Better stoma care using the Stoma App: does it help? A first randomized double-blind clinical trial on the effect of mobile healthcare on quality of life in stoma patients Article Swipe
Sebastiaan L. van der Storm
,
Esther C. J. Consten
,
Marc J. P. M. Govaert
,
Jurriaan B. Tuynman
,
Steven J. Oosterling
,
Brechtje A. Grotenhuis
,
Anke B. Smits
,
Hendrik A. Marsman
,
Charles C. van Rossem
,
Eino B. van Duyn
,
Lindsey C. F. de Nes
,
Emiel G. G. Verdaasdonk
,
T. S. de Vries Reilingh
,
Wouter Vening
,
Willem A. Bemelman
,
Marlies P. Schijven
,
Liesbeth W. E. Boerman
,
Noor E. van den Broek
,
Ivonne J. C. M. Botman
,
Danielle Verhoeven
,
Valeria Baars
,
Claudia van Tienderen
,
Patricia van Bottenberg
,
J.E. den Hartog
,
Christianne J. Buskens
,
Roel Hompes
,
Miranda Kusters
,
Marieke S. Walma
,
Bono Meijs
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s00464-023-10593-x
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s00464-023-10593-x
Background Receiving a stoma significantly impacts patients’ quality of life. Coping with this new situation can be difficult, which may result in a variety of physical and psychosocial problems. It is essential to provide adequate guidance to help patients cope with their stoma, as this positively influences self-efficacy in return. Higher self-efficacy reduces psychosocial problems increasing patient’s quality of life. This study investigates whether a new mobile application, the Stoma App, improves quality of life. And if personalized guidance, timed support, and peer contact offered as an in-app surplus makes a difference. Methods A double-blind, randomized controlled trial was conducted between March 2021 and April 2023. Patients aged > 18 years undergoing ileostomy or colostomy surgery, in possession of a compatible smartphone were included. The intervention group received the full version of the app containing personalized and time guidance, peer support, and generic (non-personalized) stoma-related information. The control group received a restricted version with only generic information. Primary outcome was stoma quality of life. Secondary outcomes included psychological adaption, complications, re-admittance, reoperations, and length of hospital stay. Results The intervention version of the app was used by 96 patients and the control version by 112 patients. After correction for confounding, the intervention group reported a significant 3.1-point improvement in stoma-related quality of life one month postoperatively ( p = 0.038). On secondary outcomes, no significant improvements could be retrieved of the intervention group. Conclusion The Stoma App improves the quality of life of stoma patients. Peer support and personalized guidance are of significant importance in building self-efficacy. It is to be recommended to implement Stoma app—freely available software qualifying as a medical device—in standard stoma care pathways for the benefits of both patients and healthcare providers.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00464-023-10593-x
- https://link.springer.com/content/pdf/10.1007/s00464-023-10593-x.pdf
- OA Status
- hybrid
- Cited By
- 13
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390674277
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4390674277Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s00464-023-10593-xDigital Object Identifier
- Title
-
Better stoma care using the Stoma App: does it help? A first randomized double-blind clinical trial on the effect of mobile healthcare on quality of life in stoma patientsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-01-08Full publication date if available
- Authors
-
Sebastiaan L. van der Storm, Esther C. J. Consten, Marc J. P. M. Govaert, Jurriaan B. Tuynman, Steven J. Oosterling, Brechtje A. Grotenhuis, Anke B. Smits, Hendrik A. Marsman, Charles C. van Rossem, Eino B. van Duyn, Lindsey C. F. de Nes, Emiel G. G. Verdaasdonk, T. S. de Vries Reilingh, Wouter Vening, Willem A. Bemelman, Marlies P. Schijven, Liesbeth W. E. Boerman, Noor E. van den Broek, Ivonne J. C. M. Botman, Danielle Verhoeven, Valeria Baars, Claudia van Tienderen, Patricia van Bottenberg, J.E. den Hartog, Christianne J. Buskens, Roel Hompes, Miranda Kusters, Marieke S. Walma, Bono MeijsList of authors in order
- Landing page
-
https://doi.org/10.1007/s00464-023-10593-xPublisher landing page
- PDF URL
-
https://link.springer.com/content/pdf/10.1007/s00464-023-10593-x.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://link.springer.com/content/pdf/10.1007/s00464-023-10593-x.pdfDirect OA link when available
- Concepts
-
Randomized controlled trial, Medicine, Quality of life (healthcare), Stoma (medicine), Psychosocial, Physical therapy, Ileostomy, Colostomy, General surgery, Surgery, Nursing, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
13Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 10, 2024: 3Per-year citation counts (last 5 years)
- References (count)
-
26Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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