Thoracic SurgeryNCT07588321
E-Health-Supported Preoperative Education
A study testing E-health education in people with Thoracic Surgery and E-health App, run by Dokuz Eylul University at 1 site in Turkey (Türkiye).
Trial summary
In the context of patient education, the integration of mobile applications-an e-health modality-among healthcare professionals and patients has garnered significant attention alongside technological advancements. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Thoracic Surgery, E-health App, Preoperative Care
- What is being tested?
- E-health education
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 128 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 18 Oct 2024to 22 Sep 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
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
- Patients aged 18 years and older
- Patients with full spatial and temporal orientation
- Patients without significant hearing or vision impairments
- Patients with the ability to read and write
- Patients scheduled for elective thoracic surgery due to a lung mass
- Patients who voluntarily agree to participate and provide written informed consent
- Patients who own and can operate a smartphone
Who cannot join
- Patients scheduled for emergency thoracic surgery
- Patients with physical limitations that prevent mobilization or participation in study tests
- Patients with cognitive impairments (as they may fail to provide accurate data via the app)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: EVALUATION OF THE EFFECTIVENESS OF PRE-OPERATIVE EDUCATION PROVIDED TO PATIENTS UNDERGOING CHEST SURGERY VIA AN E-HEALTH APPLICATION: A RANDOMIZED CONTROLLED STUDY
In the context of patient education, the integration of mobile applications-an e-health modality-among healthcare professionals and patients has garnered significant attention alongside technological advancements. Mobile applications offer distinct advantages, notably the vast global population capable of accessing and utilizing these digital tools. A study evaluating the impact of mobile applications on the recovery of patients undergoing ambulatory surgery demonstrated that the quality of recovery was superior in the intervention group. In research investigating mobile application-based education following breast cancer surgery, significant improvements were observed in pain levels, affected shoulder functions, and anxiety levels within the intervention group .
Among patients undergoing cardiac surgery, 98% of those who received education via a mobile application reported that the application was beneficial to their recovery process . Furthermore, in a study involving a mobile application for patients undergoing heart valve surgery, the intervention group exhibited significantly lower probabilities of hospitalization, emergency department visits, and complications . An integrative review of mobile applications in the health education of surgical patients noted that while research has involved bariatric, orthopedic, colorectal, mastectomy, urological, and neurological surgical patients, there is an emphasized need for further nursing research utilizing emerging communication technologies.
To date, no studies evaluating the effectiveness of preoperative education delivered via mobile application for patients undergoing thoracic surgery have been identified. Initiating preoperative preparation for patients scheduled for thoracic surgery is anticipated to positively influence postoperative recovery and quality of life, highlighting the necessity for research in this domain.
- Being tested
- E-health education
- Keywords
- Thoracic Surgery, e-health app, Preoperative care, e-health, Education of Patients, Lung Cancer, Surgery Nursing
- Medical subject headings
- Lung Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
E-health educationOther
Preoperative education provided to patients via a mobile e-health application including video-based and written educational content developed based on current thoracic surgery guidelines.
| Study group | Role | What they receive |
|---|---|---|
| E-health preoperative education | Experimental | E-health education group Receives: Other: E-health education |
| Control | No intervention | Standard care group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Health-Related Quality of Life (EQ-5D-5L)
Health-related quality of life will be assessed using the Turkish version of the EQ-5D-5L scale. The scale consists of two parts: a descriptive system covering five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and the EQ Visual Analogue Scale (EQ VAS). The descriptive system provides a health state profile across five levels for each dimension. The EQ VAS is a vertical 0-100 scale where 0 represents "the worst health you can imagine" and 100 represents "the best health you can imagine." Assessments will be conducted 10 days before surgery and 10 days after surgery. The study will utilize the official Turkish translation provided by the EuroQol Research Foundation.
Measured: 10 days before surgery and 10 days after surgery.
Postoperative Physical Capacity (6-Minute Walk Test)
Postoperative physical capacity will be evaluated using the 6-Minute Walk Test (6MWT). This test measures the maximum distance (in meters) a patient can walk at a self-selected pace on a flat surface in 6 minutes. The mobilization levels and total walking time (in minutes) will also be recorded to compare the physical recovery and functional capacity between the intervention group (mobile app-based training) and the control group (standard training).
Measured: Day 3 post-operatively
Postoperative Pulmonary Complications
Evaluation of respiratory complications based on clinical signs and laboratory findings. A complication is defined as meeting two or more criteria, including respiratory distress, abnormal breath sounds, and abnormal white blood cell counts (leukopenia or leukocytosis) according to standard clinical reference ranges.
