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A Video-Based Communication Intervention for Fecal Ostomy Surgery (CI-oSurg): Protocol for Open Pilot Testing to
Christy Elaine Cauley1,2,3, Atziri Rubio1,3, Mary Brindle3
1Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
JMIR Research Protocols
|November 15, 2024
Summary
This study refines a web-based communication intervention (CI-oSurg) to reduce distress in fecal ostomy surgery patients. The goal is to improve intervention usability and acceptability before efficacy testing for better patient recovery outcomes.
Area of Science:
- Ostomy care and patient recovery
- Digital health interventions
- Psychosocial support in surgery
Background:
- Fecal ostomy surgery affects many US patients annually, often leading to poor biopsychosocial outcomes.
- Current surgical training does not adequately address the psychosocial needs of ostomy patients.
- High complication rates and distress are common during recovery from ostomy surgery.
Purpose of the Study:
- To refine and establish the acceptability and usability of the Communication Intervention for fecal ostomy Surgery (CI-oSurg).
- CI-oSurg is a web-based intervention designed to reduce patient distress post-ostomy surgery.
- This refinement is crucial before efficacy testing of the intervention.
Main Methods:
- An open pilot study involving 24 patients and 8 clinicians.
- Video-based training to identify patient distress levels and types.
- Patients engage with web videos addressing ostomy challenges, including practical management and emotional adaptation.
- Qualitative semistructured interviews explore intervention acceptability and feasibility for refinement.
Main Results:
- Study approval obtained from Mass General Brigham Institutional Review Board.
- Funding secured for the research initiative.
- Patient recruitment is scheduled for Fall 2024.
Conclusions:
- The study will refine CI-oSurg to enhance its acceptability and usability for ostomy patients.
- Improved intervention design will facilitate future efficacy testing.
- The ultimate aim is to reduce distress and improve recovery for patients undergoing fecal ostomy surgery.
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