An ostomy self-management telehealth intervention for cancer survivors: Technology-related findings from a randomized controlled trial

Ronald S. Weinstein; Michael J. Holcomb; Julia Mo; Peter Yonsetto; Octavio Bojorquez; Marcia Grant; Christopher S. Wendel; Nancy J. Tallman; Elizabeth Ercolano; Zuleyha Cidav; Mark C. Hornbrook; Virginia Sun; Ruth McCorkle; Robert S Krouse

doi:10.2196/26545

An ostomy self-management telehealth intervention for cancer survivors: Technology-related findings from a randomized controlled trial

Ronald S. Weinstein, Michael J. Holcomb, Julia Mo, Peter Yonsetto, Octavio Bojorquez, Marcia Grant, Christopher S. Wendel, Nancy J. Tallman, Elizabeth Ercolano, Zuleyha Cidav, Mark C. Hornbrook, Virginia Sun, Ruth McCorkle, Robert S Krouse

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Background: An Ostomy Self-management Telehealth (OSMT) intervention by nurse educators and peer ostomates can equip new ostomates with critical knowledge regarding ostomy care. A telehealth technology assessment aim was to measure telehealth engineer support requirements for telehealth technology–related (TTR) incidents encountered during OSMT intervention sessions held via a secure cloud-based videoconferencing service, Zoom for Healthcare. Objective: This paper examines technology-related challenges, issues, and opportunities encountered in the use of telehealth in a randomized controlled trial intervention for cancer survivors living with a permanent ostomy. Methods: The Arizona Telemedicine Program provided telehealth engineering support for 105 OSMT sessions, scheduled for 90 to 120 minutes each, over a 2-year period. The OSMT groups included up to 15 participants, comprising 4-6 ostomates, 4-6 peer ostomates, 2 nurse educators, and 1 telehealth engineer. OSMT-session TTR incidents were recorded contemporaneously in detailed notes by the research staff. TTR incidents were categorized and tallied. Results: A total of 97.1% (102/105) OSMT sessions were completed as scheduled. In total, 3 OSMT sessions were not held owing to non–technology-related reasons. Of the 93 ostomates who participated in OSMT sessions, 80 (86%) completed their OSMT curriculum. TTR incidents occurred in 36.3% (37/102) of the completed sessions with varying disruptive impacts. No sessions were canceled or rescheduled because of TTR incidents. Disruptions from TTR incidents were minimized by following the TTR incident prevention and incident response plans. Conclusions: Telehealth videoconferencing technology can enable ostomates to participate in ostomy self-management education by incorporating dedicated telehealth engineering support. Potentially, OSMT greatly expands the availability of ostomy self-management education for new ostomates. Trial Registration: ClinicalTrials.gov NCT02974634; https://clinicaltrials.gov/ct2/show/NCT02974634

Original language	English (US)
Article number	e26545
Journal	Journal of medical Internet research
Volume	23
Issue number	9
DOIs	https://doi.org/10.2196/26545
State	Published - Sep 2021

Keywords

Cancer survivors
Cloud computing
Family caregivers
Mobile phone
Ostomy
Patient education
Self-management
Telehealth
Telemedicine
Videoconferencing

ASJC Scopus subject areas

Health Informatics

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10.2196/26545

Cite this

Weinstein, R. S., Holcomb, M. J., Mo, J., Yonsetto, P., Bojorquez, O., Grant, M., Wendel, C. S., Tallman, N. J., Ercolano, E., Cidav, Z., Hornbrook, M. C., Sun, V., McCorkle, R., & Krouse, R. S. (2021). An ostomy self-management telehealth intervention for cancer survivors: Technology-related findings from a randomized controlled trial. Journal of medical Internet research, 23(9), Article e26545. https://doi.org/10.2196/26545

Weinstein, RS, Holcomb, MJ, Mo, J, Yonsetto, P, Bojorquez, O, Grant, M, Wendel, CS, Tallman, NJ, Ercolano, E, Cidav, Z, Hornbrook, MC, Sun, V, McCorkle, R & Krouse, RS 2021, 'An ostomy self-management telehealth intervention for cancer survivors: Technology-related findings from a randomized controlled trial', Journal of medical Internet research, vol. 23, no. 9, e26545. https://doi.org/10.2196/26545

