Letter to the Editor regarding Menendez et al: “Orthopedic surgery post COVID-19: an opportunity for innovation and transformation”

Sahu, Dipit; Rathod, Vaibhavi

doi:10.1016/j.jse.2020.07.001

Cited by 5 publications

(7 citation statements)

References 9 publications

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“…Our findings support the growing popularity of video-based consultations reported in other areas of global health and social care [42][43][44], with participants reporting feelings of connectedness, empowerment, and reassurance through imageand video-based sharing [45][46][47]. The incorporation of video call features within digital health technology is gaining attention, particularly as a consequence of the global COVID-19 pandemic [43,48]. It appeared that the more prominent use of video call features, both in participants' work and social lives, has led to greater acceptance and adoption of their use within the world of health care [48].…”

Section: Principal Findingssupporting

confidence: 81%

“…At the point of interview, 3 participants were undergoing technology-enabled follow-up appointments with their physiotherapist and 2 had used video call-based software to conduct their preoperative assessments with members of the surgical multidisciplinary team. Participants' views echoed those discussed in this study on digitally engaged patients and recognized the multitude of ways in which technologies can be embedded within the NHS to transform surgical patient support throughout the entire perioperative journey [48]. Interactive health technologies have been credited as transformers of health care by supporting engaged self-care and promoting positive health behaviors [76].…”

Section: Principal Findingsmentioning

confidence: 67%

“…The incorporation of video call features within digital health technology is gaining attention, particularly as a consequence of the global COVID-19 pandemic [43,48]. It appeared that the more prominent use of video call features, both in participants' work and social lives, has led to greater acceptance and adoption of their use within the world of health care [48].…”

Section: Principal Findingsmentioning

confidence: 99%

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Designing the Optimal Digital Health Intervention for Patients’ Use Before and After Elective Orthopedic Surgery: Qualitative Study

Robinson¹,

Slight²,

Husband³

et al. 2021

J Med Internet Res

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Background Health behavior changes made by patients during the perioperative period can impact the outcomes and success of elective surgeries. However, there remains a limited understanding of how best to support patients during this time, particularly through the use of digital health interventions. Recognizing and understanding the potential unmet needs of elective orthopedic surgery patients is central to motivating healthier behavior change, improving recovery, and optimizing overall surgical success in the short and long term. Objective The aim of this study is to explore patient perspectives on technology features that would help support them to change their lifestyle behaviors during the pre- and postoperative periods, and that could potentially maintain long-term healthy lifestyles following recovery. Methods Semistructured interviews with pre- and postoperative elective orthopedic patients were conducted between May and June 2020 using telephone and video call–based software. Patient perspectives on the use of digital technologies to complement current surgical care and support with lifestyle behavior changes were discussed. Interviews were audio recorded and transcribed verbatim. Reflexive thematic analysis enabled the development of themes from the data, with QSR NVivo software (version 12) facilitating data management. Ethical approval was obtained from the National Health Service Health Research Authority. Results A total of 18 participants were interviewed. Four themes were developed from the data regarding the design and functionality of digital technologies to best support the perioperative journey. These center around an intervention’s ability to incorporate interactive, user-centered features; direct a descriptive and structured recovery; enable customizable, patient-controlled settings; and deliver both general and specific surgical advice in a timely manner. Interventions that are initiated preoperatively and continued postoperatively were perceived as beneficial. Interventions designed with personalized milestones were found to better guide patients through a structured recovery. Individualized tailoring of preparatory and recovery information was desired by patients with previously high levels of physical activity before surgery. The use of personalized progression-based exercises further encouraged physical recovery; game-like rewards and incentives were regarded as motivational for making and sustaining health behavior change. In-built video calling and messaging features offered connectivity with peers and clinicians for supported care delivery. Conclusions Specific intervention design and functionality features can provide better, structured support for elective orthopedic patients across the entire surgical journey and beyond. This study provides much-needed evidence relating to the optimal design and timing of digital interventions for elective orthopedic surgical patients. Findings from this study suggest a desire for personalized perioperative care, in turn, supporting patients to make health behavior changes to optimize surgical success. These findings should be used to influence future co-design projects to enable the design and implementation of patient-focused, tailored, and targeted digital health technologies within modern health care settings.

