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Home CareNCT07369219

The Impact of AI-Assisted Nursing Care Intervention Within the Enhanced Recovery Framework on Outcomes of Colorectal Surgery Patients

A study testing Educational intervention and Standard maintenance therapy in people with Home Care and Enhanced Recovery, run by Bahçeşehir University at 1 site in Turkey (Türkiye).

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Colorectal cancer is one of the most common cancers worldwide, affecting a large number of people each year (Bray et al., 2022). Surgical intervention remains the gold standard in treatment. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Home Care, Enhanced Recovery, Colo-rectal Cancer
What is being tested?
Educational intervention and Standard maintenance therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
1 siteTurkey (Türkiye)
Study dates
10 Apr 2026to 30 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Agreement to participate in the study Being 18 years of age or older Ability to communicate in Turkish No visual or hearing impairment No cognitive impairment Undergoing elective colorectal surgery in accordance with an accelerated postoperative recovery protocol

Who cannot join

  • Patients who did not meet the inclusion criteria

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Acıbadem Maslak Hospital

    Istanbul, Istanbul, 34050

Other trials in Turkey (Türkiye)

About this study

Official title: The Impact of AI-Powered Video-Based Discharge Education and Follow-up Intervention on Patient Outcomes and Home Care Management in Colorectal Surgery Patients Receiving Care in Line With the Postoperative Accelerated Recovery Protocol: A Mixed Methods Study

Colorectal cancer is one of the most common cancers worldwide, affecting a large number of people each year (Bray et al., 2022). Surgical intervention remains the gold standard in treatment. However, advances in surgical techniques and increased effectiveness of neoadjuvant therapies have brought sphincter-preserving surgeries to the forefront, reducing the need for stoma creation compared to the past (Jo \& Wilson, 2025; Wang et al., 2025). Even without stoma creation, these patients face complex care needs in the post-discharge period, including changes in bowel habits, nutritional management, and adaptation to physical activity (Wang et al., 2025). Difficult-to-manage complications carry a high risk of readmission to the hospital. Patients receive limited support during the transition from the hospital to home and at home (Storm et al., 2024). Patients and their families are often left alone to manage home care until routine follow-up appointments. Patients, especially those poorly prepared for discharge, may not know how to perform care practices at home or what to watch out for in case of complications. Situations that are well managed in the hospital can spiral out of control upon inadequate follow-up after the patient returns home, leading to unplanned readmissions. Insufficient postoperative patient follow-up can cause anxiety in patients, leading to readmissions due to the inability to manage the home care process effectively (Storm et al., 2024).

Although accelerated recovery after surgery (ERAS) is known to shorten hospital stays (Gustafsson et al., 2025; Gustafsson et al., 2019), studies show varying results regarding readmissions, re-operations, developing complications, and survival (Coleman et al., 2006; Takchi et al., 2020; Lee et al., 2022). These variable results highlight the need for a structured discharge process and home care management for patients who undergo ERAS and are discharged home earlier. In the study by Takchi et al. (2020), a scheduled phone call was proposed as the final step in advanced recovery recommendations and presented as a pilot study. The study reported that each patient contacted reported at least one symptom and personal care need (Takchi et al., 2020). The scheduled phone calls proposed by Takchi et al. (2020) are an important monitoring mechanism in the recovery process; however, they are insufficient.

Read more

Supporting this monitoring process with a structured discharge management and AI-powered digital video accessible to the patient at any time, extends the continuity of care to a digital dimension.

It is reported that AI-powered multimedia tools, whose use is increasing with the transformation in health technologies today, reduce cognitive load by concretizing complex surgical processes with audiovisual materials and improve patients' self-care skills regardless of their health literacy level (Mendoza-Pinto et al., 2025). "Content prepared with generative artificial intelligence algorithms, in particular, increases the retention of information and the patient's digital health literacy compared to traditional educational materials (Zaretsky et al., 2024). This study aims to both structure the discharge and post-discharge follow-up process, which is included in ERAS protocols to a limited extent, and to increase the patient's readiness for discharge, improve patient outcomes, and facilitate home care management using AI-assisted educational videos. Thus, the study significantly points to a fourth step, which is included in ERAS guidelines in the pre-operative, intra-operative, and post-operative phases and is felt to be missing: the discharge and home follow-up process.

Being tested
Educational intervention, Standard maintenance therapy
Medical subject headings
Colonic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Educational interventionBehavioural

    A structured discharge education program is supported by video-based training and scheduled follow-up phone calls on days 3, 7, 10, and 30 post-operatively.

  • Standard maintenance therapyOther

    Routine postoperative care and standard hospital discharge education are provided in accordance with institutional protocols. Routine care includes a general postoperative recovery assessment, complication screening, and standard follow-up visits without AI-assisted video training or a scheduled telephone follow-up program.

Study groups in NCT07369219
Study groupRoleWhat they receive
Control GroupActive comparatorRoutine information, standard care, and follow-up after hospital discharge.
Receives: Other: Standard maintenance therapy
intervention groupExperimentalA structured, AI-powered, video-based discharge education program is supported by scheduled follow-up phone calls on days 3, 7, 10, and 30 post-surgery. An in-depth qualitative interview is also conducted on day 30.
Receives: Behavioral: Educational intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. KATZ Activities of Daily Living (ADL) Scale

    If the individual can do their ADL independently, they are given 3 points, if they are partially assisted, they are given 2 points, if they cannot do it at all, they are given 1 point and the evaluation is made accordingly. In the evaluation made according to this scale, 0-6 points are evaluated as dependent, 7-12 points as partially dependent, and 13-18 points as independent. Accordingly, as the score obtained from the scale increases, dependency decreases.

