Perioperative peer support and surgical preparedness in women undergoing reconstructive pelvic surgery

Madsen, Annetta M.; Rogers, Rebecca G.; Dunivan, Gena C.; Parrillo, Allegra; Raker, Christina; Sung, Vivian W.

doi:10.1007/s00192-019-04105-6

Cited by 9 publications

(18 citation statements)

References 23 publications

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“…A randomized trial comparing a peer-centered ( n = 32) versus a standard physician-centered ( n = 30) preoperative counseling video for patients undergoing midurethral sling placement also found no differences in preparedness between groups (peer-centered group: 75 vs physician-centered group: 73%, p = 1.00) [ 7 ]. A prospective cohort comparing a peer support group ( n = 113) versus usual one-to-one care ( n = 55) for women undergoing surgery for POP and/or SUI found similar rates of preparedness in the two groups (peer support: 66 vs usual care: 63%, p = 0.9) [ 8 ]. The only other intervention shown to successfully increase surgical preparedness is group shared appointments.…”

Section: Discussionmentioning

confidence: 99%

“…Evidence exists that repetition of medical information improves memory in both older and younger populations [ 10 ]. Prior interventions aimed at increasing surgical preparedness in urogynecology relied on an intervention at the time of initial counseling for surgery [ 6 – 8 ]. To our knowledge, our intervention is the first to provide an additional opportunity for patients to repeat preoperative counseling with their provider after they have had time to review written material and reflect on their surgery; an additional touch point may be beneficial in aiding comprehension.…”

Section: Discussionmentioning

confidence: 99%

“…The PPQ is an 11-item questionnaire developed by Kenton et al [4]. Although not validated, this survey has been used in several urogynecological studies assessing surgical preparedness with the same cutoff score for question 11 [6][7][8]. Currently, there are no validated measures to assess surgical preparedness in urogynecology.…”

Section: Methodsmentioning

confidence: 99%

“…Despite improved outcomes among women with increased surgical preparedness, most interventions to increase surgical preparedness have not been successful including video education prior to surgery, peer-centered counseling, or peer support groups [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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A telehealth intervention to increase patient preparedness for surgery: a randomized trial

Halder

White

Brown³

et al. 2021

Int Urogynecol J

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Introduction and hypothesis Methods to increase surgical preparedness in urogynecology are lacking. Our objective was to evaluate the impact of a preoperative provider-initiated telehealth call on surgical preparedness. Methods This was a multicenter randomized controlled trial. Women undergoing surgery for pelvic organ prolapse and/or stress urinary incontinence were randomized to either a telehealth call 3 (± 2) days before surgery plus usual preoperative counseling versus usual preoperative counseling alone. Our primary outcome was surgical preparedness, as measured by the Preoperative Prepardeness Questionnaire. The Modified Surgical Pain Scale, Pelvic Floor Distress Inventory-20, Patient Global Impressions of Improvement, Patient Global Impressions of Severity, Satisfaction with Decision Scale, Decision Regret Scale, and Clavien-Dindo scores were obtained at 4-8 weeks postoperatively and comparisons were made between groups. Results Mean telehealth call time was 11.1 ± 4.11 min. Women who received a preoperative telehealth call (n = 63) were significantly more prepared for surgery than those who received usual preoperative counseling alone (n = 69); 82.5 vs 59.4%, p < 0.01). A preoperative telehealth call was associated with greater understanding of surgical alternatives (77.8 vs 59.4%, p = 0.03), complications (69.8 vs 47.8%, p = 0.01), hospital-based catheter care (54 vs 34.8%, p = 0.04) and patient perception that nurses and doctors had spent enough time preparing them for their upcoming surgery (84.1 vs 60.9%, p < 0.01). At 4-8 weeks, no differences in postoperative and patient reported outcomes were observed between groups (all p > 0.05). Conclusions A short preoperative telehealth call improves patient preparedness for urogynecological surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A telehealth intervention to increase patient preparedness for surgery: a randomized trial

Halder

White

Brown³

et al. 2021

Int Urogynecol J

Self Cite

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show abstract

“…The 28 studies included 14 quantitative, 8,11,18,20,21,23,26,31‐35,40,42 12 qualitative, 17,19,22,24,25,27‐29,36,38,39,41 and two mixed‐methods studies 30,37 . We reviewed the 14 quantitative studies and determined that four studies were Level I, 11,31,33,42 two studies were Level II, 23,34 and eight studies were Level III 8,18,20,21,26,32,35,40 . We rated the quality of 10 of the quantitative studies 11,18,20,21,23,31-34,42 as category B and the remaining quantitative studies as category A 8,26,35,40 .…”

Section: Review Methods and Search Strategymentioning

confidence: 99%

Systematic Review of Preoperative Patient Readiness

Torres¹,

Fernandez²,

Ledbetter³

et al. 2021

AORN Journal

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Preoperative readiness indicates the patient’s capacity to process information, consider possible outcomes, and decide to undergo a surgical procedure. This systematic review examines how the term “patient readiness” is used in the literature and synthesizes how preoperative interventions address readiness. A medical librarian searched five electronic databases to identify articles published between July 1, 2008, and June 30, 2019, that address studies including adult patients scheduled for surgery who participated in programs designed to foster readiness or studies that explored surgical readiness. After extracting 28 studies, the authors assessed the articles for quality and thematically synthesized them to describe actions and indicators of patient readiness according to the Perioperative Patient Focused Model. Readiness can positively influence surgical outcomes (eg, pain, satisfaction); however, there is a paucity of high‐level, quality evidence that discusses surgical readiness for perioperative care. Nurses should use the information in this review to improve patient‐centered preoperative care.

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Validation of the Surgical Preparedness Assessment in women with pelvic floor disorders

et al. 2022

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Perioperative peer support and surgical preparedness in women undergoing reconstructive pelvic surgery

Cited by 9 publications

References 23 publications

A telehealth intervention to increase patient preparedness for surgery: a randomized trial

A telehealth intervention to increase patient preparedness for surgery: a randomized trial

Systematic Review of Preoperative Patient Readiness

Validation of the Surgical Preparedness Assessment in women with pelvic floor disorders

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