Measured: Day 3 post-operatively
State Anxiety Inventory (STAI-I)
The State Anxiety Inventory (STAI-I) is a 20-item self-report scale that measures current anxiety. Scores range from 20 to 80, with higher scores indicating higher anxiety levels. It uses a 4-point Likert-type scale for each item.
Measured: 10 days before surgery and Day 3 post-operatively
Length of Hospital Stay
The length of hospital stay (measured in days) will be recorded and compared between the intervention and control groups. The duration will be calculated from the day of surgery until the day of discharge. Data will be obtained from the patients' medical records after discharge to evaluate whether mobile application-based training has an impact on the timing of clinical recovery and hospital resource utilization.
Measured: From the date of surgery until the date of hospital discharge
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 May 2026
- Study start18 Oct 2024
- Primary completion22 Sep 2025
- Study completion22 Sep 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Thoracic SurgeryStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This research was conducted as an experimental randomized controlled trial.For randomization, a list was created of patients who came to the thoracic surgery outpatient clinic, were scheduled for surgery, and agreed to undergo surgery. The purpose of the study was explained to the patients, and those who agreed were assigned to experimental and control groups using a simple randomization method via a computer program (https://www.randomizer.org/). Before group assignments, patients were numbered according to their surgery schedule and assigned to either the intervention group (n=64) or the control group (n=64) according to the numbers on the randomization list. The experimental group received preoperative education via a mobile application/web-based system. The control group received standard care. Blinded data analysis was performed in the study. The researcher coded the data and entered it into SPSS. Data analysis was performed by another researcher. This ensured blinding in the dat
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 128 participants (actual)
Sponsor and investigators
- Lead sponsor
- Dokuz Eylul University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Sema Nur YAMAN ÇELİK, Dokuz Eylul University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07588321
- Sponsor's protocol ID
- E-14585038-21201-113088
- Status last verified
- Oct 2025
- First submitted
- 22 Apr 2026
- Last updated
- 14 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual participant data (IPD) including demographic characteristics, outcome measures, and questionnaire responses collected during the study will be shared. All data will be anonymized and will not contain any personally identifiable information.
Publications
Wang B, Qi F, Wang Y, Zhang J, Li W, Li X. Effectiveness of refined nursing intervention on postoperative recovery and respiratory function in lung cancer patients after thoracic surgery. Medicine (Baltimore). 2024 Nov 1;103(44):e40209. doi: 10.1097/MD.0000000000040209.
PubMed 39496000Ben-Ali, W., & Lamarche, Y. (2021). Aortic Insufficiency in Patients With Left Ventricular Assist Device. Canadian Journal of Cardiology, 37(8), 1253-1262.
Dawson, R. M., & Felder, T. M. (2020). Exploring the recruitment of African American women in biobehavioral breast cancer research. Journal of Nursing Scholarship, 52(4), 345-354.
Machado, R. C. G., et al. (2020). Factors associated with patient safety climate in a specialized cardiovascular hospital. Revista Latino-Americana de Enfermagem, 28, e3323.
Venkatraman, V., & Lad, S. P. (2023). Digital Health and Neurosurgery. Neurosurgery Clinics of North America, 34(4), 519-528.
Aydin A, Gursoy A. Nurse-led support impact via a mobile app for breast cancer patients after surgery: a quasi-experimental study (step 2). Support Care Cancer. 2024 Aug 20;32(9):598. doi: 10.1007/s00520-024-08819-2.
PubMed 39164444Li C, Shao H, Huang S, Zhang T, Su X, Zhu S. Effects of an Individualized Fasting Program on Fasting Time and Comfort in Infants and Young Children During the Perioperative Period. J Perianesth Nurs. 2020 Jun;35(3):326-330. doi: 10.1016/j.jopan.2019.08.014. Epub 2020 Jan 20.
