Trial Outcomes & Findings for Improvement of Patient Satisfaction and Overall Outcomes Using HealthLoop (NCT NCT03481595)

NCT ID: NCT03481595

Last Updated: 2021-11-24

Results Overview

15-item patient experience questionnaire. Each response will be categorized as a problem or non-problem and reported as the percent of respondents reporting a problem, averaged across all PPE-15 domains.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

294 participants

Primary outcome timeframe

90 days after index surgery

Results posted on

2021-11-24

Participant Flow

Participant milestones

Participant milestones
Measure
Group A
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Overall Study
STARTED
146
148
Overall Study
COMPLETED
143
127
Overall Study
NOT COMPLETED
3
21

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A
n=143 Participants
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 Participants
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Total
n=270 Participants
Total of all reporting groups
Age, Continuous
66 years
STANDARD_DEVIATION 9 • n=143 Participants
65 years
STANDARD_DEVIATION 8 • n=127 Participants
66 years
STANDARD_DEVIATION 8 • n=270 Participants
Sex: Female, Male
Female
81 Participants
n=143 Participants
67 Participants
n=127 Participants
148 Participants
n=270 Participants
Sex: Female, Male
Male
62 Participants
n=143 Participants
60 Participants
n=127 Participants
122 Participants
n=270 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: 90 days after index surgery

15-item patient experience questionnaire. Each response will be categorized as a problem or non-problem and reported as the percent of respondents reporting a problem, averaged across all PPE-15 domains.

Outcome measures

Outcome measures
Measure
Group A
n=143 Participants
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 Participants
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Percentage of Participants Reporting a Problem Across al PPE-15 Domains
12.6 percent of participants
Standard Deviation 15.3
9.5 percent of participants
Standard Deviation 13.2

SECONDARY outcome

Timeframe: 90 days after index surgery

Satisfaction measurement tool measured on a scale from 0-100 mm. Where 0 = not satisfied and 100 = entirely satisfied.

Outcome measures

Outcome measures
Measure
Group A
n=143 Participants
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 Participants
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Visual Analog Scale (VAS) for Patient Satisfaction
91.0 units on a scale
Standard Deviation 17.3
91.0 units on a scale
Standard Deviation 13.9

SECONDARY outcome

Timeframe: 90 days after index surgery

A count of the number of days the patient was admitted to the hospital after the index procedure prior to being discharged. Measured in days.

Outcome measures

Outcome measures
Measure
Group A
n=143 Participants
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 Participants
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Length of Hospital Stay
1.4 days
Standard Deviation 0.9
1.2 days
Standard Deviation 0.7

SECONDARY outcome

Timeframe: 90 days after index surgery

Was the patient routinely discharged to home? Reported as yes or no.

Outcome measures

Outcome measures
Measure
Group A
n=143 Participants
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 Participants
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Number of Participants Discharged to Home
130 Participants
118 Participants

SECONDARY outcome

Timeframe: 90 days after index surgery

A count of the number of hospital readmissions related to the index procedure within 90 days after the index procedure.

Outcome measures

Outcome measures
Measure
Group A
n=143 Participants
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 Participants
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Number Participants Who Were Readmitted to the Hospital
9 Participants
9 Participants

SECONDARY outcome

Timeframe: 90 days after index surgery

A count of the number of emergency department visits related to the index procedure within 90 days after the index procedure.

Outcome measures

Outcome measures
Measure
Group A
n=143 Participants
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 Participants
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Number Participants Who Visited the Emergency Department
24 Participants
19 Participants

SECONDARY outcome

Timeframe: 90 days after index surgery

A count of the number of outpatient follow-up visits with the surgical team related to the index procedure within 90 days after the index procedure.

Outcome measures

Outcome measures
Measure
Group A
n=143 Participants
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 Participants
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Number Participants With 0, 1, 2, or 3+ Outpatient Visits
0 follow up visits
0 Participants
2 Participants
Number Participants With 0, 1, 2, or 3+ Outpatient Visits
1 follow up visit
21 Participants
17 Participants
Number Participants With 0, 1, 2, or 3+ Outpatient Visits
2 follow up visits
76 Participants
61 Participants
Number Participants With 0, 1, 2, or 3+ Outpatient Visits
3 or more follow up visits
46 Participants
47 Participants

SECONDARY outcome

Timeframe: 90 days after index surgery

A count of the number of telephone calls with the surgical team related to the index procedure within 90 days after the index procedure.

Outcome measures

Outcome measures
Measure
Group A
n=143 Participants
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 Participants
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Number of Participants Who Made 0, 1, 2, or 3+ Telephone Calls to the Surgical Team
0 phone encounters
15 Participants
12 Participants
Number of Participants Who Made 0, 1, 2, or 3+ Telephone Calls to the Surgical Team
1 phone encounter
37 Participants
40 Participants
Number of Participants Who Made 0, 1, 2, or 3+ Telephone Calls to the Surgical Team
2 phone encounters
39 Participants
32 Participants
Number of Participants Who Made 0, 1, 2, or 3+ Telephone Calls to the Surgical Team
3 or more phone encounters
52 Participants
43 Participants

SECONDARY outcome

Timeframe: 90 days after index surgery

A count of the number of reoperations related to the index procedure within 90 days after the index procedure.

