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。

IF 1.8 4区 医学 Q2 ORTHOPEDICS
Rochelle Furtado, Joy C MacDermid, Kenneth J Faber
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引用次数: 0

摘要

背景:通过与患者、临床医生和研究人员的共同设计过程,我们为接受全肩关节置换术的患者创建了术前康复准备、教育和手术准备(PREPS)计划。PREPS旨在改善患者对手术的准备,提高康复依从性/意识,并在更换过程中赋予患者权力。目的:共同设计、测试和评估肩关节置换术患者的PREPS程序。研究设计:综合多种方法的协同设计过程。方法:采用文献综述、定量调查、定性访谈和咨询分析相结合的方法。在以患者为中心的方法指导下,由学术和临床专家(n=10)和消费者(n=5)组成的专家顾问组对模块内容和设计进行了审查。可用性评估使用患者教育材料评估工具进行。协同设计过程由TEACH-it框架指导。结果:PREPS是一个为期6周的多模式课程,包括一个带有视频模块的网站和一个复制相同在线信息的图形教育小册子。这种格式允许老年人更容易获得信息。PREPS在家里是自我指导的。内容和设计在两年多的时间里不断迭代地改进。可理解性被三个评分者平均评为94%。很少有人表示他们更喜欢印刷版,因为技术访问有限。PREPS的内容、格式和交付受到协同设计过程的影响,导致该项目与以前在该机构使用传统流程交付的项目非常不同。结论:PREPS是一个整合的共同设计的虚拟术前程序,支持患者为肩关节置换术做准备。协同设计是一个耗时的迭代过程,其好处在于产品的更好的可用性和有用性。将干预措施与患者需求和临床目标相结合,考虑不同的用户并采用包容性的公平视角,可以潜在地提高基于网络的卫生保健干预措施的质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Journal of Hand Therapy
Journal of Hand Therapy 医学-外科
CiteScore
3.50
自引率
10.00%
发文量
65
审稿时长
19.2 weeks
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.
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