Effect of a Mobile Health–Based Remote Interaction Management Intervention on the Quality of Life and Self-Management Behavior of Patients With Low Anterior Resection Syndrome: Randomized Controlled Trial (Preprint)

• DOI: 10.2196/preprints.53909
• Publication Date: 2024-08-13T18:30:50Z
• Authors: Peng Zhou; Hui Li; Xueying Pang; Ting Wang; Yan Wang; Hongye He; Dongmei Zhuang; Furong Zhu; Rui Zhu; Shaohua Hu
• Keywords: Preprint

<sec> <title>BACKGROUND</title> People who undergo sphincter-preserving surgery have high rates of anorectal functional disturbances, known as low anterior resection syndrome (LARS). LARS negatively affects patients’ quality life (QoL) and increases their need for self-management behaviors. Therefore, approaches to enhance behavior QoL are vital. </sec> <title>OBJECTIVE</title> This study aims assess the effectiveness a remote digital management intervention designed patients with LARS. <title>METHODS</title> From July 2022 May 2023, we conducted single-blinded randomized controlled trial recruited 120 in tertiary hospital Hefei, China. All were randomly assigned group (using “e-bowel safety” applet monthly motivational interviewing) or control (usual care an information booklet). Our team provided 3-month followed up all additional 3 months. The primary outcome was patient measured using European Organization Research Treatment Cancer Quality Life Questionnaire Core 30. secondary outcomes evaluated Bowel Symptoms Self-Management Behaviors Questionnaire, score, Perceived Social Support Scale. Data collection occurred at enrollment, end intervention, follow-up. Generalized estimating equations used analyze changes variables. <title>RESULTS</title> In end, 111 completed study. group, 5 withdrew; 4 withdrew group. Patients had significantly larger improvements 30 total score (mean difference 11.51; 95% CI 10.68-12.35; Cohen &lt;i&gt;d&lt;/i&gt;=1.73) 8.80; 8.28-9.32; &lt;i&gt;d&lt;/i&gt;=1.94) than those improvement effect remained stable follow-up 14.47; 13.65-15.30; &lt;i&gt;d&lt;/i&gt;=1.58 mean 8.85; 8.25-9.42; &lt;i&gt;d&lt;/i&gt;=2.23). decreases after –3.28; –4.03 –2.54; &lt;i&gt;d&lt;/i&gt;=–0.39) –6.69; –7.45 –5.93; &lt;i&gt;d&lt;/i&gt;=–0.69). Scale 0.47; 0.22-0.71; &lt;i&gt;d&lt;/i&gt;=1.81). <title>CONCLUSIONS</title> preliminary findings suggest that mobile health–based interaction enhanced behaviors LARS, sustained. Mobile interventions become effective method improve health many <title>CLINICALTRIAL</title> Chinese Clinical Trial Registry ChiCTR2200061317; https://tinyurl.com/tmmvpq3