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Section: Principal Findingssupporting

confidence: 81%

Section: Principal Findingsmentioning

confidence: 67%

Section: Principal Findingsmentioning

confidence: 99%

See 1 more Smart Citation

Designing the Optimal Digital Health Intervention for Patients’ Use Before and After Elective Orthopedic Surgery: Qualitative Study

Robinson¹,

Slight²,

Husband³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Among various modalities of telehealth, telerehabilitation has been shown to be useful in morbidities like stroke, diabetes, cancer, neurological problems, patients with cardiac or musculoskeletal problems. [ 20 21 22 23 ] Tele-rehabilitation for visual impairment (low vision and blind) can be considered as a subset of under the umbrella telerehabilitation services. The goal of vision rehabilitation whether in person or remotely via telerehabilitation is to improve visual functioning, and daily living activities, including instrumental activities as well as social and psychological well-being among PwVDs.…”

Section: Discussionmentioning

confidence: 99%

Tele-rehabilitation for visually challenged students during COVID-19 pandemic

Senjam

Manna

Vashist

et al. 2021

Indian Journal of Ophthalmology

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Purpose: The COVID-19 outbreak poses a global crisis in health care delivery system, including habilitation and rehabilitation services. In this study, we shared our experiences on telerehabilitation services established primarily for students with visual disabilities (SwVD) amidst COVID-19 pandemic and its outputs. Methods: Following the lockdown declared on March 23, 2020, the rehabilitative team of a tertiary eye center in north India received information that many visually challenged students (VCS) were stranded in schools for the blind in Delhi, and feeling with anxiety and panic in absence of teachers. Shortly, the room for vision rehabilitation clinic was set-up for telefacilities. The intended services were explained while disseminating the mobile numbers. A semi-structured questionnaire consisting of closed and open-ended was developed to record COVID-19 knowledge and concerns. Inductive content analysis was used to report the qualitative information. Results: As of June 30, 2020, a total of 492 clients contacted the team, with maximum from Delhi (41.5%), and predominantly males (78.8%). Around 80.3% of callers were VCS with age range of 11 to 30 years. The two most frequently encountered health needs were itching in eyes (36.1%) and headache (29%). Television news was the most used medium among callers to get COVID-19 information. Cough is a less frequently known mode of transmission (28%), similarly handwashing as a less known for prevention (17.2%). Eight concerns were recorded based on qualitative data analysis. Conclusion: Telerehabilitation provides valuable insights and has the potential to address various concerns, uncertainty, anxiety, and fear among VCS during the pandemic.

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“…[20] Among various modalities of telehealth, tele-rehabilitation has been shown to be useful in morbidities like stroke, diabetes, cancer, neurological problems, patients with cardiac or musculoskeletal problems. [21,22,23,24] Tele-rehabilitation for visual impairment (low vision and blind) can be considered as a subset of under the umbrella tele-rehabilitation services. The goal of vision rehabilitation whether in person or remotely via tele-rehabilitation, is to improve visual functioning, and daily living activities, including instrumental activities as well as social and psychological well-being among PwVDs.…”

Section: Discussionmentioning

confidence: 99%

Tele-Rehabilitation for People with Visual Disabilities During COVID-19 Pandemic: Lesson Learned

Senjam

Manna

Vashist

et al. 2021

Preprint

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BackgroundThe COVID-19 outbreak poses a global crisis in health care delivery system, including habilitation and rehabilitation services. In the present study, we shared our experiences on telerehabilitation services established primarily for students with visual disabilities (SwVD) amidst COVID-19 pandemic and its outputs.MethodsFollowing the lockdown declared on March 23, 2020, the rehabilitative team of a tertiary eye center in north India received information that many VCS were stranded in schools for the blind in Delhi, and feeling with anxiety and panic in absence of teachers. Shortly, the room for vision rehabilitation clinic was set-up for tele-facilities. The intended services was explained while disseminating the mobile numbers. A semi-structured questionnaire consisting of closed and open-ended was developed to record COVID-19 knowledge and concerns. Inductive content analysis was used to report the qualitative information.ResultsAs of June 30, 2020, a total of 492 clients contacted the team, with maximum from Delhi (41.5%), and predominantly males (78.8%). Around 80.3% of callers were VCS with age range of 11 to 30 years. The two most frequently encountered health needs were itching in eyes (36.1%) and headache (29%). Television news was the most used medium among callers to get COVID-19 information. Cough is a less frequently known mode of transmission (28%), similarly handwashing as a less known for prevention (17.2%). Eight concerns were recorded based on qualitative data analysis.ConclusionTele-rehabilitation provides valuable insights and has the potential to address various concerns, uncertainty, anxiety, and fear among SVD during the pandemic.

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Letter to the Editor regarding Menendez et al: “Orthopedic surgery post COVID-19: an opportunity for innovation and transformation”

Cited by 5 publications

References 9 publications

Designing the Optimal Digital Health Intervention for Patients’ Use Before and After Elective Orthopedic Surgery: Qualitative Study

Designing the Optimal Digital Health Intervention for Patients’ Use Before and After Elective Orthopedic Surgery: Qualitative Study

Tele-rehabilitation for visually challenged students during COVID-19 pandemic

Tele-Rehabilitation for People with Visual Disabilities During COVID-19 Pandemic: Lesson Learned

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