Woman engaging with app-based telemedicine during an online consultation in her living roomI am Dr Rebecca Barker a Consultant Anesthetist at Sherwood Forest Hospitals. I am passionate about the optimization of patients for surgery. Outcomes are better for patients who are fitter, more activated and engaged in their own healthcare.
This is even more relevant for the elective recovery program post-COVID, with patients having higher risks of deconditioning due to having waited for surgery for longer than usual.As a solution to patients having a remote lifestyle, a mobile app-based behavioral intervention, Sapien, was developed. Patients undergoing elective surgery were able to use personalized digital guidance with one-to-one remote health coaching preoperatively and support their recovery during the postoperative phase.
The initial qualitative feedback from patients was positive. The length of hospital stay was shown in the pilot to be shorter with accompanying cost savings. Patient activation measures were also calculated at the start and end of the study of the pilot and demonstrated that patients became more activated in their own health and an active participant in their own recovery.The pilot program has since developed into a randomized controlled trial which is multicentered. Patients received either the Sapien lifestyle coaching app or routine care. Again, the study focuses on outcomes including patient activation measures and the length of hospital stay.
Intervention success will be measured using Patient Activation Measure scoring at program entry, pre-operatively and up to 30 days post-surgery. This is exciting as the evidence shows that those who are more activated have much better long-term health outcomes.
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Fully automated closed-loop insulin delivery in adults with type 2 diabetes: an open-label, single-center, randomized crossover trial - Nature MedicineIn a randomized, crossover trial in adults with type 2 diabetes, fully closed-loop insulin delivery increased time in target glucose range compared with standard insulin therapy, without increasing hypoglycemia.
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Trust us: everyone is going to be talking about ITV’s MaternalThe series follows three women balancing their lives as new mothers alongside their demanding jobs in post-pandemic frontline medicine.
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