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NCT Number: NCT07010055

Using Digital Health in a Postoperative Setting After Major Surgery: Semi-structured Interview Study

This study aims to evaluate whether patients recognize a need for a remote monitoring care pathway during the post-operative period following major surgery at Jessa Hospital by means of a semi- structured interview. Besides this, the study explores patient perceptions and willingness to participate in digital monitoring care pathways, identifies potential barriers to adoption, and addressing concerns related to safety, data security, and privacy. Additionally, the study aims to assess patient needs regarding parameter collection, technology usage, and the overall functionality of digital monitoring systems, while evaluating the perceived usefulness of such a pathway in post-operative care.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Digital health technologies are transforming healthcare, offering new ways to improve patient outcomes and enhance efficiency. Remote clinical monitoring (RCM), which uses digital technologies such as wearable devices and mobile apps to monitor patients outside of the traditional healthcare settings such as a hospital, holds significant potential for supporting post-operative care, especially in the context of faster hospital discharge after major surgery. Major surgery involves procedures on organ systems, such as cancer resections, organ transplants, and lung or abdominal surgeries. However, despite their promise, the successful implementation of these technologies into clinical practice requires a thorough understanding of the perspectives of the end user, being the patient. Patients' comfort, engagement, and perceptions about digital health solutions, such as self-management tools and remote monitoring pathways, are essential to ensuring these technologies are both effective and widely accepted.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Surgical patients
  • >18 years old, Undergone major surgery at Jessa Hospital Hasselt

Exclusion criteria

  • Unable to provide informed consent or request to not participate in the study
  • Cognitively incapable of understanding the study
  • No understanding of the Dutch language

Treatment and study plan

Semi-structured interview

Procedure

A semi-structured interview will be conducted once in-person to each patient after a follow-up consultation in the hospital after their major surgery

Primary outcomes

  1. Need for monitoring of vital and subjective parameters after discharge

    Time frame: During a follow-up consultation within one year after major surgery

    The primary outcome measurement will be assessed by asking patients if they believe that there is a need for monitoring of vital and subjective parameters after discharge.

Secondary outcomes

  1. Perceptions regarding the implementation of digital monitoring care pathways

    Time frame: During a follow-up consultation within one year after major surgery

    Patients' perceptions regarding the implementation of digital monitoring care pathways will be evaluated by asking questions about their experience and knowledge of remote care, their perceptions of whether digital monitoring can replace traditional face-to-face consultations, their need for digital information after discharge, and their experience with follow-up and contact with healthcare providers after discharge.

  2. Willingness to participate in digital care pathways

    Time frame: During a follow-up consultation within one year after major surgery

    To examine patients' willingness to participate in digital care pathways, following items are questioned: willingness to be discharged sooner with remote monitoring available, factors that would motivate patients to use or recommend remote monitoring, and comfort and willingness to have health monitored remotely through an app or device.

  3. Potential barriers to adopt digital care

    Time frame: During a follow-up consultation within one year after major surgery

    To identify potential barriers to adopt digital care, challenges in using remote care will be surveyed.

  4. Concerns about safety

    Time frame: During a follow-up consultation within one year after major surgery

    Patients' concerns about safety when being discharged earlier with remote monitoring in place are assessed to understand patient concerns about their own safety.

  5. Accuracy of data

    Time frame: During a follow-up consultation within one year after major surgery

    Trust in the accuracy of data collected through remote monitoring and security of personal data when using remote monitoring are evaluated to understand patient concerns regarding data security and privacy.

  6. Needs regarding parameter collection

    Time frame: During a follow-up consultation within one year after major surgery

    To understand patient needs regarding parameter collection, patients are asked if they think there is a need for additional parameters to be collected beyond vital signs (e.g., blood pressure, oxygen saturation, body temperature, heart rate), or if they have specific preferences for health parameters to be collected.

  7. Skills regarding working with technology

    Time frame: During a follow-up consultation within one year after major surgery

    To examine patients' skills regarding working with technology, skills in using technology, comfort using digital devices for health monitoring, and the need for training to use remote monitoring effectively will be investigated.

  8. Desire for notifications when a parameter or questionnaire needs to be entered in an app

    Time frame: During a follow-up consultation within one year after major surgery

    The desire for notifications when a parameter or questionnaire needs to be entered in an app, for alerts or alarms when a parameter is abnormal, for digital feedback from healthcare providers, or to communicate directly with healthcare providers through an app is explored to understand patient needs regarding the functioning of the digital monitoring care pathway.

  9. Perceptions regarding the usefulness of a digital monitoring care pathway

    Time frame: During a follow-up consultation within one year after major surgery

    To assess patient perceptions regarding the usefulness of a digital monitoring care pathway, their perception of the potential for remote monitoring to improve the recovery process, of benefits for patients/healthcare providers/society, of remote monitoring helping to reduce anxiety about recovery through continuous monitoring, and of remote monitoring helping to prevent complications, will be examined.

  10. Willingness to participate in a study with remote monitoring

    Time frame: During a follow-up consultation within one year after major surgery

    The willingness to participate in a study with remote monitoring is asked to assess patient willingness to participate in a study where digital monitoring is used.

Study contacts

Contact information is provided by the study sponsor or research team.

Bjorn Stessel, MD, PhD

CONTACT

[email protected]

+3211222107

Sponsors and collaborators

Lead sponsor

Jessa Hospital

Other

Registry information

Official study title

Using Digital Health in a Postoperative Setting After Major Surgery: a Prospective Single-center Qualitative Semi-structured Interview Study

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Jun 8, 2025
Registry last updated
Jun 8, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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