Preoperative Patient Education Class During an Orthopedic Mission Trip: Effects on Knowledge, Anxiety, and Informed Consent

Solano, Mitchell A.; Ramcharran, Kaaleswar K.; Jones, Lynne C.; Sterling, Robert S.; Samaroo, David R.; Khanuja, Harpal S.

doi:10.1016/j.arth.2020.04.084

Cited by 4 publications

(11 citation statements)

References 23 publications

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“…One obstacle to patient activation can be decreased understanding of the disease, its treatment options, and best practices for postoperative care. Preoperative education can help improve patient knowledge, decrease the stress and anxiety surrounding TJA, and increase patient satisfaction [12].…”

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confidence: 99%

Quantifying Patient Engagement in Total Joint Arthroplasty Using Digital Application-Based Technology

Knapp

Keller

Mabee

et al. 2021

The Journal of Arthroplasty

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Background: Digital patient engagement has been suggested as a mean to increase patient activation and patient satisfaction after total joint arthroplasty. The purpose of this study was to assess patient engagement with application-based educational tools and to explore what content was most useful to patients in the perioperative period surrounding total hip arthroplasty (THA) and total knee arthroplasty (TKA), respectively. Methods: Patients undergoing THA and TKA between October 2017 and January 2020 were enrolled to use an application-based digital technology. The App provides comprehensive patient education using a series of modules delivered at set intervals preoperatively and postoperatively. Patient engagement was defined as patients viewing at least one time the modules that were sent, or marking them as completed. Patient satisfaction was assessed using an in-application survey. Results: Complete data were available on 207 patients of which 95 (46%) underwent THA and 112 (54%) underwent TKA. The average age was 60 years. 54% with patients invited to the program completed registration. An average compliance rate of 48% (41 modules engaged out of 83) was observed. Of all modules completed, the top three most popular categories included physical therapy/exercise videos, health literacy, and anxiety/stress/pain management. The least viewed category was nutrition planning and education. Conclusion: When presented educational material related to THA and TKA, patients had a high rate of compliance. Digital technology platforms provide a scalable, meaningful approach to engaging patients throughout the continuum of joint replacement care and may serve as a cost-effective adjunct to traditional methods.

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confidence: 99%

Quantifying Patient Engagement in Total Joint Arthroplasty Using Digital Application-Based Technology

Knapp

Keller

Mabee

et al. 2021

The Journal of Arthroplasty

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“…High-risk intervention knee patients mean LoS of 2.59 days less in hospital than control. Moderate Solano, 2020 36 Guyana Orthopaedics (hips and knees) To assess if the intervention improved knowledge and anxiety before surgery Non-randomised intervention study 41 patients (Age range 61–70) 59% male 15 carers N/A Primary Knowledge and anxiety Pre- and post- intervention questionnaires, 16-question knowledge survey and State and Trait Anxiety inventory Score. Statistical analysis Knowledge scores for patients and carers both increased significantly.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-seven single-centre studies that included 5969 participants were conducted between 1976 and 2022. Four of these were randomised controlled trials, 4 , 5 , 26 , 40 four non-randomised intervention studies, 13 , 27 , 33 , 36 18 observational studies, 14 , 15 , 22 , 23 , 24 , 25 , 28 , 29 , 31 , 32 , 35 , 37 , 38 , 39 , 41 , 42 , 43 , 34 and one qualitative study 30 ( Table 1 ). The sample size ranged from 11 to 1018 participants.…”

Section: Resultsmentioning

confidence: 99%

“…Seventy percent ( n =19) of studies described the session duration, which ranged from 35 min 14 to 3 h 5 ; the median duration was 90 min (inter-quartile range 60–120 min). The group size was described by 32% ( n =9) of the studies, eight of which were delivered to fewer than 15 people at a time (range two 14 to 41 36 patients). Eighty-six percent ( n =24) compared their outcomes with a standard care control group which included a consultation with a surgeon, nurse, or anaesthetist or provision of a patient information booklet.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review and narrative description of the outcomes of group preoperative education before elective major surgery

Fecher-Jones,

Grimmett,

Ainsworth

et al. 2024

BJA Open

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“…Johansson Stark et al conducted translational research in three Nordic countries and found that 77% of individuals had unfulfilled knowledge [ 6 ]. In an international surgical trip mission in Guyana, Solano et al evaluated the effectiveness of preoperative education classes and found that 78% of patients scored less than 40% on a pre-class knowledge questionnaire [ 7 ]. Most of the patients undergoing joint replacement surgery are elderly, and their understanding of preoperative education could be influenced by such factors as inadequate time, the use of medical jargon, or education level.…”

Section: Introductionmentioning

confidence: 99%

The Effects of a Patient-Specific Integrated Education Program on Pain, Perioperative Anxiety, and Functional Recovery following Total Knee Replacement

Chen

et al. 2022

JPM

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The perioperative care of patients undergoing total knee arthroplasty (TKA) affects functional recovery and clinical outcomes. This study aims to introduce a patient-specific integrated education program (IEP) into the TKA clinical pathway and to evaluate patient outcomes between the intervention and control groups. We performed a two-site, two-arm, parallel-prospective controlled trial. The experiment group received an IEP incorporating verbal preoperative education, prehabilitation, multidisciplinary personalized rehabilitation during hospitalization, and supervised self-executed home-based exercise after discharge. The control group received regular TKA clinical care. We monitored the pain intensity, anxiety scores, and functional scores at six time points from the pre-operation interview to 3 months post-operation. The pain score was significantly decreased in the IEP group during hospitalization (p < 0.01) and before discharge (p < 0.05). The anxiety status was also improved after intervention in terms of state and trait anxiety inventory scores (p < 0.001) during hospitalization. The patient-reported (WOMAC) or physician-reported (American Knee Society Score) functional scores (p < 0.01 at most of the time points) all improved significantly under hospitalization. We found that the patient-specific IEP combining preoperative education, prehabilitation, the in-hospital group education class, and postoperative care navigation is effective in reducing postoperative pain, decreasing perioperative anxiety, and facilitating functional recovery following TKA.

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Preoperative Patient Education Class During an Orthopedic Mission Trip: Effects on Knowledge, Anxiety, and Informed Consent

Cited by 4 publications

References 23 publications

Quantifying Patient Engagement in Total Joint Arthroplasty Using Digital Application-Based Technology

Quantifying Patient Engagement in Total Joint Arthroplasty Using Digital Application-Based Technology

Systematic review and narrative description of the outcomes of group preoperative education before elective major surgery

The Effects of a Patient-Specific Integrated Education Program on Pain, Perioperative Anxiety, and Functional Recovery following Total Knee Replacement

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