Preassessment clinic interview and patient anxiety

Davidson, S.; McKendrick, D; French, Tara

doi:10.4103/1658-354x.177339

Cited by 19 publications

(11 citation statements)

References 33 publications

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“…Of note, only 42% of patients agreed or strongly agreed that they felt less anxious after using PATCH, while 54% were neutral. It is widely recognized that patients may feel anxious before elective surgery and a reduction in pre-operative anxiety levels may be associated with better outcomes [ 22 , 31 , 32 ]. As patients at our hospital are routinely provided with information pamphlets about their upcoming surgery, we speculate that this move could have helped to allay their anxiety, as supported by studies [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

“…We assessed patient satisfaction with PHA as a quality metric, similar to a previous study [ 19 ]. After the nurse–patient consultation, all patients had to complete a survey, consisting of four items measuring general satisfaction, graded on a five-point semantic scale, adopted from a previous questionnaire [ 22 ]. We modified one response option from “Definitely” to “Extremely”.…”

Section: Methodsmentioning

confidence: 99%

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Effect of PreAnaesThesia Computerized Health (PATCH) Assessment on Duration of Nurse—Patient Consultation and Patient Experience: A Pilot Trial

Osman

Lew

Lum

et al. 2020

IJERPH

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Preanaesthesia health assessment is gradually transitioning from paper-based, face-to-face assessment to digitized assessment, self-administered by the patient. This transition could potentially optimize the various goals of assessment, notably facilitating the efficient collection of the patient’s health information. We have previously developed and validated a tablet application (PreAnaesThesia Computerized Health assessment application or “PATCH”) for patients to conduct preanaesthesia self-assessment. In a randomized controlled trial, we sought to compare the duration of nurse–patient consultation and patient satisfaction between patients who underwent PATCH self-assessment vs. standard care nurse-led assessment. Fifty-two elective surgical patients were randomized to complete either PATCH assessment or standard care nurse-led assessment at an outpatient preoperative clinic. The duration of nurse–patient consultation was subsequently noted for all patients who also completed a satisfaction survey. The mean (SD) nurse–patient consultation times in the PATCH and standard care groups were comparable, at 11.5 (3.6) min and 12.2 (2.9) min, respectively (p = 0.703). Overall satisfaction scores were also comparable, at 23.9 and 27.0 respectively (p = 0.451) for the PATCH and standard nurse assessment groups. Favorable perceptions of PATCH among users ranged between 41.7% and 79.2%. In conclusion, PATCH self-assessment can feasibly be introduced into current practice with comparable nurse–patient consultation times and patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Effect of PreAnaesThesia Computerized Health (PATCH) Assessment on Duration of Nurse—Patient Consultation and Patient Experience: A Pilot Trial

Osman

Lew

Lum

et al. 2020

IJERPH

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“…Although the rate of cancellations in MAS is approximately 4% [13,14], lower than that reported in other countries where cancellations on the day of surgery oscillate between 5% and 40% [10,15], a quarter (27%) of those cancellations are because of poor compliance with preoperative recommendations and are, therefore, avoidable [13,16]. Conversely, inadequate preoperative patient preparation for MAS is also considered one of the main causes of patient no-shows on the day of surgery [17], which is likely due to patient anxiety before surgery [18].…”

Section: Introductionmentioning

confidence: 99%

“…Currently, there is evidence of the benefits of PACs and the SSC on the reduction of postoperative complications in the ambulatory setting [21], preoperative anxiety [18], and cancellations for medical reasons (eg, inappropriate use of medication before surgery) [22,23].…”

Section: Introductionmentioning

confidence: 99%

Effect of a Mobile App on Preoperative Patient Preparation for Major Ambulatory Surgery: Protocol for a Randomized Controlled Trial

et al. 2019

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BackgroundInadequate preoperative patient preparation causes organizational, economic, and emotional problems to patients and professionals. In Spain, no current evidence is available on either the rate of compliance or the impact of good compliance with preoperative recommendations by patients in the ambulatory setting. However, it is known that around 25% of surgical cancellations in the major ambulatory surgery (MAS) are due to poor compliance with these recommendations and, therefore, avoidable. Introducing innovative tools based on mobile health (mHealth) apps may help patients meet the preoperative recommendations and, consequently, reduce the rate of cancellations in the ambulatory setting.ObjectiveThe objective of this study was to evaluate the effectiveness of the Listeo+ mHealth app as a tool for improving compliance with preoperative recommendations in MAS versus standard of care (SOC).MethodsA multicenter, randomized, open-label clinical trial that compares SOC with the additional use of Listeo+, a specific mHealth app for MAS preoperative patient monitoring, is being conducted. The study will include patients aged ≥18 years with surgical indication for MAS who meet the necessary technological and connectivity requirements. Patients in the control group will receive written preoperative recommendations, while those in the intervention group will additionally use the Listeo+ mHealth app. There will be a competitive recruitment of 790 patients during 6 months in 4 hospitals in Andalusia (Spain) that belong to the National Health System. The primary efficacy outcome is the level of compliance with preoperative recommendations. Secondary outcomes include the rate of cancellations, associated resource consumption, and perceived usability and utility with Listeo+ by participants of the intervention group. Simple randomization 1:1 procedure will be used to allocate patients to each study group.ResultsThe technological development of Listeo+ and the integration and interoperability of information systems was completed in September 2017. Subsequently, simulation tests were performed with Listeo+, and a pilot study was initiated with real patients that concluded successfully in October 2017. Patient recruitment began in December 2017 in the 4 participating centers. After an intermediate analysis performed 10 months after the start of the recruitment phase, the data collection and cleaning phases are estimated to be completed in April 2019, and the analysis with the final results will be conducted in July 2019.ConclusionsProgress in the integration and interoperability of information systems represents a major step forward in the field of mHealth. The app will allow health professionals to monitor in real-time patients’ preparation and critical preoperative recommendations fulfillment. We expect a reduction in avoidable preoperative cancellations due to a lack of or a poor patient preparation. Self-assessed Web-based questionnaires and focus group will provide important information about the perceived usability a...

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“…This may be in the form of making the multimedia resources interactive, as done by Abujarad et al 3 Further consideration is required while utilizing these resources to ensure the consent process remains patient centered to minimize patient anxiety. Davidson et al 4 discuss the benefits of patient-centered consultations; a focus on patient’s satisfaction helped to address patient’s concerns and alleviate their anxiety. In the systematic review by Nehme et al, 2 nine of the 12 studies found no significant difference in the anxiety levels between patients who were consented with multimedia as an adjunct and those consented in the traditional manner.…”

mentioning

confidence: 99%