Effects of mobile phone WeChat services improve adherence to corticosteroid nasal spray treatment for chronic rhinosinusitis after functional endoscopic sinus surgery: a 3-month follow-up study

Feng, Shaoyan; Liang, Zhongxing; Zhang, Rongkai; Liao, Wei; Chen, Yuan; Fan, Yunping; Li, Hua-Bin

doi:10.1007/s00405-016-4371-0

Cited by 71 publications

(79 citation statements)

References 26 publications

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“…In contrast, nonnative English speaking patients were less likely to be adherent than native English‐speaking patients . Another study investigated adherence to intranasal corticosteroids after endoscopic sinus surgery by randomizing patients to a group with daily text messages, which served to educate the patients on the importance of intranasal corticosteroids as well as to remind them to take the corticosteroids, and to a group that did not receive daily reminders . At 90 days postsurgery, participants in the group who received daily text messages reported a 93% adherence to daily intranasal corticosteroids relative to the group who did not receive daily text messages and who reported only a 76% daily adherence to intranasal corticosteroids .…”

Section: Discussionmentioning

confidence: 99%

Intranasal corticosteroids and saline: Usage and adherence in chronic rhinosinusitis patients

et al. 2019

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Objective Intranasal saline irrigations and intranasal corticosteroids are supported by level‐1 evidence for medical management of chronic rhinosinusitis (CRS). We sought to study adherence with these medications. Methods Prospective study of 174 patients with CRS. Patients reported their usage of intranasal saline irrigation and intranasal corticosteroid over the preceding 3 months, at presentation, and a subsequent follow‐up visit 3 to 12 months later. Adherence was defined as reported medication usage for ≥6 days per week. Results At the time of presentation, 44.3% of patients were using an intranasal corticosteroid spray or irrigation ≥6 days/week, whereas only 24.1% were using saline irrigation ≥6 days per week. At follow‐up, 60.3% of patients were using either an intranasal corticosteroid spray or irrigation ≥6 days per week, whereas 35.6% were using saline irrigation ≥6 days per week. Adherence with intranasal corticosteroids was associated with comorbid asthma (adjusted odds ratio [OR] = 2.68, 95% confidence interval [CI]: 1.10–6.50, P = 0.029), allergy (OR = 2.22, 95% CI: 1.05–4.71, P = 0.037), and change in 22‐item Sinonasal Outcome Test score (OR = 0.98, 95% CI: 0.96–0.99, P = 0.027). Use of intranasal corticosteroid sprays versus irrigations (OR = 2.56, 95% CI: 0.84–7.83, P = 0.099) was suggestive of association with improved adherence. Adherence with intranasal saline irrigation was associated with age (OR = 1.02, 95% CI: 1.01–1.05, P = 0.034). Conclusion Usage and adherence with intranasal steroids and saline may be low in CRS patients even with management in a tertiary level, subspecialty rhinology clinic. Adherence with medications represents a major opportunity for improving patient care and outcomes, specifically by targeting patients with lower disease burden and improving convenience of medications. Level of Evidence 2C Laryngoscope, 130:852–856, 2020

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Section: Discussionmentioning

confidence: 99%

Intranasal corticosteroids and saline: Usage and adherence in chronic rhinosinusitis patients

et al. 2019

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“…This application offers integrated voice, text, and imaging sharing among a large number of active users, with 549 million monthly active users in 2016 [6]. Relative to traditional medical services, WeChat offers several advantages, including timely ability to contact the patient, a more personalized approach, more convenient operation, and lower costs [7].…”

Section: Introductionmentioning

confidence: 99%

Self-management of peripherally inserted central catheters after patient discharge via the WeChat smartphone application: A systematic review and meta-analysis

