TABLE OF CONTENTS INTRODUCTION General introduction and outline of the thesis 7 PART I: CURRENT PERSPECTIVES 13 CHAPTER 1 Apps in healthcare and medical research; European legislation and practical tips every healthcare provider should know 15 CHAPTER 2 Mobile applications in gastrointestinal surgery: a systematic review 33 PART II: PATIENT PERSPECTIVES 63 CHAPTER 3 Patient satisfaction with stoma care and their expectations on mobile apps for supportive care 65 CHAPTER 4 Supporting stoma patients’ self-efficacy with a mobile application - a focus group interview study 87 PART III: CLINICAL TRIALS 109 CHAPTER 5 A personalized app to improve quality of life of patients with a stoma: A protocol for a multicentre randomized controlled trial 111 CHAPTER 6 Better stoma care using the Stoma App – does it help? A first randomised double-blind clinical trial on the effect of mobile healthcare on quality of life in stoma patients. 125 CHAPTER 7 Improving Enhanced Recovery After Surgery (ERAS): The effect of a patient-centred mobile application and an activity tracker on patient engagement in colorectal surgery. 145 SUMMARY AND DISCUSSION 167 Summary of main findings 168 General discussion 170 APPENDICES Nederlandse samenvatting 178 List of contributing authors 180 List of publications 182 PhD Portfolio 184 Dankwoord 186 About the author 190 Sponsors 192
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