P2.16-42 The Use of a Smartphone Application Improves Postoperative Outcomes in Patients Undergoing Lung Cancer Resection

Olivero, Carlos Alfredo Fraile; Collado, Lucía Milla; Sarceda, J. Jarabo; Martín, Elena Fernández; Santacruz, Carlos Cerdán; Gastardi, Joaquín Calatayud; Martínez, Ana Gómez; Manzanal, P. Arribas; Santos, Paula Dos; Tardido, M. Martínez; Alen, V.; Hernando-Trancho, Florentino

doi:10.1016/j.jtho.2019.08.1909

Cited by 2 publications

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“…Patient education sessions using audio-visual or multi-media interventions in patients with cancer have been shown to improve satisfaction and knowledge when delivered to patients preparing for cancer surgery [ 13 ]. However evidence investigating telehealth in the perioperative setting for patients with cancer is currently limited to small cohort studies [ 14 – 17 ].…”

Section: Introductionmentioning

confidence: 99%

Implementing a telehealth prehabilitation education session for patients preparing for major cancer surgery

Waterland

Chahal

Ismail

et al. 2021

BMC Health Serv Res

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Background Prehabilitation services assist patients in preparing for surgery, yet access to these services are often limited by geographical factors. Enabling rural and regional patients to access specialist surgical prehabilitation support with the use of telehealth technology has the potential to overcome health inequities and improve post-operative outcomes. Aim To evaluate the current and likely future impact of a telehealth preoperative education package for patients preparing for major abdominal cancer surgery. Methods A telehealth alternative to a hospital based pre-operative education session was developed and implemented at a dedicated cancer hospital. Adult patients (≥18 years) scheduled for elective major cancer surgery were offered this telehealth alternative. Impact evaluation was conducted using the RE-AIM framework. Results To date, 35 participants have consented to participate in the study. Thirty-one participants attended the intervention; 24 (69%) residing in rural or regional areas. Twenty-four (77%) reported that if given a choice they would prefer the online session as opposed to attending the hospital in person. The majority (97%) reported they would recommend the intervention to others preparing for surgery. Session information was recalled by all 26 participants and 77% of participants reported acting on recommendations 2 weeks after the session. Lessons learnt and recommendations for providers implementing similar programs are reported. Conclusion Telehealth alternatives to hospital based pre-operative education are well received by patients preparing for major cancer surgery. We make seven recommendations to improve implementation. Further evaluation of implementation strategies alongside clinical effectiveness in future studies is essential. Trial registration ACTRN12620000096954, 04/02/2020.

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Section: Introductionmentioning

confidence: 99%

Implementing a telehealth prehabilitation education session for patients preparing for major cancer surgery

Waterland

Chahal

Ismail

et al. 2021

BMC Health Serv Res

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“…Although clearly not evidenced-based for patients undergoing cancer surgery, we found four studies – three that were originally excluded from our review for reporting on a single arm only (no control) 12 , 13 , 14 and one abstract that was published in a conference proceeding. 15 The characteristics of the four studies are described in Table 1 .…”

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confidence: 99%

“…NA, not applicable; NR, not reported; IQR, inter-quartile range. Authors, year Characteristics Technology-based intervention Technology Intervention type Frequency Intensity Session time Programme duration Adherence (%) Bruns and colleagues, 2019 13 Design: single arm cohort Sample size: 14 Median age (IQR): 79 (74–86) Male sex (%): 5 (36%) Cancer type: colorectal Digital TV (not commercially available) Physical: strengthening exercises using body weight Daily NR 7 min 18–32 days 86 Nutritional: protein-rich meals Daily NA NA 18–32 days 71 Olivero and colleagues, 2019 15 Design: prospective cohort Sample size: 182 Age: NR Male sex (%): NR (NR) Cancer type: lung Mobile Application a ( n =68) Physical: aerobic, inspiratory, muscle strength NR NR NR NR NR Education: smoking advice, mouth health, early mobilisation, and pain control NR NR NR NR NR Control ( n =114) Education: information and education by the department of physical medicine NR NR NR NR NR Hillen and colleagues, 2019 14 Design: case report Sample size: 1 Age: 56 yr Male sex (%): 1 (100%) Cancer type: oesophagus Web-based programme (individualised)a Physical: endurance and resistance exercises using resistance bands 6 days/week NR NR 10 weeks 95 Kadiri and colleagues, 2019 12 Design: single arm cohort Sample size: 31 Mean age (SD): 64 (12) yr Male sex (%): NR (NR) Cancer type: lung Mobile Application (iOS 11) incorporated ...…”

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confidence: 99%

Evidence on technology-driven preoperative exercise interventions: are we there yet?

Steffens

Delbaere

Young

et al. 2020

British Journal of Anaesthesia

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P2.16-42 The Use of a Smartphone Application Improves Postoperative Outcomes in Patients Undergoing Lung Cancer Resection

Cited by 2 publications

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Implementing a telehealth prehabilitation education session for patients preparing for major cancer surgery

Implementing a telehealth prehabilitation education session for patients preparing for major cancer surgery

Evidence on technology-driven preoperative exercise interventions: are we there yet?

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