Outcome measures

Outcome measures
Measure
Group A
n=143 Participants
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 Participants
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Number of Participants Who Had a Reoperation
1 Participants
4 Participants

Adverse Events

Group A

Serious events: 11 serious events
Other events: 12 other events
Deaths: 0 deaths

Group B

Serious events: 14 serious events
Other events: 10 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Group A
n=143 participants at risk
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 participants at risk
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
Cardiac disorders
Bradycardia
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
0.79%
1/127 • Number of events 1 • 90 days following total knee or total hip arthroplasty
Musculoskeletal and connective tissue disorders
Manipulation under anesthesia
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
2.4%
3/127 • Number of events 3 • 90 days following total knee or total hip arthroplasty
Endocrine disorders
Hyperkalemia
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
1.6%
2/127 • Number of events 2 • 90 days following total knee or total hip arthroplasty
Renal and urinary disorders
Urinary retention
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
0.79%
1/127 • Number of events 1 • 90 days following total knee or total hip arthroplasty
Respiratory, thoracic and mediastinal disorders
Effusions
0.00%
0/143 • 90 days following total knee or total hip arthroplasty
0.79%
1/127 • Number of events 1 • 90 days following total knee or total hip arthroplasty
Gastrointestinal disorders
Gastrointestinal bleed
0.00%
0/143 • 90 days following total knee or total hip arthroplasty
0.79%
1/127 • Number of events 1 • 90 days following total knee or total hip arthroplasty
Vascular disorders
deep vein thrombosis
0.00%
0/143 • 90 days following total knee or total hip arthroplasty
0.79%
1/127 • Number of events 1 • 90 days following total knee or total hip arthroplasty
Infections and infestations
Cellulitis
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
0.79%
1/127 • Number of events 1 • 90 days following total knee or total hip arthroplasty
Nervous system disorders
Seizure
0.00%
0/143 • 90 days following total knee or total hip arthroplasty
0.79%
1/127 • Number of events 1 • 90 days following total knee or total hip arthroplasty
Immune system disorders
Allergy
0.00%
0/143 • 90 days following total knee or total hip arthroplasty
0.79%
1/127 • Number of events 1 • 90 days following total knee or total hip arthroplasty
Nervous system disorders
Transverse myelitis
0.00%
0/143 • 90 days following total knee or total hip arthroplasty
0.79%
1/127 • Number of events 1 • 90 days following total knee or total hip arthroplasty
Renal and urinary disorders
Urinary tract infection
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
0.00%
0/127 • 90 days following total knee or total hip arthroplasty
Gastrointestinal disorders
GI distress
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
0.00%
0/127 • 90 days following total knee or total hip arthroplasty
Respiratory, thoracic and mediastinal disorders
pulmonary embolism
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
0.00%
0/127 • 90 days following total knee or total hip arthroplasty
Infections and infestations
Suture abscess
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
0.00%
0/127 • 90 days following total knee or total hip arthroplasty
Infections and infestations
Sepsis
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
0.00%
0/127 • 90 days following total knee or total hip arthroplasty
Nervous system disorders
Hiccups (hospitalized)
0.70%
1/143 • Number of events 1 • 90 days following total knee or total hip arthroplasty
0.00%
0/127 • 90 days following total knee or total hip arthroplasty

Other adverse events

Other adverse events
Measure
Group A
n=143 participants at risk
Group A will receive standard, routine medical care. If you are randomized to standard, routine medical care you will need to communicate with your Doctor and clinical care team through conventional methods such as over the phone or through MyChart.
Group B
n=127 participants at risk
Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan. HealthLoop mobile application: Patients will utilize the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care.
General disorders
swelling
1.4%
2/143 • Number of events 2 • 90 days following total knee or total hip arthroplasty
2.4%
3/127 • Number of events 3 • 90 days following total knee or total hip arthroplasty
General disorders
hypotension
2.8%
4/143 • Number of events 4 • 90 days following total knee or total hip arthroplasty
3.1%
4/127 • Number of events 4 • 90 days following total knee or total hip arthroplasty
Renal and urinary disorders
UTI
2.1%
3/143 • Number of events 3 • 90 days following total knee or total hip arthroplasty
2.4%
3/127 • Number of events 3 • 90 days following total knee or total hip arthroplasty
General disorders
nausea
2.1%
3/143 • Number of events 3 • 90 days following total knee or total hip arthroplasty
0.00%
0/127 • 90 days following total knee or total hip arthroplasty

Additional Information

Carlos Higuera

Cleveland Clinic Florida

Phone: 9546595430

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place