SAPIEN SBRI 19

• Research type

  Research Study

• Full title

  SAPIEN SBRI 19 Impact of a remote lifestyle change program on length of stay and complications in patients undergoing elective knee and hip arthroplasty.

• IRAS ID

  311052

• Contact name

  Rebecca Barker

• Contact email

  rebecca.barker6@nhs.net

• Sponsor organisation

  Sherwood Forest Hospitals NHS Foundation Trust

• ISRCTN Number

  ISRCTN12049495

• Duration of Study in the UK

  0 years, 9 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 has been 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

  The study will assess if using the app increases PAM (Patient Activation Measure) score, this is a questionnaire which measures a patients knowledge, skills and confidence in managing their own wellbeing. Evidence shows that when people are supported to become more activated, they benefit from better health outcomes, improved experiences of care and fewer unplanned care admissions. This study will also see if using the app helps to reduce patients; length of hospital stay following surgery, post-operative complications, re-admission to hospital following discharge and surgery cancellation rate. We will measure these things by randomly assigning half the patient population who have chosen to participate in the study use of the app and comparing against PAM score and surgical outcome metrics of half the population who will not use the app.

• REC name

  East Midlands - Nottingham 2 Research Ethics Committee

• REC reference

  22/EM/0063

• Date of REC Opinion

  15 Mar 2022

• REC opinion

  Further Information Favourable Opinion