Telehealth-Delivered Program and Accompanying Patients to Enhance the Clinical Condition of Patients Throughout a Liver Transplant: Protocol for a Mixed Methods Study
BackgroundLiver transplantation (LT) is indicated in patients with severe acute or chronic liver failure for which no other therapy is available. With the increasing number of LTs in recent years, liver centers worldwide must manage their patients according to their clinical...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2024-03-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2024/1/e54440 |
| _version_ | 1827311436288753664 |
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| author | Marie-Pascale Pomey Enora Le Roux Nathalie Nadon Jessie Perron Angèle Barry Chantal Bémeur Thomas G Poder Fernand Duford Louise Laviolette Johanne Tétrault-Lassonde Cécile Vialaron Manuel J Escalona Louise Normandin Geneviève Huard Catherine Girardin Christopher Rose Kathy Malas Denis Ouellet Catherine Vincent |
| author_facet | Marie-Pascale Pomey Enora Le Roux Nathalie Nadon Jessie Perron Angèle Barry Chantal Bémeur Thomas G Poder Fernand Duford Louise Laviolette Johanne Tétrault-Lassonde Cécile Vialaron Manuel J Escalona Louise Normandin Geneviève Huard Catherine Girardin Christopher Rose Kathy Malas Denis Ouellet Catherine Vincent |
| author_sort | Marie-Pascale Pomey |
| collection | DOAJ |
| description |
BackgroundLiver transplantation (LT) is indicated in patients with severe acute or chronic liver failure for which no other therapy is available. With the increasing number of LTs in recent years, liver centers worldwide must manage their patients according to their clinical situation and the expected waiting time for transplantation. The LT clinic at the Centre hospitalier de l’Université de Montréal (CHUM) is developing a new health care model across the entire continuum of pre-, peri-, and posttransplant care that features patient monitoring by an interdisciplinary team, including an accompanying patient; a digital platform to host a clinical plan; a learning program; and data collection from connected objects.
ObjectiveThis study aims to (1) evaluate the outcomes following the implementation of a patient platform with connected devices and an accompanying patient, (2) identify implementation barriers and facilitators, (3) describe service outcomes in terms of health outcomes and the rates and nature of contact with the accompanying patient, (4) describe patient outcomes, and (5) assess the intervention’s cost-effectiveness.
MethodsSix types of participants will be included in the study: (1) patients who received transplants and reached 1 year after transplantation before September 2023 (historical cohort or control group), (2) patients who will receive an LT between December 2023 and November 2024 (prospective cohort/intervention group), (3) relatives of those patients, (4) accompanying patients who have received an LT and are interested in supporting patients who will receive an LT, (5) health care professionals, and (6) decision makers. To describe the study sample and collect data to achieve all the objectives, a series of validated questionnaires, accompanying patient logbooks, transcripts of interviews and focus groups, and clinical indicators will be collected throughout the study.
ResultsIn total, 5 (steering, education, clinical-technological, nurse prescription, and accompanying patient) working committees have been established for the study. Recruitment of patients is expected to start in November 2023. All questionnaires and technological platforms have been prepared, and the clinicians, stakeholders, and accompanying patient personnel have been recruited.
ConclusionsThe implementation of this model in the trajectory of LT recipients at the CHUM may allow for better monitoring and health of patients undergoing transplantation, ultimately reducing the average length of hospital stay and promoting better use of medical resources. In the event of positive results, this model could be transposed to all transplant units at the CHUM and across Quebec (potentially affecting 888 patients per year) but could also be applied more widely to the monitoring of patients with other chronic diseases. The lessons learned from this project will be shared with decision makers and will serve as a model for other initiatives involving accompanying patients, connected objects, or digital platforms.
