Influence of the Culture Care Program on Patient Mobility After Thoracic or Abdominal Surgery: a Mixed-methods Study
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHaute Ecole ARC Sante
About this trial
A sedentary behavior in the postoperative phase has a negative impact on recovery from various types of surgery (e.g. abdominal, pulmonary, cardiac or esophageal). In fact, sedentary behavior in the days following surgery is associated with an increased risk of postoperative complications, longer hospital stays and, consequently, higher healthcare costs. Stimulating early mobilization and increasing the level of physical activity after surgery therefore remains a relevant current challenge. The Culture Care program will propose a new experience of the hospital towards an attractive and stimulating intrahospital environment, including art and culture. The hypothesis is that the innovative, positive hospital experience offered by the Culture Care program could contribute to increasing patients' mobility in the postoperative phase and thus reduce the sedentary behaviour compared with a control group included before the implementation of the program.
The aim of this study is to explore the effect of the Culture Care program (Control group versus Culture Care group) on the mobility of patients hospitalized after thoracic or abdominal surgery, by determining the level of prediction in relation to the influencing covariates reported in the literature.
The first quantitative part of this research project will compare the mobility of patients hospitalized after surgery, before (control group) and after the implementation of the Culture Care program (Culture Care group). Patients will be asked to wear an accelerometer for the first five post-operative days, and to complete three questionnaires (psychological well-being, physical recovery, perception of their mobility).
Healthcare workers will be asked to complete a survey on their readiness to stimulate patients' mobility before and after the Culture Care program.
The second part will be qualitative including individual semi-structured interviews with patients and healthcare workers during the Culture Care program, to gather their experiences.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Admission to Surgical Units in the Surgical Department of the Hôpital de Neuchâtel implementing the Culture Care program.
Elective thoracic or abdominal surgery with an expected hospital stay of at least 2 days (i.e. discharge on postoperative day 3).
Neurocognitive and physical ability to complete questionnaires and individual participation in the Culture Care program.
Full capacity of discernment and signed informed consent to participate in the study.
Disqualifiers
Outpatient surgery.
Emergency surgery.
Mobility severely impaired prior to surgery: patients with 1 or 2 lower-limb amputations, patients with wheelchair mobility only, neurodegenerative diseases.
Bed restiction between POD 1 and POD 5 for medical reasons, i.e. surgery, post-operative complications or other pre-existing cardiorespiratory, neurological or orthopedic reasons.
Trial design
Design model
Single group
Treatments tested in this trial
Culture Care program
Other interventionThe Culture Care program modernizes the in-hospital environment by including art and culture proposed in the form of an individualized pathway. It will be offered primarily to hospitalized patients, but also available to families, caregivers and healthcare professionals. It will aim to create a new hospital experience, different from the one we've always known. The Culture Care program will display posters illustrating works of art (paintings, drawings, photographs, etc.) along the hallways. These posters will be interactive, so that a QR code can be scanned to access musical content and audio podcasts (interviews and documentaries) accessible via bone-conduction headphones. The Culture Care program is likely to reduce the sedentary behavior of hospitalized patients, by providing an attractive in-hospital environment that is likely to produce both physical and psychological benefits.
Treatment groups
204 Participants
are divided into 4 treatment groupsGroup A: Control group of patientsNo intervention 0 interventions
Group B: Culture Care group of patientsExperimental treatment 1 intervention
Group C: Control group of healthcare workersNo intervention 0 interventions
Group D: Culture Care group of healthcare workersExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Daily time spent out of bed
This outcome will be assessed by accelerometry
Time frame
From postoperative day 1 to postoperative day 3.2
Daily steps number
This outcome will be assessed by accelerometry
Time frame
From postoperative day 1 to postoperative day 3.Secondary outcomes
1
Number of patients mobilized on the day of surgery
Out of bed: sitting in the chair, standing, walking, etc. This outcome will be assessed by accelerometry.
Time frame
The day of surgery (Day 0)2
Daily steps number
Time frame
From postoperative day 1 to postoperative day 5.3
Mean daily duration of physical inactivity, light physical activity and moderate-to-vigorous physical activity
Time frame
From postoperative day 1 to postoperative day 5.4
Quality of recovery after surgery
This outcome will be assessed using the Quality of Recovery in 15 questions questionnaire (QoR-15) with a 11-point numerical rating scale with a minimum score of 0 (very poor recovery) and a maximum score of 150 (excellent recovery)
Time frame
At postoperative day 2 and at discharge (maximum 1 day before)Other outcomes
1
Patients experience of the Culture Care intervention
Semi-structured interview (for the intervention group)
Time frame
Interviews will start after the end of the quantitative study, for a anticipated duration from 1 to 5 months, maximum 8 months). Interviews will be conducted with patients between postoperative day 2 and postoperative day 5.2
Healthcare workers experience of the Culture Care intervention
Semi-structured interview (for the intervention group only) conducted with the healthcare workers working in the units modernized with the Culture Care program.
Time frame
Interviews will start after the end of the quantitative study, for an anticipated duration from 1 to 5 months, maximum 8 months)Sponsors and contacts
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Source ClinicalTrials.gov