PubMed 31973960
Study at a glance
From the registry record, last updated by the sponsor on 14 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- EVALUATION OF THE EFFECTIVENESS OF PRE-OPERATIVE EDUCATION PROVIDED TO PATIENTS UNDERGOING CHEST SURGERY VIA AN E-HEALTH APPLICATION: A RANDOMIZED CONTROLLED STUDY
- ClinicalTrials.gov ID
- NCT07588321
- Acronym / sponsor ID
- E-14585038-21201-113088
- Keywords
- Thoracic Surgery, e-health app, Preoperative care, e-health, Education of Patients, Lung Cancer, Surgery Nursing
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 128 participants (actual)
- Lead sponsor
- Dokuz Eylul UniversityUniversity, hospital or other
- Study start
- 18 Oct 2024 (actual)
- Primary completion
- 22 Sep 2025 (actual)
- Study completion
- 22 Sep 2025 (actual)
- First posted
- 14 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In the context of patient education, the integration of mobile applications-an e-health modality-among healthcare professionals and patients has garnered significant attention alongside technological advancements. Mobile applications offer distinct advantages, notably the vast global population capable of accessing and utilizing these digital tools. A study evaluating the impact of mobile applications on the recovery of patients undergoing ambulatory surgery demonstrated that the quality of recovery was superior in the intervention group. In research investigating mobile application-based education following breast cancer surgery, significant improvements were observed in pain levels, affected shoulder functions, and anxiety levels within the intervention group .
Among patients undergoing cardiac surgery, 98% of those who received education via a mobile application reported that the application was beneficial to their recovery process . Furthermore, in a study involving a mobile application for patients undergoing heart valve surgery, the intervention group exhibited significantly lower probabilities of hospitalization, emergency department visits, and complications . An integrative review of mobile applications in the health education of surgical patients noted that while research has involved bariatric, orthopedic, colorectal, mastectomy, urological, and neurological surgical patients, there is an emphasized need for further nursing research utilizing emerging communication technologies.
To date, no studies evaluating the effectiveness of preoperative education delivered via mobile application for patients undergoing thoracic surgery have been identified. Initiating preoperative preparation for patients scheduled for thoracic surgery is anticipated to positively influence postoperative recovery and quality of life, highlighting the necessity for research in this domain.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- This research was conducted as an experimental randomized controlled trial.For randomization, a list was created of patients who came to the thoracic surgery outpatient clinic, were scheduled for surgery, and agreed to undergo surgery. The purpose of the study was explained to the patients, and those who agreed were assigned to experimental and control groups using a simple randomization method via a computer program (https://www.randomizer.org/). Before group assignments, patients were numbered according to their surgery schedule and assigned to either the intervention group (n=64) or the control group (n=64) according to the numbers on the randomization list. The experimental group received preoperative education via a mobile application/web-based system. The control group received standard care. Blinded data analysis was performed in the study. The researcher coded the data and entered it into SPSS. Data analysis was performed by another researcher. This ensured blinding in the dat
| Arm | Type | Receives |
|---|---|---|
| E-health preoperative education | Experimental | Other: E-health educationE-health education group |
| Control | No intervention | –Standard care group |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Patients aged 18 years and older
- Patients with full spatial and temporal orientation
- Patients without significant hearing or vision impairments
- Patients with the ability to read and write
- Patients scheduled for elective thoracic surgery due to a lung mass
Key exclusion criteria (3 listed)
- Patients scheduled for emergency thoracic surgery
- Patients with physical limitations that prevent mobilization or participation in study tests
- Patients with cognitive impairments (as they may fail to provide accurate data via the app)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| E-health educationPreoperative education provided to patients via a mobile e-health application including video-based and written educational content developed based on current thoracic surgery guidelines. | Other | E-health preoperative education |
Primary outcome
Health-Related Quality of Life (EQ-5D-5L)
Time frame: 10 days before surgery and 10 days after surgery.
Health-related quality of life will be assessed using the Turkish version of the EQ-5D-5L scale. The scale consists of two parts: a descriptive system covering five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and the EQ Visual Analogue Scale (EQ VAS). The descriptive system provides a health state profile across five levels for each dimension. The EQ VAS is a vertical 0-100 scale where 0 represents "the worst health you can imagine" and 100 represents "the best health you can imagine." Assessments will be conducted 10 days before surgery and 10 days after surgery. The study will utilize the official Turkish translation provided by the EuroQol Research Foundation.
Postoperative Physical Capacity (6-Minute Walk Test)
Time frame: Day 3 post-operatively
Postoperative physical capacity will be evaluated using the 6-Minute Walk Test (6MWT). This test measures the maximum distance (in meters) a patient can walk at a self-selected pace on a flat surface in 6 minutes. The mobilization levels and total walking time (in minutes) will also be recorded to compare the physical recovery and functional capacity between the intervention group (mobile app-based training) and the control group (standard training).
