The psychosocial effect of web-based information in fast-track surgery

Jørgensen, Lene Bastrup; Mikkelsen, Lone Ramer; Noe, Bodil Bjørnshave; Vesterby, Martin; Uhd, Maria; Fridlund, Bengt

doi:10.1177/1460458216648477

Cited by 3 publications

(2 citation statements)

References 38 publications

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“…It was decided to promote implementation by providing participants with easy access. This was decided as a previous study introducing a similar Web-based platform for patients undergoing total hip replacement found the access rate as low as 61% [38]. With reference to theories within implementation [39], attention was given toward easy access.…”

Section: Methodsmentioning

confidence: 99%

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study

et al. 2019

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Background Internet use within health care contexts offers the possibility to provide both health information and peer support. Internet Support Groups (ISGs) for patients may offer advantages, which are not found in face-to-face support. In patients undergoing lumbar spine fusion (LSF), ISGs could have a particular potential, as peer support on the web might bridge the decreased satisfaction with social life and social isolation found within these patients. ISGs might in this way contribute to increasing the functioning and overall health-related quality of life. However, LSF patients may generally belong to a group of citizens not prone to internet and online peer support. However, our knowledge of how LSF patients use ISGs is limited. Objective The aim of this study was to describe the characteristics of users of an ISG and thematically explore the content of ISG interactions in Danish patients undergoing instrumented LSF because of degenerative spine disorders. Methods Participants were recruited from a randomized controlled trial and included in a prospective cohort with a mixed methods design. Sociodemographic characteristics and information on psychological well-being (symptoms of anxiety and depression) were obtained at baseline and 1 to 5 weeks before surgery. Usage of the ISG was registered from baseline until 3 months after surgery. All posts and comments were collected, and content analysis was performed. Results A total of 48 participants comprised the study population, with a mean age of 53 years (range 29-77). Of the participants, 54% (26/48) were female, 85% (41/48) were cohabitating, 69% (33/48) were unemployed, and the majority (69% [33/48]) had secondary education. Approximately one-third of the participants had symptoms of depression (35%, 17/48) and anxiety (29%, 14/48). Overall, 90% (43/48) of the participants accessed the ISG. No correlations were found between sociodemographic characteristics and access to the ISG. Women were more prone to be active users, contributing with posts ( P =.04). Finally, active users contributing with posts or comments had viewed more pages, whereas passive users, users without posts or comments, had more interactions with the ISG ( P <.001). The ISG contained 180 conversation threads, generating 354 comments. The 180 conversation threads in the ISG were constituted by 671 independent dialogue sequences. On the basis of those 671 dialogue sequences, 7 thematic categories emerged. Conclusions Sociodemographic characteristics were not predictors of ISG use in this study, and active use was found to be gender dependent. Content of interactions on the ISG emerged within 7 thematic categories and focused on social recognition, experience of pain or use of pain medication, experience of physical activity or physical rehabilitation, expression of psychosocial well-being, advising on a...

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Section: Methodsmentioning

confidence: 99%

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study

et al. 2019

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“…No mediation of such behavior was needed. A previous study introducing a Web-based platform for patients undergoing total hip replacement found the access rate as low as 61% [23]. With reference to one of the main theories within implementation described by Everett M. Rogers in 1962 [24], it was decided to promote implementation and provide participants with easy access.…”

Section: The Internet Support Groupmentioning

confidence: 99%

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study (Preprint)

Strøm¹,

Høybye²,

Laursen³

et al. 2018

Preprint

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Background: Use of the Internet within a healthcare context offers possibilities, not only to provide information, but also to establish support online. Internet Support Groups (ISGs) are often used by patients with cancer or depression, offering potentials and advantages not provided by face-to-face support. Use of an ISG could be beneficial in patients undergoing lumbar spine fusion (LSF), accommodating isolation after surgery, providing a sense of social life, and contributing to the overall health-related quality of life providing peer support. However, research indicates that LSF patients are often not Internet users, as they often belong to the low-income group, have low education, and are of older age. However, knowledge of LSF patients' use of ISG is limited. Objective: This study describes and analyses the use of an ISG in Danish patients undergoing instrumented LSF due to degenerative spine disorders. Method: A prospective, randomized controlled trial of 114 patients, half of whom were randomized to receive access to an ISG and half to a control group with no access. This study is a prospective cohort where the population comprised those patients randomized to access the ISG (n=57). Sociodemographic characteristics (gender, age, marital status, employment status, and level of education) and information on psychological wellbeing (symptom of anxiety and depression) were obtained at baseline, 1-5 weeks prior to surgery, and the use of the ISG was registered from baseline until 3 months after surgery. Results: Eight participants were excluded. Thus, 49 participants comprised the study population, with a mean age of 53 years (range 29-77), 57% female, 84% not living alone, 70% unemployed, and the majority (69%) had secondary education as their highest education. Approximately one-third of the participants had symptoms of depression (33%), and one-third had symptoms of anxiety (31%), half of these overlapped, having both anxiety and depression. A total of 43 of the 49 participants (88%) took the opportunity to access the ISG. We found no correlations between sociodemographic data and the degree to which participants accessed the ISG. Women were more prone to be active users (P=0.04) and more often contributed with posts to the ISG. Finally, participants who were active users and contributed with posts or comments had more interactions (P<0.001) and pageviews (P<0.001). Conclusions: Sociodemographic characteristics were not predictors of ISG use in this study.

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Impact of the Enhanced Recovery Program after Hepato-Pancreato-Biliary Surgery

Kapritsou

2019

Asia-Pacific Journal of Oncology Nursing

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Enhanced Recovery after Surgery (ERAS) is a multicentric program that includes the fields of nursing and anesthesia, nutrition and fluid management, and minimally invasive surgery. ERAS protocols focus on reducing the postoperative complications and stress response, optimizing the postoperative recovery. They have been implemented in many surgical fields, such as cardiac, gastric, and urologic, as they were shown to be effective in reducing morbidity and the overall health costs and in improving patient satisfaction. The aim of this minireview was to investigate the impact of ERAS programs on patients’ postoperative outcome after hepato-pancreato-biliary surgery.

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The psychosocial effect of web-based information in fast-track surgery

Cited by 3 publications

References 38 publications

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study (Preprint)

Impact of the Enhanced Recovery Program after Hepato-Pancreato-Biliary Surgery

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