The Effects of e-Mobile Training and Consultancy Services on Bariatric Surgery Patients: A Randomized Clinical Trial

Doğan, Sevgi Deniz; Arslan, Sevban

doi:10.1007/s11695-022-06255-x

Cited by 7 publications

(7 citation statements)

References 28 publications

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“…Self-Care Mean Agency Scores and Body Image Scale scores has no significant increase in patients when provided with a POEI via mobile application [22].…”

Section: Quality Of Lifementioning

confidence: 90%

“…During the second phase, full-text review narrowed the pool to 17 total studies for this systematic review. From the 17 studies that matched the inclusion criteria, 15 studies reported a statistical significance improvement in one or more patient postoperative outcomes (Table 2) [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34].…”

Section: Literature Selectionmentioning

confidence: 99%

“…and in patients provided with a POEI utilizing a mobile application (P < .05) [22]. Deniz Doğan et al, 2022 et al included 51 patients in the mobile application intervention and had a reduced BMI (P < .05) in the first three months postoperatively.…”

Section: Quality Of Lifementioning

confidence: 99%

“…Finally, mobile application POEIs developed by the research teams allowed patients to access educational resources on their own time, and it included information about post-surgical care, weight-tracking, nutrition, and exercise regimens with recovery goals during the first three months of surgery [22,26].…”

Section: Mobile Applicationmentioning

confidence: 99%

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The Effectiveness of Patient Education on Laparoscopic Surgery Postoperative Outcomes to Determine Whether Direct Coaching Is the Best Approach: Systematic Review of Randomized Controlled Trials

Maheta,

Shehabat,

Khalil

et al. 2024

JMIR Perioper Med

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Background: As of 2022, patient postoperative non-compliance can increase the risk of complications by up to 52.4% after laparoscopic abdominal surgery, however, no singular pre-operative education intervention (POEI) demonstrates consistent improvement in patient outcomes across the procedures.Objective: This study aims to determine which POEI could be the most effective on patient outcomes by systematically reviewing all the POEI reported in the literature.Methods: 4,753 articles investigating POEI (e.g. videos, presentations, mobile applications, one-on-one education or coaching) were collected from the PubMed, EMBASE, and Scopus databases. Inclusion criteria were: adult patients undergoing abdominal laparoscopic surgery, randomized controlled trials, and provided postoperative outcomes. Exclusion criteria included: not published in English and no outcomes reported. Title/abstract and full-text articles with POEI randomized controlled studies were screened based on the criteria through a blinded, dual review using Covidence. Study quality was assessed through the Cochrane Risk of Bias tool. Included articles were analyzed for educational content, intervention timing, intervention type, and postoperative outcomes appropriate for a particular surgery. This study protocol has been registered to PROSPERO: CRD42023438698. Results:Only 17 studies matched our criteria, with 1,831 patients undergoing laparoscopic cholecystectomy, bariatric surgery (gastric bypass and gastric sleeve), and colectomy. 15 studies reported a statistically significant improvement in at least one patient postoperative outcome. None of these studies had an overall Cochrane high risk of bias. 41.2% of the included studies used one-on-one education or coaching improved outcomes in almost all surgery types, while educational videos had the greatest statistically significant impact for anxiety, nausea, and pain postoperatively (p<0.01). Group education or coaching demonstrates significant improvement in weight, BMI, exercise, and depressive symptoms in 33.3% of the laparoscopic gastric bypass studies.Conclusions: Direct education or coaching (one-on-one or group-based) positively impacts postoperative outcomes more than the newer POEIs (e.g. mobile applications). Clinical Trial: This study protocol has been registered to PROSPERO: CRD42023438698.

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“…Self-Care Mean Agency Scores and Body Image Scale scores has no significant increase in patients when provided with a POEI via mobile application [22].…”

Section: Quality Of Lifementioning

confidence: 90%

Section: Literature Selectionmentioning

confidence: 99%

Section: Quality Of Lifementioning

confidence: 99%

Section: Mobile Applicationmentioning

confidence: 99%

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The Effectiveness of Patient Education on Laparoscopic Surgery Postoperative Outcomes to Determine Whether Direct Coaching Is the Best Approach: Systematic Review of Randomized Controlled Trials

Maheta,

Shehabat,

Khalil

et al. 2024

JMIR Perioper Med

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“…The app of Doğan et al enabled bariatric patients to have a live consultation with researchers and contained educational materials [49]. The app did not improve self-care, quality of life and the self-body image.…”

Section: Communicationmentioning

confidence: 99%

Mobile applications in gastrointestinal surgery: a systematic review

et al. 2023

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Background Mobile applications can facilitate or improve gastrointestinal surgical care by benefiting patients, healthcare providers, or both. The extent to which applications are currently in use in gastrointestinal surgical care is largely unknown, as reported in literature. This systematic review was conducted to provide an overview of the available gastrointestinal surgical applications and evaluate their prospects for surgical care provision. Methods The PubMed, EMBASE and Cochrane databases were searched for articles up to October 6th 2022. Articles were considered eligible if they assessed or described mobile applications used in a gastrointestinal surgery setting for healthcare purposes. Two authors independently evaluated selected studies and extracted data for analysis. Descriptive data analysis was conducted. The revised Cochrane risk of bias (RoB-2) tool and ROBINS-I assessment tool were used to determine the methodological quality of studies. Results Thirty-eight articles describing twenty-nine applications were included. The applications were classified into seven categories: monitoring, weight loss, postoperative recovery, education, communication, prognosis, and clinical decision-making. Most applications were reported for colorectal surgery, half of which focused on monitoring. Overall, a low-quality evidence was found. Most applications have only been evaluated on their usability or feasibility but not on the proposed clinical benefits. Studies with high quality evidence were identified in the areas of colorectal (2), hepatopancreatobiliary (1) and bariatric surgery (1), reporting significantly positive outcomes in terms of postoperative recovery, complications and weight loss. Conclusions The interest for applications and their use in gastrointestinal surgery is increasing. From our study, it appears that most studies using applications fail to report adequate clinical evaluation, and do not provide evidence on the effectiveness or safety of applications. Clinical evaluation of objective outcomes is much needed to evaluate the efficacy, quality and safety of applications being used as a medical device across user groups and settings.

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