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Readiness for Discharge Following Lobectomy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT00247832
Recruitment Status : Unknown
Verified November 2011 by University of British Columbia.
Recruitment status was:  Recruiting
First Posted : November 2, 2005
Last Update Posted : November 16, 2011
Sponsor:
Collaborator:
Canadian Institutes of Health Research (CIHR)
Information provided by (Responsible Party):
University of British Columbia

Brief Summary:
This study aims to examine the relationship between the patient's perception of readiness for discharge after lobectomy and mobilization rates, frequency of visitation by family and friends, anxiety levels and pain levels. We will test the hypotheses that a) those patients who walk farther early after surgery and who have more visitors and decreased anxiety and pain levels will have a greater self-perceived readiness for discharge and b) that patients who receive daily ambulation goals and personal motivation will have higher step rates, and therefore have a greater self-perceived readiness for discharge, than those that do not. We will monitor patients, during the post-operative recovery period using pedometers to count steps taken, visitor log sheets, and questionnaires on the patients' anxiety, pain and perceived readiness for discharge. Furthermore, we will examine how the patient's self-perceived readiness for discharge is affected by study interventions which include ambulation goals and daily personal motivation.

Condition or disease Intervention/treatment Phase
Pain Anxiety Behavioral: Self-directed motivation Behavioral: Personal motivational interviewing Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 99 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Readiness for Discharge Following Lobectomy: Effects of the Thoracic Risk Intervention and Management (T.R.I.M.) Protocol
Study Start Date : October 2005
Estimated Primary Completion Date : December 2011
Estimated Study Completion Date : December 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Anxiety

Arm Intervention/treatment
No Intervention: 1
Experimental: 2
Self-directed motivation
Behavioral: Self-directed motivation
Post-lobectomy patients are provided with a booklet that outlines expected physical activities (sitting up, walking arm exercises) to aim for each day after surgery. It also provides room for the patients to record what they have accomplished.

Experimental: 3
Personal motivational interviewing
Behavioral: Personal motivational interviewing
Post-lobectomy patients receive daily visits from a study coordinator aimed to motivate the patient to complete various physical activities each day after surgery. The study coordinator goes through the same booklet that is given to Group 2 and helps patients set goals and record their accomplishments.




Primary Outcome Measures :
  1. Perceived readiness for discharge VAS score (at discharge)

Secondary Outcome Measures :
  1. Length of stay, physician's and nurses perceived readiness for discharge, visitation rates, anxiety score, pain score (at discharge), primary and secondary outcomes (at post-op days 3, 5 and follow-up)


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Undergoing elective lobectomy,
  • speak, write and read English,
  • ambulate prior to surgery

Exclusion Criteria:


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00247832


Contacts
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Contact: Jennifer Rattenbury, MSc. 604-875-4111 ext 62183 jrattenbury@shaw.ca

Locations
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Canada, British Columbia
Vancouver General Hospital Chest Centre Recruiting
Vancouver, British Columbia, Canada, V5Z 1M9
Contact: Jennifer Rattenbury, MSc.    604-875-4111 ext 62183    jrattenbury@shaw.ca   
Principal Investigator: John Yee, MD         
Sponsors and Collaborators
University of British Columbia
Canadian Institutes of Health Research (CIHR)
Investigators
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Principal Investigator: John Yee, MD University of British Columbia

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Responsible Party: University of British Columbia
ClinicalTrials.gov Identifier: NCT00247832    
Other Study ID Numbers: C05 - 0500
First Posted: November 2, 2005    Key Record Dates
Last Update Posted: November 16, 2011
Last Verified: November 2011
Keywords provided by University of British Columbia:
Monitoring, early mobilization, motivation modality, visitation rate, step rates, anxiety, pain
Elective lobectomy