A web-based platform to accommodate symptoms of anxiety and depression by featuring social interaction and animated information in patients undergoing lumbar spine fusion: a randomized clinical trial

Strøm, Janni; Nielsen, Claus Vinther; Jørgensen, Lene Bastrup; Andersen, Niels Trolle; Laursen, Malene

doi:10.1016/j.spinee.2018.11.011

Cited by 30 publications

(63 citation statements)

References 59 publications

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“…This study’s population comprises the patients enrolled and randomized from September 2015 to May 2017 [14] to an intervention group in a 2-arm RCT at a single-center orthopedic spine department in Denmark.…”

Section: Methodsmentioning

confidence: 99%

“…Some of these studies find a positive effect, when providing ISG, on patients’ depression, anxiety, or on quality of life [6-9], and it has been suggested that connecting with others on an ISG reduces the sense of isolation [10,11]. Other studies have mixed results or no positive results [12-14]. In addition, some studies even find negative results, as a Web-based survey suggests that the lack of actual physical proximity makes relationships developed within an ISG less meaningful and actually makes patients feel even more isolated [4].…”

Section: Introductionmentioning

confidence: 99%

“…In a previously published randomized controlled trial (RCT), we examined the effect of the total Web-based platform (including animated information and training instructions, a click-through diary, written information, and the ISG) on symptoms of anxiety and depression and on pain. We found no additional effect of the Web-based platform on any of the outcome parameters [14].…”

Section: Introductionmentioning

confidence: 99%

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Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study

et al. 2019

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Background Internet use within health care contexts offers the possibility to provide both health information and peer support. Internet Support Groups (ISGs) for patients may offer advantages, which are not found in face-to-face support. In patients undergoing lumbar spine fusion (LSF), ISGs could have a particular potential, as peer support on the web might bridge the decreased satisfaction with social life and social isolation found within these patients. ISGs might in this way contribute to increasing the functioning and overall health-related quality of life. However, LSF patients may generally belong to a group of citizens not prone to internet and online peer support. However, our knowledge of how LSF patients use ISGs is limited. Objective The aim of this study was to describe the characteristics of users of an ISG and thematically explore the content of ISG interactions in Danish patients undergoing instrumented LSF because of degenerative spine disorders. Methods Participants were recruited from a randomized controlled trial and included in a prospective cohort with a mixed methods design. Sociodemographic characteristics and information on psychological well-being (symptoms of anxiety and depression) were obtained at baseline and 1 to 5 weeks before surgery. Usage of the ISG was registered from baseline until 3 months after surgery. All posts and comments were collected, and content analysis was performed. Results A total of 48 participants comprised the study population, with a mean age of 53 years (range 29-77). Of the participants, 54% (26/48) were female, 85% (41/48) were cohabitating, 69% (33/48) were unemployed, and the majority (69% [33/48]) had secondary education. Approximately one-third of the participants had symptoms of depression (35%, 17/48) and anxiety (29%, 14/48). Overall, 90% (43/48) of the participants accessed the ISG. No correlations were found between sociodemographic characteristics and access to the ISG. Women were more prone to be active users, contributing with posts ( P =.04). Finally, active users contributing with posts or comments had viewed more pages, whereas passive users, users without posts or comments, had more interactions with the ISG ( P <.001). The ISG contained 180 conversation threads, generating 354 comments. The 180 conversation threads in the ISG were constituted by 671 independent dialogue sequences. On the basis of those 671 dialogue sequences, 7 thematic categories emerged. Conclusions Sociodemographic characteristics were not predictors of ISG use in this study, and active use was found to be gender dependent. Content of interactions on the ISG emerged within 7 thematic categories and focused on social recognition, experience of pain or use of pain medication, experience of physical activity or physical rehabilitation, expression of psychosocial well-being, advising on a...

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study

et al. 2019

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“…The search found 1,135 studies in the screening process. Among these, ten studies (Berget et al 2011 [ 28 ], Graven et al 2011 [ 29 ], Ammerman et al 2013 [ 30 ], Nagy et al 2017 [ 31 ], Chen et al 2019 [ 32 ], Strøm et al 2019 [ 33 ], Kern et al 2019 [ 34 ], Rogers et al 2014 [ 35 ], Cruwys et al 2014 [ 36 ], Croezen et al 2015 [ 37 ]) were assessed as eligible and were included in the analysis and synthesis ( Figure 1 ). Each study and its details after analysis have been shown in Table 3 .…”

