A mobile app for postoperative wound care after arthroplasty: Ease of use and perceived usefulness

Scheper, Henk; Derogee, R.; Mahdad, Rachid; Wal, Robert J. P. van der; Nelissen, Rob G H H; Visser, Leo G.; Boer, M.G.J. de

doi:10.1016/j.ijmedinf.2019.05.010

Cited by 54 publications

(86 citation statements)

References 16 publications

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“…Moreover, comparable or lower completion rates have been reported in telemonitoring studies with older surgical patients. 31,32,38 Both an advantage and a limitation to our study was that the study started with the IT system still under development. Because of a fixed end date for the project and corresponding IT support, it was not possible to wait to include patients until the latest version of the application was available.…”

Section: Study Strengths and Limitationsmentioning

confidence: 99%

Remote Home Monitoring of Older Surgical Cancer Patients: Perspective on Study Implementation and Feasibility

et al. 2020

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Background. Remote home monitoring might fill the perceived surveillance gap after hospital discharge. However, it is unclear whether older oncologic patients will be able to use the required new digital technologies. The study aimed to assess the feasibility of postoperative remote home monitoring for this population. Methods. This observational cohort study recruited patients aged 65 years or older scheduled for oncologic surgery. The study patients used a mobile application and activity tracker preoperatively until 3 months postoperatively. A subset of the patients used additional devices (thermometer, blood pressure monitor, weight scale) and completed electronic health questionnaires 2 weeks after hospital discharge. Feasibility was assessed by the study completion rate, compliance in using components of the information technology system, acceptability [Net Promotor Score (NPS)] and usability [System Usability Scale (SUS)]. The NPS score varied from-100 to ? 100. An SUS higher than 68 was considered above average. Results. Of 47 participants (mean age, 72 years; range, 65-85 years), 37 completed a follow-up assessment, yielding a completion rate of 79%. Compliance in using the activity tracker (n = 41) occurred a median of 81 days [interquartile range (IQR), 70-90 days] out of 90 postdischarge days. Compliance in measuring vital signs and completing health questionnaires varied from a median of 10.5 days (IQR, 4.5-14.0 days) to 12 days (IQR, 5-14 days) out of 14 days. The NPS was ? 29.7%, and the mean SUS was 74.4 ± 19.3. Conclusion. Older oncologic patients in the study considered postoperative home monitoring acceptable and usable. Once they consented to participate, the patients were compliant, and the completion rate was high.

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Section: Study Strengths and Limitationsmentioning

confidence: 99%

Remote Home Monitoring of Older Surgical Cancer Patients: Perspective on Study Implementation and Feasibility

et al. 2020

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“…Four studies were considered to have moderate to high methodological quality, ranging from 13 to 15 of a total of 16. 23e25,28 Three studies were considered to have lower methodological quality, ranging from 9 to 10 of 16 for the noncomparative studies 22,26 and 14 of 24 for the comparative study 27 (Table 3).…”

Section: Patient and Study Characteristicsmentioning

confidence: 99%

Feasibility of Perioperative eHealth Interventions for Older Surgical Patients: A Systematic Review

Jonker

Haveman

Bock³

et al. 2020

Journal of the American Medical Directors Association

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Objectives: EHealth interventions are increasingly being applied in perioperative care but have not been adequately studied for older surgical patients who could potentially benefit from them. Therefore, we evaluated the feasibility of perioperative eHealth interventions for this population. Design: A systematic review of prospective observational and interventional studies was conducted. Three electronic databases (PubMed, EMBASE, CINAHL) were searched between January 1999 and July 2019. Study quality was assessed by Methodological Index for Non-Randomized Studies (MINORS) with and without control group. Setting and Participants: Studies of surgical patients with an average age !65 years undergoing any perioperative eHealth intervention with active patient participation (with the exception of telerehabilitation following orthopedic surgery) were included. Measures: The main outcome measure was feasibility, defined as a patient's perceptions of usability, satisfaction, and/or acceptability of the intervention. Other outcomes included compliance and study completion rate. Results: Screening of 1569 titles and abstracts yielded 7 single-center prospective studies with 223 patients (range n ¼ 9e69 per study, average age 66e74 years) undergoing oncological, cardiovascular, or orthopedic surgery. The median MINORS scores were 13.5 of 16 for 6 studies without control group, and 14 of 24 for 1 study with a control group. Telemonitoring interventions were rated as "easy to use" by 89% to 95% of participants in 3 studies. Patients in 3 studies were satisfied with the eHealth intervention and would recommend it to others. Acceptability (derived from consent rate) ranged from 71% to 89%, compliance from 53% to 86%, and completion of study follow-up from 54% to 95%. Conclusions and Implications: Results of 7 studies involving perioperative eHealth interventions suggest their feasibility and encourage further development of technologies for older surgical patients. Future feasibility studies require clear definitions of appropriate feasibility outcome measures and a comprehensive description of patient characteristics such as functional performance, level of education, and socioeconomic status.

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“…The interest in remote care delivery by eHealth has increased even more during the current COVID-19 pandemic, as remote consultation decreases the risk of spreading the virus and could decrease the pressure on health care resources [9,10]. Additionally, eHealth is used to remotely monitor patients' postoperative recovery in surgical wards or at home after hospital discharge [11,12]. This so-called telemonitoring could contribute to timely detection of postoperative complications and therefore potentially decrease the impact of these complications in frail older patients with cancer [13].…”

Section: Introductionmentioning

confidence: 99%

Perioperative telemonitoring of older adults with cancer: Can we connect them all?

Jonker¹,

Lahr²,

Festen³

et al. 2020

Journal of Geriatric Oncology

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Although the increasing cancer incidence in older patients is widely recognised, older patients remain underrepresented in clinical cancer trials and eHealth studies. The aim of this research is to identify technological and patient-related barriers to inclusion of this population in a clinical eHealth study. Material and Methods: This is a retrospective analysis of a prospective cohort study with older patients (≥ 65 years) undergoing cancer-related surgery, who were identified for a perioperative telemonitoring study. Reasons for ineligibility and refusal had been prospectively registered. Characteristics and postoperative outcomes were compared between participants and non-participants. Results: Between May 2018 and March 2020, 151 patients were assessed for eligibility, resulting in 65 participants and 86 non-participants. The main reason for ineligibility was lack of internet access at home (n = 16), while main reasons for refusal were perceived high mental burden (n = 46) and insufficient digital skills (n = 12). Compared with participants, non-participants were significantly older (mean age 75 vs. 73, p = 0.01); more often female (64% vs. 35%, p = 0.00), unmarried (42% vs. 8%, p = 0.01) living alone (38% vs. 19%, p = 0.02); had a higher ASA classification (43% vs. 19%, p = 0.00); often had polypharmacy (67% vs. 43%, p = 0.00); and were more often discharged to skilled nursing facilities (0% vs. 15%, p = 0.00). Conclusion: Our results confirm the underrepresentation of older female patients with little support from a partner and higher comorbidity. We should be aware of technological and patient-related barriers to including older adults with cancer, in order to avoid further dividing patients with low and high digital health literacy.

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A mobile app for postoperative wound care after arthroplasty: Ease of use and perceived usefulness

Cited by 54 publications

References 16 publications

Remote Home Monitoring of Older Surgical Cancer Patients: Perspective on Study Implementation and Feasibility

Remote Home Monitoring of Older Surgical Cancer Patients: Perspective on Study Implementation and Feasibility

Feasibility of Perioperative eHealth Interventions for Older Surgical Patients: A Systematic Review

Perioperative telemonitoring of older adults with cancer: Can we connect them all?

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