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title = "An ostomy self-management telehealth intervention for cancer survivors: Technology-related findings from a randomized controlled trial",

abstract = "Background: An Ostomy Self-management Telehealth (OSMT) intervention by nurse educators and peer ostomates can equip new ostomates with critical knowledge regarding ostomy care. A telehealth technology assessment aim was to measure telehealth engineer support requirements for telehealth technology–related (TTR) incidents encountered during OSMT intervention sessions held via a secure cloud-based videoconferencing service, Zoom for Healthcare. Objective: This paper examines technology-related challenges, issues, and opportunities encountered in the use of telehealth in a randomized controlled trial intervention for cancer survivors living with a permanent ostomy. Methods: The Arizona Telemedicine Program provided telehealth engineering support for 105 OSMT sessions, scheduled for 90 to 120 minutes each, over a 2-year period. The OSMT groups included up to 15 participants, comprising 4-6 ostomates, 4-6 peer ostomates, 2 nurse educators, and 1 telehealth engineer. OSMT-session TTR incidents were recorded contemporaneously in detailed notes by the research staff. TTR incidents were categorized and tallied. Results: A total of 97.1% (102/105) OSMT sessions were completed as scheduled. In total, 3 OSMT sessions were not held owing to non–technology-related reasons. Of the 93 ostomates who participated in OSMT sessions, 80 (86%) completed their OSMT curriculum. TTR incidents occurred in 36.3% (37/102) of the completed sessions with varying disruptive impacts. No sessions were canceled or rescheduled because of TTR incidents. Disruptions from TTR incidents were minimized by following the TTR incident prevention and incident response plans. Conclusions: Telehealth videoconferencing technology can enable ostomates to participate in ostomy self-management education by incorporating dedicated telehealth engineering support. Potentially, OSMT greatly expands the availability of ostomy self-management education for new ostomates. Trial Registration: ClinicalTrials.gov NCT02974634; https://clinicaltrials.gov/ct2/show/NCT02974634",

keywords = "Cancer survivors, Cloud computing, Family caregivers, Mobile phone, Ostomy, Patient education, Self-management, Telehealth, Telemedicine, Videoconferencing",

author = "Weinstein, {Ronald S.} and Holcomb, {Michael J.} and Julia Mo and Peter Yonsetto and Octavio Bojorquez and Marcia Grant and Wendel, {Christopher S.} and Tallman, {Nancy J.} and Elizabeth Ercolano and Zuleyha Cidav and Hornbrook, {Mark C.} and Virginia Sun and Ruth McCorkle and Krouse, {Robert S}",

note = "Funding Information: The research reported in this paper was funded by Patient-Centered Outcomes Research Institute award (1507-31690). The statements presented in this paper are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute and its Board of Governors or Methodology Committee. Additional funding for this research was provided for Julia Mo by the Benjamin and Mary Siddons Measey Foundation. Publisher Copyright: {\textcopyright}Ronald S Weinstein, Michael J Holcomb, Julia Mo, Peter Yonsetto, Octavio Bojorquez, Marcia Grant, Christopher S Wendel, Nancy J Tallman, Elizabeth Ercolano, Zuleyha Cidav, Mark C Hornbrook, Virginia Sun, Ruth McCorkle, Robert S Krouse.",

year = "2021",

month = sep,

doi = "10.2196/26545",

language = "English (US)",

volume = "23",

journal = "Journal of medical Internet research",

issn = "1439-4456",

publisher = "JMIR Publications Inc.",

number = "9",

}

TY - JOUR

T1 - An ostomy self-management telehealth intervention for cancer survivors

T2 - Technology-related findings from a randomized controlled trial

AU - Weinstein, Ronald S.

AU - Holcomb, Michael J.

AU - Mo, Julia

AU - Yonsetto, Peter

AU - Bojorquez, Octavio

AU - Grant, Marcia

AU - Wendel, Christopher S.

AU - Tallman, Nancy J.

AU - Ercolano, Elizabeth

AU - Cidav, Zuleyha

AU - Hornbrook, Mark C.

AU - Sun, Virginia

AU - McCorkle, Ruth

AU - Krouse, Robert S

N1 - Funding Information: The research reported in this paper was funded by Patient-Centered Outcomes Research Institute award (1507-31690). The statements presented in this paper are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute and its Board of Governors or Methodology Committee. Additional funding for this research was provided for Julia Mo by the Benjamin and Mary Siddons Measey Foundation. Publisher Copyright: ©Ronald S Weinstein, Michael J Holcomb, Julia Mo, Peter Yonsetto, Octavio Bojorquez, Marcia Grant, Christopher S Wendel, Nancy J Tallman, Elizabeth Ercolano, Zuleyha Cidav, Mark C Hornbrook, Virginia Sun, Ruth McCorkle, Robert S Krouse.

