Using information and communication technology in the recovery after a coronary artery bypass graft surgery: patients&amp;rsquo; attitudes

Dale, Jan Gunnar; Midthus, Elin; Dale, Bjørg

doi:10.2147/jmdh.s175195

Cited by 10 publications

(5 citation statements)

References 26 publications

(43 reference statements)

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“…This phase focused on conceptual construction of the website, in particular its setting, capacity and usability in fulfilling patient needs. Data collected from the analysis phase was used to design learning content according to patient needs which was then supported through findings obtained from literature review [12][13][14][15]. MyEducation:CABG application comprises of six components: Heart; Coronary Artery Disease; CABG Surgery; Recovery Planning Support (i.e.…”

Section: Design Phasementioning

confidence: 99%

“…But the use of now-indispensable Information and Communication Technology (ICT) could facilitate manual to virtual conversion of said information. Approximately 70% of patients undergoing cardiac surgery accessed the internet for information shortly upon being informed of the procedure, hence making the internet a powerful educational platform [12,13]. Cognitive behavioral technique based internet programs developed to guide patients through virtual contact with a healthcare professional have emerged a particularly effective option.…”

Section: Introductionmentioning

confidence: 99%

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A pilot study on development and feasibility of the ‘MyEducation: CABG application’ for patients undergoing coronary artery bypass graft (CABG) surgery

et al. 2022

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Background Patients scheduled for coronary artery bypass graft (CABG) surgery tend to have persistent symptoms of anxiety and depression. Course of hospital stay post-CABG procedure has become increasingly shorter over the last few decades. This pilot study was conducted to develop and test feasibility of MyEducation: CABG application as a learning tool to reduce anxiety and depression levels among patients undergoing CABG Surgery. Methods This study was quasi-experimental in design. Forty-five patients scheduled for CABG surgery were recruited via consecutive sampling from a Tertiary Referral Centre at Kuala Lumpur, Malaysia. MyEducation:CABG application (Web-based education application) was administered among the intervention group (N = 23); while the control group (N = 22) underwent standard care. Web-based education application were implemented by nurses at admission and prior to discharge. Patients were assisted in terms of queries and concerns, upon which corresponding information and support was provided. Sociodemographic data were obtained from patients, prior to administration of Hospital Anxiety and Depression Scale which was used to measure levels of anxiety and depression. The educational application was used to obtain satisfaction rating among intervention group. These measures were administered upon admission, on discharge and one-month post-discharge. Results Mean anxiety and depression scores among the intervention group were lower compared to the control. This was significant for anxiety upon admission, on discharge and one-month post-discharge (p < 0.05). Reduced mean depression scores was only significant at one month post-discharge (p < 0.05). Intervention group were generally satisfied with design, content and usability of the application. Conclusions Utilisation of MyEducation: CABG application as an educational platform were associated with reduced anxiety and depression among CABG patients, which probably explains positive user satisfaction levels reported. Hence, the study recommends implementation of this application among larger sample as a way to support patient scheduled for CABG aside, with further possibility of preventing complications.

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Section: Design Phasementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A pilot study on development and feasibility of the ‘MyEducation: CABG application’ for patients undergoing coronary artery bypass graft (CABG) surgery

et al. 2022

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“…Of total searches entered into a search engine, 4.5% are health‐related 1 . Many patients who undergo coronary artery bypass graft (CABG) surgery report difficulty in comprehending information retrieved from the internet regarding this procedure, and some find the information not to be useful 2,3 . Additionally, the internet is used by the majority of patients seeking to information about medical conditions 4,5 .…”

Section: Introductionmentioning

confidence: 99%

“…1 Many patients who undergo coronary artery bypass graft (CABG) surgery report difficulty in comprehending information retrieved from the internet regarding this procedure, and some find the information not to be useful. 2,3 Additionally, the internet is used by the majority of patients seeking to information about medical conditions. 4,5 YouTube is the most popular video website in the world, now with more than one billion global users.…”

mentioning

confidence: 99%

Paradigm shift: Beyond the COVID‐19 era, is YouTube the future of education for CABG patients?

