mHealth to Improve Experience, Adherence to Pharmacological Treatment, and Positive Mental Health in Patients Diagnosed With Femur Fractures: Protocol for a Quasi-Experimental Study

Gemma Marcos Anton; Montserrat Puig Llobet; Teresa Lluch Canut; Maria Aurelia Sanchez Ortega; Mercè Piazuelo Pont; MªCarmen Moreno-Arroyo

doi:10.2196/45856

mHealth to Improve Experience, Adherence to Pharmacological Treatment, and Positive Mental Health in Patients Diagnosed With Femur Fractures: Protocol for a Quasi-Experimental Study

JMIR Res Protoc. 2023 Apr 28:12:e45856. doi: 10.2196/45856.

Authors

Gemma Marcos Anton^#^{1

2}, Montserrat Puig Llobet^#^{3

4

5}, Teresa Lluch Canut^#^{3

4

5}, Maria Aurelia Sanchez Ortega^#⁶, Mercè Piazuelo Pont^#¹, MªCarmen Moreno-Arroyo^#^{7

8}

Affiliations

¹ Department of Traumatology, Hospital Clínic de Barcelona, Barcelona, Spain.
² School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain.
³ Department of Public Health Nursing, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain.
⁴ Department of Mental Health Nursing, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain.
⁵ Department of Maternal and Child Health Nursing, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain.
⁶ Nursing and Occupational Therapy School, Universitat Autònoma de Barcelona, Terrassa, Spain.
⁷ Department of Fundamental Care and Medical-Surgical Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, L'Hospitalet de Llobregat (Barcelona), Spain.
⁸ Department of Nursing Research Group (GRIN), Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat (Barcelona), Spain.

^# Contributed equally.

PMID: 37115614
PMCID: PMC10182452
DOI: 10.2196/45856

Abstract

Background: Considering the prognosis of femur fractures worldwide, the ageing of our society, and the problems in adherence to treatment found in these patients, it is believed that mobile health can have a positive impact on the process and quality of care.

Objective: We aim to evaluate the effectiveness of a pharmacological educational nurse intervention with Myplan app with regard to knowledge, adherence to pharmacological treatment, and positive mental health of patients with femur fractures.

Methods: A nonrandomized, quasi-experimental study will be carried out with a pretest-posttest control group. It will include 278 older patients diagnosed with femur fractures, with a Glasgow Coma Scale of 15 and access to mobile devices. Patients with psychological pathologies and cognitive impairment or patients treated in isolation will be excluded. Study variables are as follows: sociodemographic variables (AdHoc Form), patient experience (Patient Experience Questionnaire-15), adherence to pharmacological treatment (Morisky-Green questionnaire), and positive mental health (Positive Mental Health questionnaire). The measurements will be taken 24 hours after admission, upon discharge, and 25 days after discharge.

Results: Enrollment commenced in October 2022. Data collection will be completed in April 2023.

Conclusions: The results of this study will offer evidence of the effectiveness of a pharmacological educational nurse intervention by means of a free smartphone app. If its efficacy is demonstrated and the results are acceptable, it could mean an improvement in the care of patients with femur fractures, and this technology could be used to guide other training interventions in patients with other pathologies.

Trial registration: ClinicalTrials.gov NCTT05669040; https://clinicaltrials.gov/ct2/show/NCTT05669040.

International registered report identifier (irrid): DERR1-10.2196/45856.

Keywords: care; diagnosis; education; efficacy; femur; femur fracture; mHealth; medication adherence; mental health; mobile health; nurse; pathology; patient experience; pharmacological treatment; prognosis; protocol; psychological; quality of care; training.

©Gemma Marcos Anton, Montserrat Puig Llobet, Teresa Lluch Canut, Maria Aurelia Sanchez Ortega, Mercè Piazuelo Pont, MªCarmen Moreno-Arroyo. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 28.04.2023.