Evidence map›Paper›PMID 37862072›Full record

Trial reportJMIR mHealth and uHealth2023

Impact of Mobile Apps in Conjunction With Percutaneous Endoscopic Gastrostomy on Patients' Complications, Quality of Life, and Health-Related Self-Care Behaviors: Randomized Clinical Trial.

Bi-Lian Chen, Han-Chung Lien, Shyh-Sheng Yang, Shiao-Chi Wu, Hsien-Hsien Chiang, Li-Chan Lin

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR mHealth and uHealth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07463443 (Effectiveness of Chatbot for Improving Caregiving Outcomes in Primary Caregivers of Geriatric Pneumonia Patients), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07463443 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness of Chatbot for Improving Caregiving Outcomes in Primary Caregivers of Geriatric Pneumonia Patients: A Study on Knowledge, Attitude and Practice.

TypeinterventionalSponsorTaipei Veterans General Hospital, TaiwanRan2026 to 2027Enrolled150ConditionsPneumonia, Family Caregivers, Knowledge, Attitudes, Practice, ChatbotArmsChatbot with Educational Videos, Traditional Paper-based Education
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Emotional, Ethical and Cultural Challenges in Percutaneous Endoscopic Gastrostomy (PEG) Decision-Making: A Systematic Review and Meta-Synthesis.Health expectations : an international journal of public participation in health care and health policy · 2026
    Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Bi-Lian ChenDepartment of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan.ORCID 0009-0008-6422-4798
Han-Chung LienDivision of Gastroenterology, Taichung Veterans General Hospital, Taichung, Taiwan.ORCID 0000-0002-1570-863X
Shyh-Sheng YangThe Division of Thoracic Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.ORCID 0009-0000-4510-2789
Shiao-Chi WuInstitute of Health and Welfare Policy, National Yang Ming Chiao Tung University, Taipei City, Taiwan.ORCID 0000-0002-8051-0769
Hsien-Hsien ChiangDepartment of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan.ORCID 0000-0003-3384-9804
Li-Chan Lin *Department of Nursing, Asia University, Taichung, Taiwan.ORCID 0000-0003-2994-2475
National Yang Ming Chiao Tung University · TWTaichung Veterans General Hospital · TWAsia University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous endoscopic gastrostomy (PEG) is commonly chosen for long-term enteral nutrition support. However, common complications of PEG include wound infection, leakage, obstruction, bleeding, dislodgement, pneumonia, peritonitis, and more. The anticipation of these complications by both patients and their family caregivers underscores the essential requirement of ongoing technical guidance for the daily care of PEG and the adoption of preventative strategies.

objectiveThis study aimed to establish and compare a health education program utilizing a tracking system for PEG using a mobile app (PEG app) and instant messaging software versus a paper-based health education program with instant messaging software. Their effectiveness in preventing complications, avoiding hospital readmissions, improving self-care practices, and enhancing quality of life outcomes was assessed.

methodsA randomized controlled trial design was used, and the study sample consisted of patients from a medical center in central Taiwan who underwent thoracic surgery or gastroenterology procedures. Inclusion criteria were being a new case undergoing his or her first gastric tube insertion and having the ability to operate a smartphone. Exclusion criteria were cases requiring tube replacement or nasogastric tubes. A total of 74 participants were enrolled, with 37 participants in the experimental group and 37 participants in the control group. Data collection took place from hospitalization until 1 month after discharge. The experimental group received care using the gastric tube tracking system (PEG app) and the Line app that included phone, text, and photo capture capabilities, while the control group received routine nursing care and used the Line app.

resultsThe experimental group demonstrated a significant reduction in the occurrence of complications compared with the control group (χ

conclusionsIntegration of the PEG app with instant messaging can enhance self-care ability, improve social aspects of quality of life, and reduce complications. The study results suggest that the PEG app could be used as an adjunct tool to promote patients' self-directed management of their gastric tube at home, particularly for patients who have undergone their first PEG placement and are being discharged from the hospital.

trial registrationChinese Clinical Trial Registry ChiCTR2300071271; https://tinyurl.com/4vvy584e.

Indexed as

GastrostomyMobile ApplicationsEnteral NutritionFemaleHumansMaleQuality of LifeSelf Careapplicationbehaviorcarecomplicationseducationendoscopygastrostomyhealth educationhealth promotionmHealth appmHealth interventionmobile applicationmobile applications tracking systempercutaneous endoscopic gastrostomypreventionquality of lifeself-caretrackingutilization

Identifiers

PMID37862072
PMCPMC10625096
OpenAlexW4387798268

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.