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Trial registered on ANZCTR

Registration number
Ethics application status
Date submitted
Date registered
Date last updated
Type of registration
Retrospectively registered

Titles & IDs
Public title
Second Ears: Development and clinical testing of an app for audio-recording hospital consultations for oncology patients to identify barriers and facilitators for clinical implementation
Scientific title
Development and clinical testing of an app for audio-recording hospital consultations for oncology patients.
Secondary ID [1] 293260 0
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
cancer 307602 0
Condition category
Condition code
Cancer 306659 306659 0 0
Any cancer

Study type
Description of intervention(s) / exposure
the intervention comprises the use of the SecondEars smartphone application to audio-record 1 x key medical consultation per patient. Eligible patients are contacted prior to attending their appointment. After providing informed consent, information is provided on how to download, install, and login to SecondEars. The study team confirms on arrival that the app is downloaded and installed correctly. Attending family members and treating clinician also provide informed consent as the consultation is audio-recorded.
A follow-up interview will be conducted with patients one week after intervention delivery. At the follow-up interviews patients will be asked about app use (adherence). Participants are not required to listen to the audio-recording, however this will be assessed as part of the follow-up interview. They are able to download a copy of the audio-recording to keep permanently, however the app will be removed from their smartphone approximately 2 weeks post consultation. Backend app analytics through iTunes provide quantifiable records of app use. Clinical surveys also provide data to triangulate app use and adherence, and will be distributed to clinical staff at the conclusion of the study.
Intervention code [1] 301015 0
Comparator / control treatment
No control group
Control group

Primary outcome [1] 305665 0
Identification of barriers and enablers for clinical implementation
Timepoint [1] 305665 0
Follow-up interview one week post intervention delivery
Secondary outcome [1] 346103 0
Patient satisfaction assessed through custom qualitative interview
Timepoint [1] 346103 0
one week post intervention delivery
Secondary outcome [2] 346160 0
Clinician barriers to app implementation via custom quantitative survey
Timepoint [2] 346160 0
at completion of trial recruitment
Secondary outcome [3] 346162 0
Patient assessment of app design via the first two sub-scales (aesthetics and functionality) the Mobile Phone Rating scale, validated measure - composite secondary outcome
Timepoint [3] 346162 0
One week post intervention delivery
Secondary outcome [4] 346246 0
Clinician enablers to app implementation in a clinical setting via custom quantitative survey
Timepoint [4] 346246 0
quantitative survey at completion of project

Key inclusion criteria
Eligibility Criteria - patients
- Cancer Consumer on the Peter Mac Consumer Registry
- Able to read write and speak English

The study will aim to recruit a total of 10 cancer consumers to attend the workshop

Eligibility criteria:- clinical staff
- Working at Peter Mac in one of the following roles: oncologist, nurse, allied health, volunteer, health information management or IT

This study will aim to recruit a representative from one of the above roles listed.

Minimum age
18 Years
Maximum age
No limit
Both males and females
Can healthy volunteers participate?
Key exclusion criteria
not owning an iphone
too unwell

Study design
Purpose of the study
Educational / counselling / training
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?

Intervention assignment
Single group
Other design features
Not Applicable
Type of endpoint(s)
Statistical methods / analysis
Data will be generated from the clinician and oncology patient structured surveys. Descriptive statistics (counts/percentages, means/standard deviations or medians/inter-quartile ranges, as appropriate) will be used to summarise patient demographic and clinical characteristics and survey responses (this will include a summary of missing items and forms).Clinician demographic characteristics and survey responses will be summarised in the same manner.

Qualitative survey data
Qualitative survey questions which elicit qualitative responses will be analysed using interpretive description. Transcribed data will be sorted into codes, then categories and themes, according to clinical utility. Analysis will be conducted using NVIVO.

Quantitative survey data
Quantitative Survey items (MARS) for the first two sub-scales (aesthetics and functionality) will be summed to generate mean scores for each participant, with these aggregated and reported using descriptive statistics. The final scale (subjective app use) items will be described independently (again using descriptive statistics stated above), as per recommendations by the MARS developers (1). Data will be analysed using appropriate statistical software.

App analytics
Anonymised user data will be collected by the app regarding user actions. This will be aggregated and exported as numerical counts and percentages. Data will be further aggregated and described descriptively where required.

