Evaluating the Role of Step Counts in Predicting Readmission and Mortality (STEP-CANCER)

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    Recruiting
  • days left to enroll
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  • participants needed
    200
  • sponsor
    Gazi University
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Updated on 14 November 2024
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Summary

This study investigates the relationship between physical activity, heart rate, and sleep quality with recurrent hospitalizations among discharged oncology patients. Following discharge, patients will wear Huawei smartwatches to enable daily tracking of step count, heart rate, and sleep duration through a connected smartphone app. Patients will also complete the FACT Quality of Life Survey and the Pittsburgh Sleep Quality Index during follow-up visits. The smartwatch monitoring will occur during the first 30 days post-discharge, while overall patient follow-up will extend up to 90 days. This study aims to determine if lower levels of home mobility, as indicated by step count and other activity metrics, correlate with an increased risk of hospital readmission within the 30-90 day period.

Description

This observational study aims to investigate the relationship between post-discharge mobility metrics and the likelihood of recurrent hospitalizations among oncology patients. Eligible patients include those who have completed treatment in the oncology ward and have an ECOG performance status of 0-1-2, with exclusions for individuals admitted only for day treatments or with significant mobility limitations. Each patient will be provided a Huawei Watch Fit 2 smartwatch upon discharge to record daily step counts, heart rate, and sleep duration, monitored remotely through a smartphone application.

In addition to these metrics, patient-specific factors-such as diagnosis, reason for admission, date of last treatment, cancer stage, and age-will be collected, as these may impact outcomes during follow-up. Patients will complete the FACT Quality of Life Survey and the Pittsburgh Sleep Quality Index at two time points: once before discharge and again at follow-up visits post-discharge, allowing for a comparative assessment of quality of life and sleep across these periods. All participants will receive general walking recommendations to support their recovery.

For the first 30 days post-discharge, daily activity and physiological data will be actively monitored through the app. The follow-up period will extend up to 90 days, during which any instances of hospital readmission will be documented. By analyzing patterns in step count, sleep quality, and heart rate variability, this study seeks to determine if reduced home mobility is associated with a higher risk of readmission, potentially guiding early interventions for at-risk patients.

Details
Condition Exercise, Smart Watch, Quality of Life (QOL), Sleep Quality, Rehospitalization
Age 18years - 80years
Treatment Tracking Mobility and Health Data with a Smartwatch in Discharged Oncology Patients to Predict Rehospitalization: A Prospective Study
Clinical Study IdentifierNCT06687330
SponsorGazi University
Last Modified on14 November 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

Age: 18 years and older
Oncology Ward Discharge: Patients who have been discharged from the oncology ward following inpatient treatment
Cancer Diagnosis: Patients diagnosed with any form of cancer who received treatment in the oncology ward
Treatment Completion: Patients who have completed their scheduled inpatient oncology treatment and have been discharged
Performance Status: Patients with an ECOG (Eastern Cooperative Oncology Group) performance status of 0, 1, or 2, indicating they are ambulatory and capable of basic physical activity
Follow-Up Availability: Patients who are willing and able to participate in a 90-day follow-up period after discharge
Technology Compliance: Patients who agree to wear a Huawei Watch Fit 2 smartwatch for the first 30 days post-discharge to track daily step count, heart rate, and sleep duration, and have access to a compatible smartphone for remote data monitoring
Survey Participation: Patients willing to complete the FACT Quality of Life Survey and Pittsburgh Sleep Quality Index before discharge and during follow-up visits

Exclusion Criteria

Day Treatment Admissions: Patients admitted exclusively for day treatments or outpatient procedures, lacking a full inpatient admission in the oncology ward
Severe Mobility Limitations: Individuals with substantial mobility impairments, rendering them unable to perform basic ambulatory activities such as walking
Incompatibility with Technology Requirements: Patients who are unable or unwilling to wear the Huawei Watch Fit 2 smartwatch for data collection purposes or who lack access to a compatible smartphone for remote monitoring
Non-Adherence to Follow-Up Protocol: Patients who are unwilling or unable to comply with the 90-day follow-up requirements post-discharge
Incomplete Oncology Treatment Course: Individuals who have not completed the intended course of oncology treatment within the oncology ward prior to discharge
Cognitive or Psychiatric Impairments: Patients with significant cognitive or psychiatric disorders that impair their ability to provide informed consent or adhere to study protocols
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