Rochelle Furtado, Joy C MacDermid, Kenneth J Faber
{"title":"为接受全肩关节置换术的患者共同设计基于网络的“术前康复准备、教育和手术准备”项目。","authors":"Rochelle Furtado, Joy C MacDermid, Kenneth J Faber","doi":"10.1016/j.jht.2025.04.011","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Using a codesign process with patients, clinicians, and researchers, we created the Preoperative Rehab-readiness, Education and Preparation for Surgery (PREPS) program for patients undergoing a total shoulder replacement surgery. PREPS is designed to improve patient preparedness for surgery, increase rehab adherence/awareness and empower patients during their replacement journey.</p><p><strong>Purpose: </strong>To codesign, test and evaluate the PREPS program for patients undergoing a shoulder replacement surgery.</p><p><strong>Study design: </strong>A codesign process integrated multiple methods.</p><p><strong>Methods: </strong>PREPS integrated multiple literature reviews, quantitative surveys, qualitative interviews and consultation analyses. Guided by a patient-centered approach, module content and design were reviewed by an expert advisory group comprising of academic and clinical experts (n=10) and consumers (n=5). Evaluation of usability was conducted using the Patient Education Materials Assessment Tool. Codesign process was guided by the TEACH-it framework.</p><p><strong>Results: </strong>PREPS is a 6-week multimodal program that consists of both a website with video modules and a graphical education booklet that replicates the same online information. This format allows for increased accessibility of information for older adults. PREPS is self-guided at home. Content and design were continuously and iteratively refined over two years. Understandability was rated on average 94% by three raters. Few expressed they preferred the print version due to limited tech access. The content, format and delivery of PREPS was impacted by the codesign process, resulting in a very different program than had previously been delivered at the institution using traditional processes.</p><p><strong>Conclusions: </strong>PREPS is an integrative co-designed virtual preoperative program that supports patients' preparation for a shoulder replacement. Codesign is a time-consuming iterative process whose dividends are evident in better usability and usefulness of the product. Mapping interventions to patient needs and clinical goals, considering diverse users and using an inclusive equity lens can potentially improve the quality of web-based health care interventions.</p>","PeriodicalId":54814,"journal":{"name":"Journal of Hand Therapy","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Codesigning the web-based \\\"Preoperative Rehab-readiness, Education and Preparation for Surgery\\\" program for people undergoing a total shoulder replacement procedure.\",\"authors\":\"Rochelle Furtado, Joy C MacDermid, Kenneth J Faber\",\"doi\":\"10.1016/j.jht.2025.04.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Using a codesign process with patients, clinicians, and researchers, we created the Preoperative Rehab-readiness, Education and Preparation for Surgery (PREPS) program for patients undergoing a total shoulder replacement surgery. PREPS is designed to improve patient preparedness for surgery, increase rehab adherence/awareness and empower patients during their replacement journey.</p><p><strong>Purpose: </strong>To codesign, test and evaluate the PREPS program for patients undergoing a shoulder replacement surgery.</p><p><strong>Study design: </strong>A codesign process integrated multiple methods.</p><p><strong>Methods: </strong>PREPS integrated multiple literature reviews, quantitative surveys, qualitative interviews and consultation analyses. Guided by a patient-centered approach, module content and design were reviewed by an expert advisory group comprising of academic and clinical experts (n=10) and consumers (n=5). Evaluation of usability was conducted using the Patient Education Materials Assessment Tool. Codesign process was guided by the TEACH-it framework.</p><p><strong>Results: </strong>PREPS is a 6-week multimodal program that consists of both a website with video modules and a graphical education booklet that replicates the same online information. This format allows for increased accessibility of information for older adults. PREPS is self-guided at home. Content and design were continuously and iteratively refined over two years. Understandability was rated on average 94% by three raters. Few expressed they preferred the print version due to limited tech access. The content, format and delivery of PREPS was impacted by the codesign process, resulting in a very different program than had previously been delivered at the institution using traditional processes.</p><p><strong>Conclusions: </strong>PREPS is an integrative co-designed virtual preoperative program that supports patients' preparation for a shoulder replacement. Codesign is a time-consuming iterative process whose dividends are evident in better usability and usefulness of the product. Mapping interventions to patient needs and clinical goals, considering diverse users and using an inclusive equity lens can potentially improve the quality of web-based health care interventions.</p>\",\"PeriodicalId\":54814,\"journal\":{\"name\":\"Journal of Hand Therapy\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-06-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hand Therapy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jht.2025.04.011\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hand Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jht.2025.04.011","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Codesigning the web-based "Preoperative Rehab-readiness, Education and Preparation for Surgery" program for people undergoing a total shoulder replacement procedure.
Background: Using a codesign process with patients, clinicians, and researchers, we created the Preoperative Rehab-readiness, Education and Preparation for Surgery (PREPS) program for patients undergoing a total shoulder replacement surgery. PREPS is designed to improve patient preparedness for surgery, increase rehab adherence/awareness and empower patients during their replacement journey.
Purpose: To codesign, test and evaluate the PREPS program for patients undergoing a shoulder replacement surgery.
Study design: A codesign process integrated multiple methods.
Methods: PREPS integrated multiple literature reviews, quantitative surveys, qualitative interviews and consultation analyses. Guided by a patient-centered approach, module content and design were reviewed by an expert advisory group comprising of academic and clinical experts (n=10) and consumers (n=5). Evaluation of usability was conducted using the Patient Education Materials Assessment Tool. Codesign process was guided by the TEACH-it framework.
Results: PREPS is a 6-week multimodal program that consists of both a website with video modules and a graphical education booklet that replicates the same online information. This format allows for increased accessibility of information for older adults. PREPS is self-guided at home. Content and design were continuously and iteratively refined over two years. Understandability was rated on average 94% by three raters. Few expressed they preferred the print version due to limited tech access. The content, format and delivery of PREPS was impacted by the codesign process, resulting in a very different program than had previously been delivered at the institution using traditional processes.
Conclusions: PREPS is an integrative co-designed virtual preoperative program that supports patients' preparation for a shoulder replacement. Codesign is a time-consuming iterative process whose dividends are evident in better usability and usefulness of the product. Mapping interventions to patient needs and clinical goals, considering diverse users and using an inclusive equity lens can potentially improve the quality of web-based health care interventions.
期刊介绍:
The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.