1. Stoyanov SR, Hides L, Kavanagh DJ, Zelenko O, Tjondronegoro D, Mani M. Mobile app rating scale: a new tool for assessing the quality of health mobile apps. JMIR mHealth and uHealth. 2015;3(1

Recruitment status
Date of first participant enrolment
Date of last participant enrolment
Date of last data collection
Sample size
Accrual to date
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 10790 0
Peter MacCallum Cancer Centre - Melbourne
Recruitment postcode(s) [1] 22529 0
3000 - Melbourne

Funding & Sponsors
Funding source category [1] 297889 0
Government body
Name [1] 297889 0
Victorian Managed Insurance Authority
Address [1] 297889 0
161 Collins St, Melbourne VIC 3000
Country [1] 297889 0
Funding source category [2] 299331 0
Name [2] 299331 0
Peter MacCallum Foundation
Address [2] 299331 0
305 Grattan Street Parkville Melbourne Victoria 3000
Country [2] 299331 0
Primary sponsor type
Peter MacCallum Cancer Centre
305 Grattan Street Parkville Melbourne Victoria 3000
Secondary sponsor category [1] 296942 0
Name [1] 296942 0
Address [1] 296942 0
Country [1] 296942 0

Ethics approval
Ethics application status
Ethics committee name [1] 298938 0
Peter MacCallum Cancer Centre
Ethics committee address [1] 298938 0
305 Grattan Street Parkville Melbourne Victoria 3000
Ethics committee country [1] 298938 0
Date submitted for ethics approval [1] 298938 0
Approval date [1] 298938 0
Ethics approval number [1] 298938 0

Brief summary
This study concerns the development and testing of a mobile phone application for the audio recording of oncology consultations.

Who is it for?
You may be eligible for this study if you are a cancer consumer or staff member at the Peter MacCallum Cancer Centre.

Study details
You may be invited to try a new consultation audio-recording app during your next consultation at Peter MacCallum Cancer Centre. An ‘app’ is a program that you can use on a mobile phone or tablet device.

Patients who decide to take part, will be asked to audio-record their next consultation using the app. A copy of the audio-recording will also be kept and securely stored at Peter Mac. For those patients who decide to take part, any family members or friends who accompany them to your hospital consultation will be asked whether they are happy to be audio-recorded by the app during the consultation. .

People who decide to take part in this study will be contacted one week after their audio-recorded consultation to complete in a telephone survey (30 minutes) to discuss what they think about the audio-recording app. We will audio-record this interview so that we can listen back over your answers and combine them with everyone else’s to get our results. The audio-recording of the telephone interview will be stored for 5 years post study completion. There are no costs associated with participating in this research project, nor will you be paid.

It is hoped this research will contribute to the implementation of the audio recording app at Peter Mac. Oncology consultations contain a lot of information, and patients and their family members/friends may be very anxious while at the hospital, which makes it hard to remember everything that is discussed in the consultation. We hope that having an easy to use audio-recording app will be helpful for patients and their family members/friends by allowing them to re-listen to the consultation at their convenience.

We have designed this app with help from people like you, and now we would like to try using the app in a health care setting. We are looking at how best to use the app in the hospital, and so we are seeking feedback from patients and health care professionals.
Trial website
Trial related presentations / publications
Public notes

Principal investigator
Name 78718 0
Ms Amelia Hyatt
Address 78718 0
Peter MacCallum Cancer Centre
305 Grattan st Parkville Melbourne Victoria 3000
Country 78718 0
Phone 78718 0
Fax 78718 0
Email 78718 0
Contact person for public queries
Name 78719 0
Ms Amelia Hyatt
Address 78719 0
Peter MacCallum Cancer Centre
305 Grattan st Parkville Melbourne Victoria 3000
Country 78719 0
Phone 78719 0
Fax 78719 0
Email 78719 0
Contact person for scientific queries
Name 78720 0
Ms Amelia Hyatt
Address 78720 0
Peter MacCallum Cancer Centre
305 Grattan st Parkville Melbourne Victoria 3000
Country 78720 0
Phone 78720 0
Fax 78720 0
Email 78720 0

No data has been provided for results reporting
Summary results
Not applicable