Postoperative Pulmonary Complications
Time frame: Day 3 post-operatively
Evaluation of respiratory complications based on clinical signs and laboratory findings. A complication is defined as meeting two or more criteria, including respiratory distress, abnormal breath sounds, and abnormal white blood cell counts (leukopenia or leukocytosis) according to standard clinical reference ranges.
State Anxiety Inventory (STAI-I)
Time frame: 10 days before surgery and Day 3 post-operatively
The State Anxiety Inventory (STAI-I) is a 20-item self-report scale that measures current anxiety. Scores range from 20 to 80, with higher scores indicating higher anxiety levels. It uses a 4-point Likert-type scale for each item.
Length of Hospital Stay
Time frame: From the date of surgery until the date of hospital discharge
The length of hospital stay (measured in days) will be recorded and compared between the intervention and control groups. The duration will be calculated from the day of surgery until the day of discharge. Data will be obtained from the patients' medical records after discharge to evaluate whether mobile application-based training has an impact on the timing of clinical recovery and hospital resource utilization.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 May 2026.
- Background: PubMed 39496000Wang B, Qi F, Wang Y, Zhang J, Li W, Li X. Effectiveness of refined nursing intervention on postoperative recovery and respiratory function in lung cancer patients after thoracic surgery. Medicine (Baltimore). 2024 Nov 1;103(44):e40209. doi: 10.1097/MD.0000000000040209.
- BackgroundBen-Ali, W., & Lamarche, Y. (2021). Aortic Insufficiency in Patients With Left Ventricular Assist Device. Canadian Journal of Cardiology, 37(8), 1253-1262.
- BackgroundDawson, R. M., & Felder, T. M. (2020). Exploring the recruitment of African American women in biobehavioral breast cancer research. Journal of Nursing Scholarship, 52(4), 345-354.
- BackgroundMachado, R. C. G., et al. (2020). Factors associated with patient safety climate in a specialized cardiovascular hospital. Revista Latino-Americana de Enfermagem, 28, e3323.
- BackgroundVenkatraman, V., & Lad, S. P. (2023). Digital Health and Neurosurgery. Neurosurgery Clinics of North America, 34(4), 519-528.
- Background: PubMed 39164444Aydin A, Gursoy A. Nurse-led support impact via a mobile app for breast cancer patients after surgery: a quasi-experimental study (step 2). Support Care Cancer. 2024 Aug 20;32(9):598. doi: 10.1007/s00520-024-08819-2.
- Background: PubMed 31973960Li C, Shao H, Huang S, Zhang T, Su X, Zhu S. Effects of an Individualized Fasting Program on Fasting Time and Comfort in Infants and Young Children During the Perioperative Period. J Perianesth Nurs. 2020 Jun;35(3):326-330. doi: 10.1016/j.jopan.2019.08.014. Epub 2020 Jan 20.
- Individual participant dataSharing planned: Yes. De-identified individual participant data (IPD) including demographic characteristics, outcome measures, and questionnaire responses collected during the study will be shared. All data will be anonymized and will not contain any personally identifiable information.
Related trials for Thoracic Surgery
Recruiting
Hyperangulated vs Standard Videolaryngoscopy vs Direct Laryngoscopy for Double-Lumen Endobronchial Tube Intubation
Endobronchial Intubation, Double Lumen Tube Intubation
Not yet recruiting
Impact of High Thoracic Paravertebral Block on Diaphragmatic Function: a Prospective Study
Breast Cancer Surgery, Breast Cancer Surgery Pain
RecruitingObservational study
Evaluation for NCI Surgery Branch Clinical Research Protocols
Synovial Cell Cancer, Melanoma
Not yet recruitingPhase 4
Effects of Remimazolam on Postoperative Cognitive Dysfunction and Neuroinflammatory Biomarkers in Patients Undergoing Aortic Arch Surgery
Aortic Aneurysm of the Proximal Arch, Aortic Aneurysms Arch
RecruitingPhase 2
Cemiplimab and Fianlimab Before Surgery for the Treatment of Stage IB-IIIB Non-Small Cell Lung Cancer
Lung Non-Small Cell Carcinoma, Stage IB Lung Cancer AJCC v8
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing E-health education in people with Thoracic Surgery and E-health App, run by Dokuz Eylul 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 7 inclusion and 3 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: finished, as of the sponsor's last update on 14 May 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Health-Related Quality of Life (EQ-5D-5L) (time frame: 10 days before surgery and 10 days after surgery.). The study lists 5 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 NCT07588321, which also lists 7 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 14 May 2026.