International Registered Report Identifier (IRRID)PRR1-10.2196/54440 |
| first_indexed | 2024-04-24T20:18:50Z |
| format | Article |
| id | doaj.art-bcac58cfcb6245d99ebfe70dc7ceba79 |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-04-24T20:18:50Z |
| publishDate | 2024-03-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-bcac58cfcb6245d99ebfe70dc7ceba792024-03-22T12:45:33ZengJMIR PublicationsJMIR Research Protocols1929-07482024-03-0113e5444010.2196/54440Telehealth-Delivered Program and Accompanying Patients to Enhance the Clinical Condition of Patients Throughout a Liver Transplant: Protocol for a Mixed Methods StudyMarie-Pascale Pomeyhttps://orcid.org/0000-0001-5180-8139Enora Le Rouxhttps://orcid.org/0000-0002-2238-7133Nathalie Nadonhttps://orcid.org/0009-0006-1176-9124Jessie Perronhttps://orcid.org/0009-0002-7678-9696Angèle Barryhttps://orcid.org/0000-0003-3680-9437Chantal Bémeurhttps://orcid.org/0000-0003-2757-5958Thomas G Poderhttps://orcid.org/0000-0001-7017-096XFernand Dufordhttps://orcid.org/0009-0006-3604-9457Louise Laviolettehttps://orcid.org/0009-0002-8573-3029Johanne Tétrault-Lassondehttps://orcid.org/0009-0000-8361-9463Cécile Vialaronhttps://orcid.org/0009-0004-2736-9323Manuel J Escalonahttps://orcid.org/0000-0003-2354-9541Louise Normandinhttps://orcid.org/0000-0002-8166-8090Geneviève Huardhttps://orcid.org/0009-0000-2591-1351Catherine Girardinhttps://orcid.org/0009-0006-3738-2083Christopher Rosehttps://orcid.org/0000-0001-9854-6834Kathy Malashttps://orcid.org/0000-0001-8419-0507Denis Ouellethttps://orcid.org/0009-0004-1270-2437Catherine Vincenthttps://orcid.org/0000-0001-9711-8010 BackgroundLiver transplantation (LT) is indicated in patients with severe acute or chronic liver failure for which no other therapy is available. With the increasing number of LTs in recent years, liver centers worldwide must manage their patients according to their clinical situation and the expected waiting time for transplantation. The LT clinic at the Centre hospitalier de l’Université de Montréal (CHUM) is developing a new health care model across the entire continuum of pre-, peri-, and posttransplant care that features patient monitoring by an interdisciplinary team, including an accompanying patient; a digital platform to host a clinical plan; a learning program; and data collection from connected objects. ObjectiveThis study aims to (1) evaluate the outcomes following the implementation of a patient platform with connected devices and an accompanying patient, (2) identify implementation barriers and facilitators, (3) describe service outcomes in terms of health outcomes and the rates and nature of contact with the accompanying patient, (4) describe patient outcomes, and (5) assess the intervention’s cost-effectiveness. MethodsSix types of participants will be included in the study: (1) patients who received transplants and reached 1 year after transplantation before September 2023 (historical cohort or control group), (2) patients who will receive an LT between December 2023 and November 2024 (prospective cohort/intervention group), (3) relatives of those patients, (4) accompanying patients who have received an LT and are interested in supporting patients who will receive an LT, (5) health care professionals, and (6) decision makers. To describe the study sample and collect data to achieve all the objectives, a series of validated questionnaires, accompanying patient logbooks, transcripts of interviews and focus groups, and clinical indicators will be collected throughout the study. ResultsIn total, 5 (steering, education, clinical-technological, nurse prescription, and accompanying patient) working committees have been established for the study. Recruitment of patients is expected to start in November 2023. All questionnaires and technological platforms have been prepared, and the clinicians, stakeholders, and accompanying patient personnel have been recruited. ConclusionsThe implementation of this model in the trajectory of LT recipients at the CHUM may allow for better monitoring and health of patients undergoing transplantation, ultimately reducing the average length of hospital stay and promoting better use of medical resources. In the event of positive results, this model could be transposed to all transplant units at the CHUM and across Quebec (potentially affecting 888 patients per year) but could also be applied more widely to the monitoring of patients with other chronic diseases. The lessons learned from this project will be shared with decision makers and will serve as a model for other initiatives involving accompanying patients, connected objects, or digital platforms. International Registered Report Identifier (IRRID)PRR1-10.2196/54440https://www.researchprotocols.org/2024/1/e54440 |
| spellingShingle | Marie-Pascale Pomey Enora Le Roux Nathalie Nadon Jessie Perron Angèle Barry Chantal Bémeur Thomas G Poder Fernand Duford Louise Laviolette Johanne Tétrault-Lassonde Cécile Vialaron Manuel J Escalona Louise Normandin Geneviève Huard Catherine Girardin Christopher Rose Kathy Malas Denis Ouellet Catherine Vincent Telehealth-Delivered Program and Accompanying Patients to Enhance the Clinical Condition of Patients Throughout a Liver Transplant: Protocol for a Mixed Methods Study JMIR Research Protocols |
| title | Telehealth-Delivered Program and Accompanying Patients to Enhance the Clinical Condition of Patients Throughout a Liver Transplant: Protocol for a Mixed Methods Study |
| title_full | Telehealth-Delivered Program and Accompanying Patients to Enhance the Clinical Condition of Patients Throughout a Liver Transplant: Protocol for a Mixed Methods Study |
| title_fullStr | Telehealth-Delivered Program and Accompanying Patients to Enhance the Clinical Condition of Patients Throughout a Liver Transplant: Protocol for a Mixed Methods Study |
| title_full_unstemmed | Telehealth-Delivered Program and Accompanying Patients to Enhance the Clinical Condition of Patients Throughout a Liver Transplant: Protocol for a Mixed Methods Study |
| title_short | Telehealth-Delivered Program and Accompanying Patients to Enhance the Clinical Condition of Patients Throughout a Liver Transplant: Protocol for a Mixed Methods Study |
| title_sort | telehealth delivered program and accompanying patients to enhance the clinical condition of patients throughout a liver transplant protocol for a mixed methods study |
| url | https://www.researchprotocols.org/2024/1/e54440 |
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