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. 2024 Jan 4;24(1):18.
doi: 10.1186/s12913-023-10508-5.

Evaluation of the nurse-assisted eHealth intervention 'eHealth@Hospital-2-Home' on self-care by patients with heart failure and colorectal cancer post-hospital discharge: protocol for a randomised controlled trial

Marianne Storm  1   2   3 , Ingvild Margreta Morken  4   5 , Rosalynn C Austin  6   7   8 , Oda Nordfonn  9 , Hege Bjøkne Wathne  6 , Kristin Hjorthaug Urstad  6   10 , Bjørg Karlsen  6 , Ingvild Dalen  5   11 , Kari Hanne Gjeilo  12   13 , Alison Richardson  8   14 , Glyn Elwyn  15 , Edvin Bru  16 , Jon Arne Søreide  17   18 , Hartwig Kørner  17   18 , Rune Mo  19   20 , Anna Strömberg  21   22 , Hilde Lurås  23   24 , Anne Marie Lunde Husebø  6   4
Affiliations

Evaluation of the nurse-assisted eHealth intervention 'eHealth@Hospital-2-Home' on self-care by patients with heart failure and colorectal cancer post-hospital discharge: protocol for a randomised controlled trial

Marianne Storm et al. BMC Health Serv Res. .

Abstract

Background: Patients with heart failure (HF) and colorectal cancer (CRC) are prone to comorbidity, a high rate of readmission, and complex healthcare needs. Self-care for people with HF and CRC after hospitalisation can be challenging, and patients may leave the hospital unprepared to self-manage their disease at home. eHealth solutions may be a beneficial tool to engage patients in self-care.

Methods: A randomised controlled trial with an embedded evaluation of intervention engagement and cost-effectiveness will be conducted to investigate the effect of eHealth intervention after hospital discharge on the self-efficacy of self-care. Eligible patients with HF or CRC will be recruited before discharge from two Norwegian university hospitals. The intervention group will use a nurse-assisted intervention-eHealth@Hospital-2-Home-for six weeks. The intervention includes remote monitoring of vital signs; patients' self-reports of symptoms, health and well-being; secure messaging between patients and hospital-based nurse navigators; and access to specific HF and CRC health-related information. The control group will receive routine care. Data collection will take place before the intervention (baseline), at the end of the intervention (Post-1), and at six months (Post-2). The primary outcome will be self-efficacy in self-care. The secondary outcomes will include measures of burden of treatment, health-related quality of life and 30- and 90-day readmissions. Sub-study analyses are planned in the HF patient population with primary outcomes of self-care behaviour and secondary outcomes of medication adherence, and readmission at 30 days, 90 days and 6 months. Patients' and nurse navigators' engagement and experiences with the eHealth intervention and cost-effectiveness will be investigated. Data will be analysed according to intention-to-treat principles. Qualitative data will be analysed using thematic analysis.

Discussion: This protocol will examine the effects of the eHealth@ Hospital-2-Home intervention on self-care in two prevalent patient groups, HF and CRC. It will allow the exploration of a generic framework for an eHealth intervention after hospital discharge, which could be adapted to other patient groups, upscaled, and implemented into clinical practice.

Trial registration: Clinical trials.gov (ID 301472).

Keywords: Colorectal cancer; Heart failure; Hospital discharge; Protocol; Randomised controlled trial; Self-efficacy; eHealth.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Logic model of the eHealth@Hospital-2-Home intervention
Fig. 2
Fig. 2
Overview of the RCT trial design
See this image and copyright information in PMC

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