A Novel Surgical Patient Engagement Model: A Qualitative Study of Postoperative Patients

Yun, Peter S.; Macdonald, Cameron Lynne; Orne, Jason; Gutierrez-Meza, Diana; Buentello, Gerardo; Street, Richar; Naik, Aanand D.; Suliburk, James W.

doi:10.1016/j.jss.2019.11.025

Cited by 10 publications

(4 citation statements)

References 15 publications

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“…5 The goal of most prehabilitation programs is to promote surgical resiliency, agency and self-efficacy. 8 Although both ERAS and prehabilitation programs are evidence-based and patient-oriented, there is a dearth of published evidence examining patient input to enhance such programs. Meaningful patient input could enhance these interventions to produce superior patient outcomes and experiences.…”

mentioning

confidence: 99%

Patients’ perspectives of prehabilitation as an extension of Enhanced Recovery After Surgery protocols

Gillis

Gill

Gramlich

et al. 2021

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confidence: 99%

Patients’ perspectives of prehabilitation as an extension of Enhanced Recovery After Surgery protocols

Gillis

Gill

Gramlich

et al. 2021

cjs

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“…Surgical patients differ from chronic medical patients in the acute nature of their therapeutic management . Major surgery results in a predictable decline in functional status and health-related quality of life, which requires a period of recovery of weeks to months.…”

Section: Discussionmentioning

confidence: 99%

Association Between Patient Activation and Health Care Utilization After Thoracic and Abdominal Surgery

Dumitra

Ganescu

et al. 2020

JAMA Surg

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IMPORTANCEIncreased patient activation (PA) (ie, knowledge, skills, motivation, confidence to participate in care) may result in improved outcomes, especially in surgical settings.OBJECTIVE To estimate the extent to which PA is associated with 30-day postdischarge unplanned health care utilization after major thoracic or abdominal surgery.DESIGN, SETTING, AND PARTICIPANTS This cohort study was performed at 2 centers of a tertiary care hospital network between October 2017 and January 2019. Adult patients undergoing thoracic or abdominal surgery were included. Of 880 patients assessed for eligibility, 692 were deemed eligible, of whom 34 declined to participate, 1 withdrew consent, and 4 were excluded after consent.EXPOSURES Patient activation was measured immediately after surgery during the initial admission using the Patient Activation Measure (score range, 0-100). Patients were dichotomized into low and high PA groups using previously described thresholds (Patient Activation Measure score, Յ55.1). MAIN OUTCOMES AND MEASURESThe primary outcome was unplanned 30-day postdischarge health care utilization (composite including emergency department and outpatient clinic visits and/or hospital readmission). Secondary outcomes were length of stay, 30-day emergency department visits, 30-day readmissions, and postoperative complications.RESULTS A total of 653 patients admitted for thoracic, general, colorectal, and gynecologic surgery were included in the study (mean [SD] age, 58 [15] years; 369 women [56%]; 366 [56%] had minimally invasive surgery; 52 [8%] had emergency surgery), of which 152 (23%) had a low level of PA. Baseline characteristics were similar between patients with low-and high-level PA. Low PA was associated with unplanned health care utilization (odds ratio [OR], 3.15; 95% CI, 2.05-4.86; P < .001), emergency department visits (OR, 1.64; 95% CI, 1.02-2.64; P = .04), complications (OR, 1.63; 95% CI,; P = .01), and length of stay (adjusted mean difference, 1.19 days; 95% CI, 0.06-2.33; P = .04). Low PA was not associated with a higher risk of readmission (adjusted OR, 1.04; 95% CI, 0.56-1.93; P = .90). CONCLUSIONS AND RELEVANCEIn this study, low level of PA was associated with postdischarge unplanned health care use, hospital stay, and complications after major surgery. Identification of patients with low activation may allow the implementation of interventions to improve health care knowledge and support self-management postdischarge.

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“…Crohn's disease (CD) and ulcerative colitis (UC) are two examples of chronic, lifelong, and recurring intestinal inflammatory diseases classified as “inflammatory bowel disease (IBD).” Owing to its chronic nonhealing and recurring relapsing–remitting character, it causes severe illness and psychological stress in patients (Halloran et al, 2021; Windsor & Kaplan, 2019). Furthermore, it causes negative emotions such as depression and anxiety (Barberio et al, 2021), and patients suffer from both physical and psychological pain, resulting in decreased self‐efficacy (Chao et al, 2019; Chen et al, 2019; Sweeney et al, 2020; Taft et al, 2013), which affects patients' self‐management (Yun et al, 2020), quality of life (Magharei et al, 2019), and successful transition from adolescent patients with IBD to adults (Carlsen et al, 2017), resulting in poor‐health outcomes. In terms of illness improvement and treatment, patients with IBD benefit from increased levels of self‐efficacy (Dür et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of patient‐reported outcome measures assessing self‐efficacy in patients with inflammatory bowel disease: A systematic review

Fang

Chong

et al. 2023

Journal of Advanced Nursing

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Aims:The aim of this study is to conduct a comprehensive evaluation of the patientreported outcome measure assessing self-efficacy in patients with inflammatory bowel disease, and recommend the most robust measurement. Design: A systematic review of psychometric properties. Data Sources: We performed systematic electronic searches in the following databases from inception to 26 May 2022: PubMed, Embase, CINAHL, Web of Science, Cochrane Library, and PsycINFO via OVID. Review Method: This review evaluated the tools' quality in accordance with the Selection of Consensus-Based Health Measurement Instruments 2018 system Evaluation guidelines.Results: Three patient-reported outcome measures were identified in the five included studies. The "IBD-yourself" questionnaire revealed very low evidence for a sufficient hypothesis test for construct validity, moderate evidence for insufficient internal consistency, and very low evidence for uncertain measurement error. Evidence from Inflammatory Bowel Disease Self-Efficacy Scale validated internal consistency, structural validity, criterion validity, and hypothesis test for construct validity.However, evidence of moderate quality corroborated this reliability. The Adolescents and Young Adults Inflammatory Bowel Disease Self-Efficacy Scale demonstrated very low evidence for sufficient internal consistency, moderate evidence for a sufficient hypothesis test for construct and content validity, and very low evidence for uncertain reliability.Conclusions: Compared with the other two measures, the Inflammatory Bowel Disease Self-Efficacy Scale has higher quality evidence of higher overall ratings for some of its psychometric properties, but there were some methodological problems that must be further studied to determine their quality. Impact:It is uncertain whether a scale to assess self-efficacy in patients with inflammatory bowel disease has good measurement performance in clinical applications.This study first presents the methodological quality and psychometric properties of the self-efficacy scale used to assess patients with inflammatory bowel disease, which is based on the Consensus-Based Health Measurement Instruments standard. This

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A Novel Surgical Patient Engagement Model: A Qualitative Study of Postoperative Patients

Cited by 10 publications

References 15 publications

Patients’ perspectives of prehabilitation as an extension of Enhanced Recovery After Surgery protocols

Patients’ perspectives of prehabilitation as an extension of Enhanced Recovery After Surgery protocols

Association Between Patient Activation and Health Care Utilization After Thoracic and Abdominal Surgery

Psychometric properties of patient‐reported outcome measures assessing self‐efficacy in patients with inflammatory bowel disease: A systematic review

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