PY - 2021/9

Y1 - 2021/9

N2 - Background: An Ostomy Self-management Telehealth (OSMT) intervention by nurse educators and peer ostomates can equip new ostomates with critical knowledge regarding ostomy care. A telehealth technology assessment aim was to measure telehealth engineer support requirements for telehealth technology–related (TTR) incidents encountered during OSMT intervention sessions held via a secure cloud-based videoconferencing service, Zoom for Healthcare. Objective: This paper examines technology-related challenges, issues, and opportunities encountered in the use of telehealth in a randomized controlled trial intervention for cancer survivors living with a permanent ostomy. Methods: The Arizona Telemedicine Program provided telehealth engineering support for 105 OSMT sessions, scheduled for 90 to 120 minutes each, over a 2-year period. The OSMT groups included up to 15 participants, comprising 4-6 ostomates, 4-6 peer ostomates, 2 nurse educators, and 1 telehealth engineer. OSMT-session TTR incidents were recorded contemporaneously in detailed notes by the research staff. TTR incidents were categorized and tallied. Results: A total of 97.1% (102/105) OSMT sessions were completed as scheduled. In total, 3 OSMT sessions were not held owing to non–technology-related reasons. Of the 93 ostomates who participated in OSMT sessions, 80 (86%) completed their OSMT curriculum. TTR incidents occurred in 36.3% (37/102) of the completed sessions with varying disruptive impacts. No sessions were canceled or rescheduled because of TTR incidents. Disruptions from TTR incidents were minimized by following the TTR incident prevention and incident response plans. Conclusions: Telehealth videoconferencing technology can enable ostomates to participate in ostomy self-management education by incorporating dedicated telehealth engineering support. Potentially, OSMT greatly expands the availability of ostomy self-management education for new ostomates. Trial Registration: ClinicalTrials.gov NCT02974634; https://clinicaltrials.gov/ct2/show/NCT02974634

AB - Background: An Ostomy Self-management Telehealth (OSMT) intervention by nurse educators and peer ostomates can equip new ostomates with critical knowledge regarding ostomy care. A telehealth technology assessment aim was to measure telehealth engineer support requirements for telehealth technology–related (TTR) incidents encountered during OSMT intervention sessions held via a secure cloud-based videoconferencing service, Zoom for Healthcare. Objective: This paper examines technology-related challenges, issues, and opportunities encountered in the use of telehealth in a randomized controlled trial intervention for cancer survivors living with a permanent ostomy. Methods: The Arizona Telemedicine Program provided telehealth engineering support for 105 OSMT sessions, scheduled for 90 to 120 minutes each, over a 2-year period. The OSMT groups included up to 15 participants, comprising 4-6 ostomates, 4-6 peer ostomates, 2 nurse educators, and 1 telehealth engineer. OSMT-session TTR incidents were recorded contemporaneously in detailed notes by the research staff. TTR incidents were categorized and tallied. Results: A total of 97.1% (102/105) OSMT sessions were completed as scheduled. In total, 3 OSMT sessions were not held owing to non–technology-related reasons. Of the 93 ostomates who participated in OSMT sessions, 80 (86%) completed their OSMT curriculum. TTR incidents occurred in 36.3% (37/102) of the completed sessions with varying disruptive impacts. No sessions were canceled or rescheduled because of TTR incidents. Disruptions from TTR incidents were minimized by following the TTR incident prevention and incident response plans. Conclusions: Telehealth videoconferencing technology can enable ostomates to participate in ostomy self-management education by incorporating dedicated telehealth engineering support. Potentially, OSMT greatly expands the availability of ostomy self-management education for new ostomates. Trial Registration: ClinicalTrials.gov NCT02974634; https://clinicaltrials.gov/ct2/show/NCT02974634

KW - Cancer survivors

KW - Cloud computing

KW - Family caregivers

KW - Mobile phone

KW - Ostomy

KW - Patient education

KW - Self-management

KW - Telehealth

KW - Telemedicine

KW - Videoconferencing

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AN - SCOPUS:85116585121

SN - 1439-4456

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JO - Journal of medical Internet research

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IS - 9

M1 - e26545

ER -

An ostomy self-management telehealth intervention for cancer survivors: Technology-related findings from a randomized controlled trial

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