    Measured: Baseline (pre-discharge) and postoperative day 30

  2. Readiness for Discharge Scale

    If the scale dimensions score was ≥7, the patient was considered ready for discharge, and if it was <7, it was considered not ready.

    Measured: Up to 30 days after the patient's hospitalization date.

  3. Gastrointestinal Quality of Life Index (GIQLI)

    The scale is a 5-point Likert-type scale consisting of 36 items, scored between 0 and 4. While the original scale included sub-dimensions of symptoms, emotions, physical functions, and social functions, the factor analysis conducted in the Turkish validity study revealed a 7-factor structure (sub-dimensions). The total score obtainable from the scale ranges from 0 to 144. A higher total score on the scale indicates an improvement in the patient's quality of life specific to the gastrointestinal system and an improvement in their health status.

    Measured: Baseline (pre-discharge) and postoperative day 30

Secondary outcomes (3)
  1. Day of hospital stay

    Measured: Up to 30 days after the patient's hospitalization date.

  2. complications

    Measured: Up to postoperative day 30

  3. Readmisson

    Measured: Within 30 days after discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jan 2026
  2. Study start10 Apr 2026
  3. Primary completion30 Jun 2026 (estimated)
  4. Study completion30 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
70 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07369219
Sponsor's protocol ID
Approval number 2026-07/290
Status last verified
Jun 2026
First submitted
16 May 2025
Last updated
9 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data is patient specific, therefore, other data will not be shared except for the research results.

Publications

  • Mortensen K, Nilsson M, Slim K, Schafer M, Mariette C, Braga M, Carli F, Demartines N, Griffin SM, Lassen K; Enhanced Recovery After Surgery (ERAS(R)) Group. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. Br J Surg. 2014 Sep;101(10):1209-29. doi: 10.1002/bjs.9582. Epub 2014 Jul 21.

    PubMed 25047143
  • Jo A, Wilson MZ. From Diversion to Permanence: Trends in Ostomy Creation in Rectal Cancer Surgery. J Clin Med. 2025 Mar 12;14(6):1913. doi: 10.3390/jcm14061913.

    PubMed 40142717
  • Wang S, Li AJ, Jiang HH, Lin Y, Ding HB. Sphincter-preserving surgical techniques in low rectal cancer management: A systematic review of contemporary evidence. World J Gastrointest Surg. 2025 Jul 27;17(7):107525. doi: 10.4240/wjgs.v17.i7.107525.

    PubMed 40740930
  • Lee L, Eustache J, Baldini G, Liberman AS, Charlebois P, Stein B, Fiore JF Jr, Feldman LS. Enhanced Recovery 2.0 - Same Day Discharge With Mobile App Follow-up After Minimally Invasive Colorectal Surgery. Ann Surg. 2022 Dec 1;276(6):e812-e818. doi: 10.1097/SLA.0000000000004962. Epub 2021 Jun 2.

    PubMed 34091514
  • Takchi R, Williams GA, Brauer D, Stoentcheva T, Wolf C, Van Anne B, Woolsey C, Hawkins WG. Extending Enhanced Recovery after Surgery Protocols to the Post-Discharge Setting: A Phone Call Intervention to Support Patients after Expedited Discharge after Pancreaticoduodenectomy. Am Surg. 2020 Jan 1;86(1):42-48.

    PubMed 32077415
  • Gustafsson UO, Rockall TA, Wexner S, How KY, Emile S, Marchuk A, Fawcett WJ, Sioson M, Riedel B, Chahal R, Balfour A, Baldini G, de Groof EJ, Romagnoli S, Coca-Martinez M, Grass F, Brindle M, Hubner M. Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations 2025. Surgery. 2025 Aug;184:109397. doi: 10.1016/j.surg.2025.109397. Epub 2025 Jun 29. No abstract available.

    PubMed 40783294
  • Gustafsson UO, Scott MJ, Hubner M, Nygren J, Demartines N, Francis N, Rockall TA, Young-Fadok TM, Hill AG, Soop M, de Boer HD, Urman RD, Chang GJ, Fichera A, Kessler H, Grass F, Whang EE, Fawcett WJ, Carli F, Lobo DN, Rollins KE, Balfour A, Baldini G, Riedel B, Ljungqvist O. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS(R)) Society Recommendations: 2018. World J Surg. 2019 Mar;43(3):659-695. doi: 10.1007/s00268-018-4844-y.

    PubMed 30426190
  • Storm M, Morken IM, Austin RC, Nordfonn O, Wathne HB, Urstad KH, Karlsen B, Dalen I, Gjeilo KH, Richardson A, Elwyn G, Bru E, Soreide JA, Korner H, Mo R, Stromberg A, Luras H, Husebo AML. 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. BMC Health Serv Res. 2024 Jan 4;24(1):18. doi: 10.1186/s12913-023-10508-5.

    PubMed 38178097
  • Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, Jemal A. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4.

    PubMed 38572751
  • Fearon KC, Ljungqvist O, Von Meyenfeldt M, Revhaug A, Dejong CH, Lassen K, Nygren J, Hausel J, Soop M, Andersen J, Kehlet H. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr. 2005 Jun;24(3):466-77. doi: 10.1016/j.clnu.2005.02.002. Epub 2005 Apr 21.

    PubMed 15896435

Questions about this trial

What is this clinical trial studying?

A study testing Educational intervention and Standard maintenance therapy in people with Home Care and Enhanced Recovery, run by Bahçeşehir University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 9 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

KATZ Activities of Daily Living (ADL) Scale (time frame: Baseline (pre-discharge) and postoperative day 30). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07369219, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jun 2026.

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