Section: Resultsmentioning

confidence: 99%

“…In the analysis and synthesis of results, seven of the ten studies (Berget et al 2011 [ 28 ], Graven et al 2011 [ 29 ], Ammerman et al 2013 [ 30 ], Nagy et al 2017 [ 31 ], Chen et al 2019 [ 32 ], Strøm et al 2019 [ 33 ], Kern et al 2019 [ 34 ]) were at level I, while the other three studies (Rogers et al 2014 [ 35 ], Cruwys et al 2014 [ 36 ], Croezen et al 2015 [ 37 ]) were at level III of research levels of evidence. In ten studies, two studies (Berget et al 2011 [ 28 ], Rogers et al 2014 [ 35 ]) were obtained from occupational therapy literature, while the other eight studies were derived from nursing, psychology, and medicine and public health disciplines.…”

Section: Resultsmentioning

confidence: 99%

Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression

Phadsri

Shioji

Tanimura

et al. 2021

Occupational Therapy International

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Background. Social withdrawal is predominantly seen among adults with depression. However, a dearth of reviews exists that explore nonpharmacological treatments, especially occupational therapy (OT) interventions and their effect in promoting social participation. The aim of this research was to review what intervention programs are conducted to support the social participation of adults with depression and their effectiveness. Method. A systematic review was performed wherein relevant articles were searched in PubMed, CINAHL, Wiley Online Library, PsycINFO, and OTseeker databases and AJOT, BJOT, SJOT, and OTMH journals. Only English articles published from January 2010 to December 2018, which tackled intervention for adults aged 20–60 years with depression, were considered. Ten out of 918 studies met the screening criteria. Result. Among the ten studies, the effective intervention programs were categorized as either occupation-based intervention (OBI) or cognitive behavioral therapy-based intervention (CBT-BI). These programs sought the following outcomes: behavioral change in social participation ( n = 4 ), reduction of depression or depressive symptoms ( n = 13 ), life satisfaction ( n = 4 ), and quality of life (QoL) ( n = 1 ). Studies showed moderate ( n = 3 ) to strong ( n = 7 ) level of certainty, whereas they also revealed high to unclear ( n = 3 ) and low ( n = 7 ) risk of bias. Conclusion. Both OBI such as animal-assisted therapy and CBT-BI such as behavioral change program and health education have a strong level of certainty and low risk of bias in promoting social participation by supporting positive behavioral change and reducing depressive symptoms. Furthermore, the sport and exercise program of OBI was popular in encouraging participation and engagement with other people. Other programs were suggested for combined interventions to support social participation, life satisfaction, and QoL.

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Prehabilitation for spine surgery: A scoping review

Eubanks

Carlesso

Sundaram

et al. 2023

PM&R

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We aimed to identify and describe the current interventions used in preoperative programs (“prehabilitation”) for spine surgery. Knowledge gaps in approaches, feasibility, timing, patient experience, clinical outcomes, and health care costs were explored while describing their potential benefits on physical and psychological outcomes. An electronic search was conducted from January 2004 to February 2022 in Ovid Medline, Embase, EBSCO CINAHL, the Cochrane Database of Systematic Reviews, and PEDro to identify studies in English evaluating adults enrolled in prehabilitation before undergoing elective spine surgeries. Studies were uploaded into DistillerSR for systematic screening after removing duplicates. Four reviewers screened nested references for inclusion based on titles and abstracts, followed by their full‐text review. Two reviewers subsequently extracted data and summarized the results. The results were reported using Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews guidelines. Studies were rated for quality using National Health and Medical Research Council criteria. Out of 18,879 potential studies, a total of 23 studies (0.12%) met the eligibility criteria and were included in this scoping review. The prehabilitation programs included general education (n = 6, 26%), exercise (n = 6, 26%), cognitive behavioral therapy (n = 3, 13%), pain neuroscience education (n = 3, 13%), health behavior counseling (n = 3, 13%), and mindfulness (n = 2, 9%). Additional studies are needed to identify optimal patient characteristics, intervention dosage, and whether multimodal approaches using a combination of physical and psychological strategies lead to more favorable outcomes. Although studies on prehabilitation for spine surgery are limited, they seem to demonstrate that prehabilitation programs are feasible, reduce medical expenditures, and improve patients' postoperative pain, disability, self‐efficacy, psychological behaviors, and satisfaction with surgical outcomes. The available literature suggests there is an opportunity to improve patient experience, clinical outcomes and reduce medical costs with the use of prehabilitation in spine surgery.

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A web-based platform to accommodate symptoms of anxiety and depression by featuring social interaction and animated information in patients undergoing lumbar spine fusion: a randomized clinical trial

Cited by 30 publications

References 59 publications

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study

Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression

Prehabilitation for spine surgery: A scoping review

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