{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T20:34:40Z","timestamp":1788899680895,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T00:00:00Z","timestamp":1692144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Proper education, guidance and support is crucial before and following creation of a stoma. Patients with a stoma and their close relatives need to adapt to and cope with this new \u2013 and sometimes unforeseen \u2013 situation, which may result in insecurities and a variety of psychosocial problems. Self\u2010efficacy is associated both with a reduction in psychosocial problems and with improved quality of life. The main objective of this study was to investigate whether self\u2010reported quality of life of patients with a stoma can be enhanced by offering personalized and timed guidance, as well as peer contact, in a patient\u2010centred mobile application.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A multicentre, double\u2010blind, randomized controlled trial will be conducted. Consented adults &gt;18\u2009years of age who will receive an ileostomy or colostomy and possess an eligible smartphone will be included. The intervention group will be given the full version of the application (containing personalized and timed guidance, such as operation\u2010specific information and information on the associated care pathway) to install on their smartphone. In addition, the intervention group has access to a protected peer\u2010support platform within the app. The control group will receive a restricted version of the application that contains only generic (non\u2010personalized) stoma\u2010related information. The primary outcome is quality of life, 3\u2009months postoperatively. Secondary outcomes are Patient Reported Outcome Measures (PROMs), such as psychological adaption, as well as number of complications, re\u2010admission and re\u2010operation rates and the length of hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patient enrolment began in March 2021. Data collection was not complete when this protocol was submitted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We hypothesize that patients with a stoma who are supported by the intervention version of the app will report a significantly higher quality of life than patients with a stoma who are supported by the control version of the app (ie, are not offered personalized and timed guidance and information and do not have access to peer support in the app).<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16694","type":"journal-article","created":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T04:47:40Z","timestamp":1692247660000},"page":"2071-2077","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A personalized app to improve quality of life of patients with a stoma: A protocol for a multicentre randomized controlled trial"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5170-3521","authenticated-orcid":false,"given":"Sebastiaan L.","family":"van der Storm","sequence":"first","affiliation":[{"name":"Department of Surgery Amsterdam UMC, University of Amsterdam  Amsterdam The Netherlands"},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism  Amsterdam The Netherlands"},{"name":"Amsterdam Public Health Digital Health  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem A.","family":"Bemelman","sequence":"additional","affiliation":[{"name":"Department of Surgery Amsterdam UMC, University of Amsterdam  Amsterdam The Netherlands"},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"van Dieren","sequence":"additional","affiliation":[{"name":"Department of Surgery Amsterdam UMC, University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7013-0116","authenticated-orcid":false,"given":"Marlies P.","family":"Schijven","sequence":"additional","affiliation":[{"name":"Department of Surgery Amsterdam UMC, University of Amsterdam  Amsterdam The Netherlands"},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism  Amsterdam The Netherlands"},{"name":"Amsterdam Public Health Digital Health  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Stoma APPtimize Collaborative Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,16]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"V&VN Stomaverpleegkundingen.Richtlijn Stomazorg Nederland. [Accessed 2021 August 12]. Available from:https:\/\/www.venvn.nl\/media\/rekjq2s4\/richtlijn\u2010stomazorg\u2010nederland.pdf?fileticket=r_6xShh5UsU%3d&portalid=1"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2010.11.003"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01857702"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000732"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13018"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000080201"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-012-1413-y"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199603000-00013"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2005.14.6.17800"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12197"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2017.05.034"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16658"},{"key":"e_1_2_12_14_1","unstructured":"van derStormSL vanKnippenbergSEM EskesAM SchijvenMP.Supporting stoma patients' self\u2010efficacy with a mobile application. Submitted."},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.8832"},{"key":"e_1_2_12_16_1","unstructured":"European Parliament.Regulation (EU) 2016\/679 of the European parliament and of the council [Internet].2016[cited 2023 Mar 20]. Available from:https:\/\/eur\u2010lex.europa.eu\/legal\u2010content\/EN\/TXT\/?uri=CELEX%3A02016R0679\u201020160504&qid=1532348683434"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13630"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2015.02013"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14515"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.25270\/wmp.2021.12.3040"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.16694","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T12:04:15Z","timestamp":1698753855000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.16694"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,16]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1111\/codi.16694"],"URL":"https:\/\/doi.org\/10.1111\/codi.16694","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,16]]},"assertion":[{"value":"2023-04-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}