[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100628596":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":18,"centralContacts":25,"locations":31,"responsibleParty":46,"collaborators":18,"id":51,"slug":52,"hasResults":53,"nctId":54,"briefTitle":55,"officialTitle":56,"acronym":18,"eligibilityCriteria":57,"healthyVolunteers":53,"sex":58,"minAge":59,"maxAge":18,"enrollmentInfo":60,"targetDuration":18,"studyType":63,"phases":64,"briefSummary":66,"conditions":67,"keywords":18,"overallStatus":70,"whyStopped":18,"lastUpdateSubmitDate":71,"lastUpdatePostDateStruct":72,"startDateStruct":75,"completionDateStruct":77,"leadSponsor":79,"locationsCount":80},{"fullName":5,"class":6},"Sun Yat-sen University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Flipped Discharge Model Group","EXPERIMENTAL","Participants receive the \"Flipped Discharge\" intervention based on Response to Transition Theory. This includes standardized post-discharge telephone follow-ups on days 1-2. The core intervention occurs around day 3 (±1 day), delivered either via an in-home visit by a certified stoma nurse through the hospital's \"Internet + Nursing Service\" platform or, for eligible patients outside the service area, a standardized intensive video follow-up (≥30 min) with a mailed stoma care kit. Additional telephone support is provided at 1 week. All interventions follow a central protocol and are conducted by trained, certified stoma care specialists.",[13],"Behavioral: Response to Transition Theory-based Flipped Discharge Model",{"label":15,"type":16,"description":17,"interventionNames":18},"Standard Care Group","NO_INTERVENTION","Participants receive routine post-discharge care and follow-up as per the current standard practice at their respective hospital centers. This typically includes conventional discharge education and scheduled follow-up contacts (e.g., phone calls) conducted by hospital staff according to local protocols, without the structured, early in-home or intensive video intervention provided to the intervention group.",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":18},"BEHAVIORAL","Response to Transition Theory-based Flipped Discharge Model","This is a structured, multi-component continuing care intervention initiated after hospital discharge for colorectal cancer patients with an intestinal stoma. Based on the Response to Transition Theory, it aims to support patients' adaptation during the critical early post-discharge period. The core intervention is a standardized assessment and education session conducted around the third day post-discharge. This is delivered flexibly based on patient location: either an in-home visit by a certified enterostomal therapist via a hospital-approved \"Internet + Nursing Service\" platform, or a standardized, intensive video follow-up (≥30 minutes) coupled with a mailed stoma care kit for those outside the service area. The intervention is complemented by protocol-driven telephone follow-ups on days 1-2 and at 1 week to reinforce education, provide psychological support, and address individual concerns.",[9],[26],{"name":27,"role":28,"phone":29,"phoneExt":18,"email":30},"Luo Baojia","CONTACT","15989044977","luobj@sysucc.org.cn",[32],{"facility":33,"status":18,"city":34,"state":35,"zip":18,"country":36,"countryCode":37,"cosmosGeoPoint":38,"geoPoint":43,"contacts":44},"Sun Yat-sen University Cancer Center","Guangzhou","Guangdong","China","CN",{"type":39,"coordinates":40},"Point",[41,42],113.25,23.11667,{"lat":42,"lon":41},[45],{"name":27,"role":28,"phone":29,"phoneExt":18,"email":30},{"type":47,"investigatorFullName":48,"investigatorTitle":49,"investigatorAffiliation":50,"oldNameTitle":18,"oldOrganization":18},"PRINCIPAL_INVESTIGATOR","Luo BaoJia","Associate chief nurse","Sun Yat-Sen University Cancer Center","100628596","construction-and-evaluation-of-a-flipped-discharge-model-for-stomates-with-colorectal-cancer-100628596",false,"NCT07463690","Construction and Evaluation of a Flipped Discharge Model for Stomates With Colorectal Cancer","Construction and Empirical Study of a \"Flipped\" Discharge Model for Colorectal Cancer Patients With Stoma Based on Response Transformation Theory Research","Inclusion Criteria:\n\n1. Pathologically diagnosed colorectal cancer patients undergoing their first radical surgery with either abdominoperineal resection (Miles) plus permanent colostomy or sphincter-preserving anterior resection (Dixon) plus temporary ileostomy.\n2. Aged 18 years or older.\n3. Possess at least elementary school education and are able to read, communicate, and understand questionnaire content. Voluntarily participate and provide written informed consent.\n4. Postoperative condition is stable without major complications, and patient is conscious.\n5. Meets standard hospital discharge criteria with normally functioning stoma.\n\nExclusion Criteria:\n\n1. History of psychiatric disorders or severe cognitive impairment.\n2. Diagnosis with other concurrent malignancies.","ALL","18 Years",{"count":61,"type":62},200,"ESTIMATED","INTERVENTIONAL",[65],"NA","This multicenter randomized controlled trial aims to develop and evaluate the effectiveness of a \"Flipped Discharge\" intervention for colorectal cancer patients with a new intestinal stoma. Guided by the Response to Transition Theory, the model addresses the care gap during the vulnerable post-discharge period by shifting critical support from the hospital to the patient's home. Approximately 200 eligible patients will be randomized into either the intervention or standard care control group. The core \"Flipped Discharge\" intervention occurs on the third day post-discharge, delivered either as an in-home visit by a specialist stoma nurse (via an \"Internet + Nursing Service\" platform) or as an intensive, standardized video follow-up with mailed instructional materials. The study's primary outcome is the incidence of stoma-related complications. Secondary outcomes include quality of life, self-care ability, self-efficacy, stoma adaptation, discharge readiness, healthcare costs, and satisfaction. The trial will also explore the mechanisms by which the intervention affects patient outcomes, ultimately seeking to provide evidence for a feasible, patient-centered model to improve care continuity.",[68,69],"Colorectal Cancer","Stoma","NOT_YET_RECRUITING","2026-03-05",{"date":73,"type":74},"2026-03-11","ACTUAL",{"date":76,"type":62},"2026-03-10",{"date":78,"type":62},"2027-12-30",{"name":5,"class":6},1]