SAPIEN Feasibility Study

• Research type

  Research Study

• Full title

  SAPIEN Feasibility Study - Impact of a remote lifestyle change program on length of stay and complications in patients undergoing elective colorectal resection

• IRAS ID

  302319

• Contact name

  Jim Khan

• Contact email

  jim.khan@porthosp.nhs.uk

• Sponsor organisation

  Portsmouth Hospitals University NHS Trust

• ISRCTN Number

  ISRCTN11288262

• Duration of Study in the UK

  1 years, 0 months, 1 days

• Research summary

  The last three decades have seen a change in how we define and practice perioperative medicine. During this period, it is well established that the management of surgical patient extends beyond the hospital inpatient admission and we have seen that interventions such as pre-assessment clinics, patient information leaflets and enhanced recovery after surgery models improve both clinical and economical outcomes. However, all these lifestyle modifications not only require more time in order to be more effective, but also require a more person-centered approach.
  As a solution to the above problem Sapien, a mobile app-based behavioural intervention for patients undergoing elective surgery, combines personalized digital guidance with 1-to-1 remote health coaching to help optimize patients preoperatively, and support their recovery during the postoperative phase.
  The app aims to modify risk by supporting patients to:
  ● Increase physical activity levels
  ● Stop smoking
  ● Reduce alcohol intake
  ● Improve diet
  ● Improve sleep duration and quality
  ● Enhance preparedness for their perioperative journey

  In order to study this intervention an initial cohort of 44 patients undergoing elective bowel resection will be offered remote health coaching. Patients who choose to opt in this study will be introduced to the service and receive educational materials on how to use the app. Patients who do not wish to use Sapien will still be eligible for the standard perioperative care pathway with no changes. The intervention will be available 2-4 weeks prior to surgery and 1 month after.
  This feasibility study aims to recruit 44 participants (interventional arm) into the study. These participants will use the app within their peri-operative management pre-operative. The data collected from these participants will be compared to group matched retrospective data from 44 patients (comparison arm), for these patients only the primary outcome and relevant secondary outcomes will be collected.

• REC name

  Wales REC 7

• REC reference

  21/WA/0379

• Date of REC Opinion

  7 Dec 2021

• REC opinion

  Further Information Favourable Opinion