Feasibility of an Image-Based Mobile Health Protocol for Postoperative Wound Monitoring

Gunter, Rebecca; Fernandes‐Taylor, Sara; Rahman, Shahrose; Awoyinka, Lola; Bennett, Kyla M.; Weber, Sharon M.; Greenberg, Caprice C.; Kent, K. Craig

doi:10.1016/j.jamcollsurg.2017.12.013

Cited by 92 publications

(145 citation statements)

References 36 publications

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“…Skill acquisition of wound care, on the other hand, occurred more quickly with both groups, but the magnitude was greater for mHealth users. Gunter et al () reported on the use of an image‐based mHealth protocol for post‐operative wound monitoring; however, its purpose was the detection of wound complications and participants’ satisfaction, making comparisons with our study difficult.…”

Section: Discussionmentioning

confidence: 86%

“…The mHealth app is currently available only for the Android operating system, albeit the worldwide market shares of Android (76.08%) is greater than iOS (22.01%) (Statcounter, ). Future studies should consider patient satisfaction (Gunter et al, ), effects on quality of life, clinical outcomes, and usage rates.…”

Section: Discussionmentioning

confidence: 99%

“…The emergence of mobile health (mHealth) provides customized healthcare delivery that is more timely and convenient and empowers patients and families to self‐care with a versatile and individualized approach (Silva, Rodrigues, Torre Díez, López‐Coronado, & Saleem, ). mHealth applications (apps) have the potential to deliver health information in targeted and tailored ways that strengthen the self‐management of diseases (Gunter et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…For healthcare recipients, mHealth apps have the ability to direct the learning needs on particular areas of interest or concerns of patients and family caregivers in the scope of wound care information available in the app. Recent mHealth apps have focused on measuring wounds (Foltynski, ; Gunter et al, ; Wang et al, ) and selecting wound dressings (Jordan et al, ). In one qualitative study (Sanger et al, ), respondents expressed the view that an mHealth app would be acceptable to use, provide comprehensive information, and facilitate communication that could reduce post‐discharge anxiety compared with the current practice.…”

Section: Introductionmentioning

confidence: 99%

“…It is important to recognize that mHealth apps are different from traditional verbal health education because users can seek and apply targeted text and visual content at their virtual disposal, such as remote wound monitoring using the digital images of a wound to improve learning and stimulate interest (Gunter et al, ). This contributes to users acquiring relevant and accurate wound care knowledge (Ye et al, ).…”

Section: Introductionmentioning

confidence: 99%

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The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Chang

Hou

Yeh

et al. 2019

Journal of Advanced Nursing

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Aims To evaluate the effectiveness of a mobile health (mHealth) application, based on self‐regulation theory, on patients’ knowledge of wound care, skills in changing dressings and anxiety. Design A prospective randomized controlled trial. Methods Seventy patients (or family members) at a 1,500‐bed university hospital in Taiwan were randomized into an experimental (N = 35) or control group (N = 35) from March to December 2016. The experimental group used a mHealth application for wound care; the control group received verbal instructions and a booklet. Instruments to collect data were a wound care knowledge scale, wound care skills scale, State‐Trait Anxiety Inventory, and a digital heart variability device. Data were collected at baseline, after three additional demonstrations and before discharge. The generalized estimating equation was used for statistical analysis. Results The experimental group showed significantly higher levels of wound care knowledge, improved wound care skills, lower levels of state anxiety, and lower heart rate variability than the control group after baseline data collection. Conclusions Results support hat a mHealth application may be effective in health education. Clinicians can use the results to promote patients’ wound care knowledge, enhance their wound care skills, and reduce anxiety related to dressing changes. Impact Lack of wound care knowledge and skills can affect the willingness and ability to perform effective wound dressing changes, producing anxiety and having an impact on a patient's self‐care after hospital discharge. mHealth applications (apps) have the potential to deliver health information in targeted and tailored ways that strengthen the self‐management of diseases. mHealth app can increase wound care knowledge, improve care skills, and reduce anxiety related to wound care. mHealth app effectively supports self‐monitoring of the wound healing process, self‐judgement of the wound condition, and self‐reaction of wound care accuracy. mHealth app provides step‐by‐step visual tutorials on wound care that allow patients and family caregivers to take pictures of the wounds and monitor the wound healing process. mHealth app for wound care knowledge is an effective and individualized method for learning. Clinical Trial: This study was registered by U.S. National Library of Medicine, ClinicalTrials.gov (ID: NCT03683303).

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Chang

Hou

Yeh

et al. 2019

Journal of Advanced Nursing

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Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections

et al. 2019

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IMPORTANCE Surgeons are increasingly interested in using mobile and online applications with wound photography to monitor patients after surgery. Early work using remote care to diagnose surgical site infections (SSIs) demonstrated improved diagnostic accuracy using wound photographs to augment patients' electronic reports of symptoms, but it is unclear whether these findings are reproducible in real-world practice. OBJECTIVE To determine how wound photography affects surgeons' abilities to diagnose SSIs in a pragmatic setting. DESIGN, SETTING, AND PARTICIPANTS This prospective study compared surgeons' paired assessments of postabdominal surgery case vignettes with vs without wound photography for detection of SSIs. Data for case vignettes were collected prospectively from May 1, 2007, to

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New technology for postdischarge surgical site infection monitoring

Hauk¹

2018

AORN Journal

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urgical site infection (SSI) is the most common health care-associated infection; however, in its most recent SSI guideline update, the American College of Surgeons (ACS) said that SSI rates are likely still underestimated because of the difficulty of monitoring for infection after discharge. 1 Although the Centers for Disease Control and Prevention indicates that such methods as reviewing postoperative records and surveying surgeons and patients via phone or mail are acceptable for postdischarge monitoring, 2 the ACS suggests that surveillance via questionnaires, for example, has poor sensitivity and specificity. 1 In fact, the ACS was unable to identify a reliable surveillance method. 1

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Feasibility of an Image-Based Mobile Health Protocol for Postoperative Wound Monitoring

Cited by 92 publications

References 36 publications

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections

New technology for postdischarge surgical site infection monitoring

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