{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T17:37:42Z","timestamp":1793813862857,"version":"4.6.1"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:00:00Z","timestamp":1704672000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:00:00Z","timestamp":1704672000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008359","name":"Maag Lever Darm Stichting","doi-asserted-by":"publisher","award":["ZP 19-09"],"award-info":[{"award-number":["ZP 19-09"]}],"id":[{"id":"10.13039\/501100008359","id-type":"DOI","asserted-by":"publisher"}]},{"name":"SIDN funds","award":["191124"],"award-info":[{"award-number":["191124"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Receiving a stoma significantly impacts patients\u2019 quality of life. Coping with this new situation can be difficult, which may result in a variety of physical and psychosocial problems. It is essential to provide adequate guidance to help patients cope with their stoma, as this positively influences self-efficacy in return. Higher self-efficacy reduces psychosocial problems increasing patient\u2019s quality of life. This study investigates whether a new mobile application, the Stoma App, improves quality of life. And if personalized guidance, timed support, and peer contact offered as an in-app surplus makes a difference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A double-blind, randomized controlled trial was conducted between March 2021 and April 2023. Patients aged\u2009&gt;\u200918\u00a0years undergoing ileostomy or colostomy surgery, in possession of a compatible smartphone were included. The intervention group received the full version of the app containing personalized and time guidance, peer support, and generic (non-personalized) stoma-related information. The control group received a restricted version with only generic information. Primary outcome was stoma quality of life. Secondary outcomes included psychological adaption, complications, re-admittance, reoperations, and length of hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intervention version of the app was used by 96 patients and the control version by 112 patients. After correction for confounding, the intervention group reported a significant 3.1-point improvement in stoma-related quality of life one month postoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.038). On secondary outcomes, no significant improvements could be retrieved of the intervention group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Stoma App improves the quality of life of stoma patients. Peer support and personalized guidance are of significant importance in building self-efficacy. It is to be recommended to implement Stoma app\u2014freely available software qualifying as a medical device\u2014in standard stoma care pathways for the benefits of both patients and healthcare providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-023-10593-x","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T12:01:37Z","timestamp":1704715297000},"page":"1442-1453","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Better stoma care using the Stoma\u00a0App: does it help? 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Willem Bemelman declares that he has received scientific grants from VIFOR and has received speaker fees from Janssen, Tilotts, Takeda, and Galapagos. The app development and study was funded by the Dutch \u201cStomach Liver Intestine Foundation\u201d (Grant No. ZP 19-09) and SIDN funds (Grant No. 191124). Mark Govaert, Jurriaan Tuynman, Steven Oosterling, Brechtje Grotenhuis, Anke Smits, Hendrik Marsman, Charles van Rossem, Eino van Duyn, Lindsey de Nes, Emiel Verdaasdonk, Tammo de Vries Reiling, and Wouter Vening have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}