Gupta

Kovoor

Ovenden

et al. 2022

Journal of Cardiac Surgery

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Introduction: Patients commonly use YouTube for education, and this may have increased due to COVID-19 related restrictions on access to healthcare professionals. However, YouTube videos lack peer review and regulation. To assess patient education in the COVID-19 era, we analyzed the quality of YouTube videos on coronary artery bypass graft (CABG) surgery. Methods: We searched YouTube using the phrase "coronary artery bypass graft." Two authors individually used the Journal of the American Medical Association (JAMA), DISCERN, and Health on the Net (HON) systems, to rate the first 50 videos retrieved. Data collected for each video included; number of views, duration since upload, percentage positivity (proportion of likes relative to total likes plus dislikes), number of comments, and video author. Interobserver reliability was assessed using an intraclass correlation coefficient (ICC). Associations between video characteristics and quality were tested using linear regression or t-tests. Results: The average number of views was 575,571. Average quality was poor, with mean scores of 1.93/4 (ICC 0.54) for JAMA criteria, 2.52/5 (ICC 0.78) for DISCERN criteria, and 4.04/8 (ICC 0.66) for HON criteria. Videos uploaded by surgeons scored highest overall (p < .05). No other factors demonstrated significant association with video quality. Conclusion: YouTube videos on CABG surgery are of poor quality and may be inadequate for patient education. Given the complexity of the procedure and that beyond the COVID-19 era, patients are more likely to seek education from digital sources, treating surgeons should advise of YouTube's limitations and direct patients to reliable sources of information.

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“…Approximately 70% of patients consult the internet for information soon after learning about their upcoming surgery [ 21 , 22 ]. Studies [ 23 , 24 ] have reported that eHealth interventions for cardiac rehabilitation can also improve patients’ quality of life.…”

Section: Introductionmentioning

confidence: 99%

Effects of eHealth Interventions on Quality of Life and Psychological Outcomes in Cardiac Surgery Patients: Systematic Review and Meta-analysis

Ni¹,

Liu²,

Huang³

et al. 2022

J Med Internet Res

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Background Patients undergoing heart surgery may experience a range of physiological changes, and the postoperative recovery time is long. Patients and their families often have concerns about quality of life (QoL) after discharge. eHealth interventions may improve patient participation, ensure positive and effective health management, improve the quality of at-home care and the patient's quality of life, and reduce rates of depression. Objective The purpose of this study was to evaluate the effects of eHealth interventions on the physiology, psychology, and compliance of adult patients after cardiac surgery to provide a theoretical basis for clinical practice. Methods We conducted systematic searches of the following 4 electronic databases: PubMed, Embase, CINAHL, and the Cochrane Central Register of Controlled Trials. Mean (SD) values were used to calculate the pooled effect sizes for all consecutive data, including QoL, anxiety, and depression. Where the same results were obtained using different instruments, we chose the standardized mean difference with a 95% CI to represent the combined effect size; otherwise, the mean difference (MD) with a 95% CI was used. Odds ratios were used to calculate the combined effect size for all dichotomous data. The Cohen Q test for chi-square distribution and an inconsistency index (I2) were used to test for heterogeneity among the studies. We chose a fixed-effects model to estimate the effect size if there was no significant heterogeneity in the data (I2≤50%); otherwise, a random-effects model was used. The quality of the included studies was assessed using the Cochrane risk-of-bias tool for randomized trials (RoB 2). Results The search identified 3632 papers, of which 19 met the inclusion criteria. In terms of physical outcomes, the score of the control group was lower than that of the intervention group (MD 0.15, 95% CI 0.03-0.27, I2=0%, P=.02). There was no significant difference in the mental outcomes between the intervention and control groups (MD 0.10, 95% CI –0.03 to 0.24, I2=46.4%, P=.14). The control group’s score was lower than that of the intervention group for the depression outcomes (MD –0.53, 95% CI –0.89 to –0.17, I2=57.1%, P=.004). Compliance outcomes improved in most intervention groups. The results of the sensitivity analysis were robust. Nearly half of the included studies (9/19, 47%) had a moderate to high risk of bias. The quality of the evidence was medium to low. Conclusions eHealth improved the physical component of quality of life and depression after cardiac surgery; however, there was no statistical difference in the mental component of quality of life. The effectiveness of eHealth on patient compliance has been debated. Further high-quality studies on digital health are required. Trial Registration PROSPERO CRD42022327305; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=327305

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Using information and communication technology in the recovery after a coronary artery bypass graft surgery: patients’ attitudes

Cited by 10 publications

References 26 publications

A pilot study on development and feasibility of the ‘MyEducation: CABG application’ for patients undergoing coronary artery bypass graft (CABG) surgery

A pilot study on development and feasibility of the ‘MyEducation: CABG application’ for patients undergoing coronary artery bypass graft (CABG) surgery

Paradigm shift: Beyond the COVID‐19 era, is YouTube the future of education for CABG patients?

Effects of eHealth Interventions on Quality of Life and Psychological Outcomes in Cardiac Surgery Patients: Systematic Review and Meta-analysis

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