JMIR Publications

ABSTRACT

Background:

Approximately 100,000 patients undergo fecal ostomy operations annually across the United States. This patient population experiences high surgical complication rates and poor biopsychosocial outcomes. Surgical teams are not trained to address the psychosocial needs that often arise during recovery after fecal ostomy surgery.

Objective:

This study aims to refine and establish the acceptability and usability of the Communication Intervention for fecal ostomy Surgery (CI-oSurg), a web-based communication intervention aimed at reducing distress among patients recovering from ostomy surgery. Here, we describe the proposed study design, methodology, and training protocol.

Methods:

We will conduct an open pilot (n=24 patients and n=8 clinicians) of video-based training to first identify the level and types of distress patients are experiencing. Next, patients will view web-based videos that address frequent challenges faced by ostomy patients considering practical management, emotional, and adaptation concerns. Exit interviews will be conducted with participants to explore acceptability and credibility of the program and refine the intervention and study procedures.

Results:

This study has been approved by the MassGeneral Brigham Institutional Review Board. Study completion is anticipated by fall 2024.

Conclusions:

We will refine the first web-based communication intervention focused on reducing distress after ostomy surgery. This will allow us to establish usability and acceptability of the intervention to inform a future clinical trial of CI-oSurg.