0 |
| 113 |
| 0 |
| 113 |
| EG001 | Information Group | Patients will be provided with information sheet only on how to enroll for Patient Gateway app. | 0 | 116 | 0 | 116 | 0 | 116 |
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