Kangwen

Ding

et al. 2018

PLoS ONE

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WeChat is a smartphone application that may help patients self-manage peripherally inserted central catheters (PICC), although additional data are needed regarding this topic. This systematic review and meta-analysis aimed to determine whether WeChat helped improve PICC-related complications, self-care ability, PICC maintenance dependency in that the behavior of a patient is in compliance with a doctor’s order or a will, knowledge mastery, and satisfaction among patients with a PICC. The PubMed, Embase, Cochrane Library, China Biology Medicine, China national Knowledge Infrastructure, Wanfang, Wiper, and Baidu Scholar databases were searched to identify related reports that were published up to April 2018. This search revealed 36 reports that were published during 2014–2018, including 2,623 controls and 2,662 patients who used the WeChat application. Relative to the traditional follow-up group, the group that received WeChat follow-up had a lower risk of PICC-related complications (odds ratio [OR]: 0.23, 95% confidence interval [CI]: 0.19–0.27, P < 0.00001), better self-care ability (mean difference: 36.41, 95% CI: 34.68–38.14, P < 0.00001), higher PICC maintenance dependency (OR: 4.27, 95% CI: 3.35–5.44, P < 0.00001), and higher patient satisfaction (OR: 6.20, 95% CI: 4.32–8.90, P < 0.00001). Eight studies reported knowledge mastery, although the different evaluation tools precluded a meta-analysis. Nevertheless, those eight studies revealed that knowledge mastery was significantly higher in the WeChat group than in the traditional follow-up group (P < 0.05). To the best of our knowledge, this is the first meta-analysis to evaluate the effects of WeChat follow-up on self-management among patients who are discharged with a PICC. It appears that WeChat follow-up can help improve the incidence of complications, self-care ability, PICC maintenance dependence, and patient satisfaction. However, the WeChat application itself cannot improve patients’ self-management ability. Further studies are needed to produce high-quality evidence to determine whether WeChat is an effective follow-up tool.

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“…In this study, the intervention time points occurred during the intervals between dialysis to avoid patient fatigue and weakness. Hence, the WeChat group communication not only met the needs of patients and their families regarding knowledge (Feng et al, ) but also provided patients with easily accessible psychological support. Considering the shortages in nursing staff and time in China, multimedia education may be a great strategy to enhance education outcomes and these strategies can be adopted by nursing managers.…”

Section: Discussionmentioning

confidence: 99%

“…All information can be retained for reference at any time anywhere as long as there is an internet connection. Recent studies have indicated that interventions delivered via WeChat regarding health management resulted in an improvement in adherence in orthodontic patients (Li et al, ) and chronic rhinosinusitis patients (Feng et al, ). Hence, WeChat may be an appropriate tool for improving the self‐management of haemodialysis patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

Ren

Lian

Liu

et al. 2019

Journal of Advanced Nursing

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Aim To examine the effects of a transtheoretical model‐based WeChat health education programme on self‐management in haemodialysis patients in China. Design A longitudinal experimental intervention study. Methods Patients (N = 120) who underwent haemodialysis from December 2015–November 2017 were recruited and randomly allocated to either group 1 (who received a 3‐month WeChat health education immediately after randomization) or group 2 (who was combined with group 1 and received the same intervention at the 5th month after enrolment in the study). Self‐management, knowledge and self‐efficacy were assessed at baseline (T0), 3 months after enrolment in the study (T1), 21 months after enrolment in the study (T2). Results There were significant group effects on self‐efficacy; time effects on partnership, self‐care, emotion management with total self‐management; interaction effects on problem‐solving and emotion management within total self‐management according to the two‐way repeated measures ANCOVA. Further between‐group comparisons indicated that patients in group 1 had better self‐management than those in group 2 at T1. Within‐group comparisons demonstrated that, compared with the baseline values, group 1 had significantly improved self‐management at T1; however, group 2 had improved self‐management at T2. Conclusion The transtheoretical model‐based WeChat health education programme had a potentially positive effect on improving the self‐management of haemodialysis patients. Impact Self‐management is often difficult yet crucial for haemodialysis patients. This study indicated that the transtheoretical model‐based WeChat health education resulted in improved self‐management in haemodialysis patients and can be implemented in continuing care during the interdialysis period to improve self‐management in patients. Trial registration: ChiCTR1800018172.

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Effects of mobile phone WeChat services improve adherence to corticosteroid nasal spray treatment for chronic rhinosinusitis after functional endoscopic sinus surgery: a 3-month follow-up study

Cited by 71 publications

References 26 publications

Intranasal corticosteroids and saline: Usage and adherence in chronic rhinosinusitis patients

Intranasal corticosteroids and saline: Usage and adherence in chronic rhinosinusitis patients

Self-management of peripherally inserted central catheters after patient discharge via the WeChat smartphone application: A systematic review and meta-analysis

Effects of a transtheoretical model‐based WeChat health education programme on self‐management among haemodialysis patients: A longitudinal experimental intervention study

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