{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T14:48:23Z","timestamp":1785854903753,"version":"3.56.0"},"reference-count":40,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Res Protoc"],"abstract":"\n Background<\/jats:title>\n Older adults (aged \u226565 years) account for approximately 30% of inpatient procedures in the United States. After major surgery, they are at high risk of a slow return to their previous functional status, loss of independence, and complications like delirium. With the development and refinement of Enhanced Recovery After Surgery protocols, older patients often return home much earlier than historically anticipated. This put a larger burden on care partners, close family or friends who partner with the patient and guide them through recovery. Without adequate preparation, both patients and their care partners may experience poor long-term outcomes.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to improve and streamline recovery for patients aged \u226565 years by exploring the communication needs of patients and their care partners. Information from this study will be used to inform an intervention developed to address these needs and define processes for its implementation across surgical clinics.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This qualitative research protocol has two aims. First, we will define patient and care partner needs and perspectives related to digital health innovation. To achieve this aim, we will recruit dyads of patients (aged \u226565 years) who underwent elective major surgery 30-90 days prior and their respective care partners (aged \u226518 years). Participants will complete individual interviews and surveys to obtain demographic data, characterize their perceptions of the surgical experience, identify intervention targets, and assess for the type of intervention modality that would be most useful. Next, we will explore clinician perspectives, tools, and strategies to develop a blueprint for a digital intervention. To achieve this aim, clinicians (eg, geriatricians, surgeons, and nurses) will be recruited for focus groups to identify current obstacles affecting surgical outcomes for older patients, and we will review current assessments and tools used in their clinical practice. A hybrid deductive-inductive approach will be undertaken to identify relevant themes. Insights from both clinicians and patient-care partners will guide the development of a digital intervention strategy to support older patients and their care partners after surgery.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n This study has been approved by the Massachusetts General Hospital and Harvard Institutional Review Boards. Recruitment began in December 2023 for the patient and care partner interviews. As of August 2024, over half of the interviews have been performed, deidentified, and transcribed. Clinician recruitment is ongoing, with no focus groups conducted yet. The study is expected to be completed by fall 2024.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study will help create a scalable digital health option for older patients undergoing major surgery and their care partners. We aim to enhance our understanding of patient recovery needs; improve communication with surgical teams; and ultimately, reduce the overall burden on patients, their care partners, and health care providers through real-time assessment.<\/jats:p>\n <\/jats:sec>\n \n International Registered Report Identifier (IRRID)<\/jats:title>\n DERR1-10.2196\/59067<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/59067","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T16:25:05Z","timestamp":1719246305000},"page":"e59067","source":"Crossref","is-referenced-by-count":2,"title":["A Digital Communication Intervention to Support Older Adults and Their Care Partners Transitioning Home After Major Surgery: Protocol for a Qualitative Research Study"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1999-9173","authenticated-orcid":false,"given":"Brian A","family":"Campos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7426-5544","authenticated-orcid":false,"given":"Emily","family":"Cummins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3385-8380","authenticated-orcid":false,"given":"Yves","family":"Sonnay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3695-3447","authenticated-orcid":false,"given":"Mary E","family":"Brindle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3847-9486","authenticated-orcid":false,"given":"Christy E","family":"Cauley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2024,8,28]]},"reference":[{"issue":"102","key":"ref1","first-page":"1","author":"Hall, MJ","year":"2017","journal-title":"Natl Health Stat Report"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs5.50143"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.96.5.219"},{"key":"ref4","unstructured":"New survey finds 87% of patients with long-term health conditions face stigma; nurses feel they lack time and resources to provide adequate supportConvatec2024-08-01https:\/\/www.convatecgroup.com\/media\/press-releases\/2022\/convatec-makes-forever-caring-promise\/"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.570362"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v11.i2.90"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2020.02.008"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000555"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001126"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-022-06991-x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000673"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibac070"},{"key":"ref13","unstructured":"Share of those 65 and older who are tech users has grown in the past decadePew Research Center2024-02-25https:\/\/www.pewresearch.org\/short-reads\/2022\/01\/13\/share-of-those-65-and-older-who-are-tech-users-has-grown-in-the-past-decade\/"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045596"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1177\/160940690600500107"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0231350"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-013-0528-y"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114523"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000161"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1079\/PNS2004399"},{"key":"ref22","unstructured":"WHOQOL - Measuring Quality of LifeWorld Health Organization2023-03-14https:\/\/www.who.int\/tools\/whoqol"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"7260","DOI":"10.1007\/978-94-007-0753-5_3282","author":"Kim, S","year":"2014","journal-title":"Encyclopedia of Quality of Life and Well-Being Research"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/20.6.649"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/41.5.652"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.29333\/ajqr\/12085"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1177\/1525822x19838237"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2018.08.005"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1109\/RBME.2018.2851500"},{"key":"ref31","first-page":"72","author":"Mannheim, I","year":"2022","journal-title":"Digital Transformations in Care for Older People"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16040645"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.3389\/fcomp.2022.835927"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-023-02391-8"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/1604609"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.01470"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1177\/00469580221096272"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1177\/00469580241226540"},{"issue":"2","key":"ref39","first-page":"44","volume":"23","author":"Samiei, V","year":"2016","journal-title":"Malays J Med Sci"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1177\/183335831003900205"}],"container-title":["JMIR Research Protocols"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.researchprotocols.org\/2024\/1\/e59067","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T13:52:49Z","timestamp":1785851569000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.researchprotocols.org\/2024\/1\/e59067"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,28]]},"references-count":40,"URL":"https:\/\/doi.org\/10.2196\/59067","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.59067","asserted-by":"object"}]},"ISSN":["1929-0748"],"issn-type":[{"value":"1929-0748","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,28]]}}}