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A telehealth intervention to increase patient preparedness for surgery: a randomized trial
Introduction and hypothesis Methods to increase surgical preparedness in urogynecology are lacking. Our objective was to evaluate the impact of a preoperative provider-initiated telehealth call on surgical preparedness. Methods This was a multicenter randomized controlled trial. Women undergoing sur...
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| Published in: | International Urogynecology Journal 2022-01, Vol.33 (1), p.85-93 |
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| Main Authors: | , , , , , , , , |
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| container_end_page | 93 |
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| container_start_page | 85 |
| container_title | International Urogynecology Journal |
| container_volume | 33 |
| creator | Halder, Gabriela E. White, Amanda B. Brown, Heidi W. Caldwell, Lauren Wright, Michelle L. Giles, Dobie L. Heisler, Christine A. Bilagi, Daksha Rogers, Rebecca G. |
| description | Introduction and hypothesis
Methods to increase surgical preparedness in urogynecology are lacking. Our objective was to evaluate the impact of a preoperative provider-initiated telehealth call on surgical preparedness.
Methods
This was a multicenter randomized controlled trial. Women undergoing surgery for pelvic organ prolapse and/or stress urinary incontinence were randomized to either a telehealth call 3 (± 2) days before surgery plus usual preoperative counseling versus usual preoperative counseling alone. Our primary outcome was surgical preparedness, as measured by the Preoperative Prepardeness Questionnaire. The Modified Surgical Pain Scale, Pelvic Floor Distress Inventory-20, Patient Global Impressions of Improvement, Patient Global Impressions of Severity, Satisfaction with Decision Scale, Decision Regret Scale, and Clavien–Dindo scores were obtained at 4–8 weeks postoperatively and comparisons were made between groups.
Results
Mean telehealth call time was 11.1 ± 4.11 min. Women who received a preoperative telehealth call (
n
= 63) were significantly more prepared for surgery than those who received usual preoperative counseling alone (
n
= 69); 82.5 vs 59.4%,
p
|
| doi_str_mv | 10.1007/s00192-021-04831-w |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8142611</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2617114937</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-6c91ee6a38bfcc420a292ab43960d64753abb61c2474101994d6478952fc318d3</originalsourceid><addsrcrecordid>eNp9kbtuFTEQhi1ERE4CL0CBLNHQLJmxvTcKpCgigBSJBhoay-udzXG0x15sb6Lw9DicEC4FleWZb_65_Iw9R3iNAO1JAsBeVCCwAtVJrG4esQ0qKSsJQj5mG-hlW0nViEN2lNIVACio4Qk7lApEV7f1hn095Zlm2pKZ85Y7nylek88ueJ5D-dtIJhFfTHYlzJdIi4k0ekqJTyHytMZLirdvuOHR-DHs3HcaeY7OzE_ZwWTmRM_u32P25fzd57MP1cWn9x_PTi8qq1qVq8b2SNQY2Q2TtUqAEb0wg5J9A2Oj2lqaYWjQikJjWbhXd9Gur8VkJXajPGZv97rLOuxotGXOaGa9RLcz8VYH4_TfGe-2-jJc6w6VaBCLwKt7gRi-rZSy3rlkaZ6Np7AmLWqJtVRdrwr68h_0KqzRl_V0kWoRVTl5ocSesjGkFGl6GAZB31mn99bpYp3-aZ2-KUUv_lzjoeSXVwWQeyCVlC9X_937P7I_AGH0paw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2617114937</pqid></control><display><type>article</type><title>A telehealth intervention to increase patient preparedness for surgery: a randomized trial</title><source>Springer Link</source><creator>Halder, Gabriela E. ; White, Amanda B. ; Brown, Heidi W. ; Caldwell, Lauren ; Wright, Michelle L. ; Giles, Dobie L. ; Heisler, Christine A. ; Bilagi, Daksha ; Rogers, Rebecca G.</creator><creatorcontrib>Halder, Gabriela E. ; White, Amanda B. ; Brown, Heidi W. ; Caldwell, Lauren ; Wright, Michelle L. ; Giles, Dobie L. ; Heisler, Christine A. ; Bilagi, Daksha ; Rogers, Rebecca G.</creatorcontrib><description>Introduction and hypothesis
Methods to increase surgical preparedness in urogynecology are lacking. Our objective was to evaluate the impact of a preoperative provider-initiated telehealth call on surgical preparedness.
Methods
This was a multicenter randomized controlled trial. Women undergoing surgery for pelvic organ prolapse and/or stress urinary incontinence were randomized to either a telehealth call 3 (± 2) days before surgery plus usual preoperative counseling versus usual preoperative counseling alone. Our primary outcome was surgical preparedness, as measured by the Preoperative Prepardeness Questionnaire. The Modified Surgical Pain Scale, Pelvic Floor Distress Inventory-20, Patient Global Impressions of Improvement, Patient Global Impressions of Severity, Satisfaction with Decision Scale, Decision Regret Scale, and Clavien–Dindo scores were obtained at 4–8 weeks postoperatively and comparisons were made between groups.
Results
Mean telehealth call time was 11.1 ± 4.11 min. Women who received a preoperative telehealth call (
n
= 63) were significantly more prepared for surgery than those who received usual preoperative counseling alone (
n
= 69); 82.5 vs 59.4%,
p
< 0.01). A preoperative telehealth call was associated with greater understanding of surgical alternatives (77.8 vs 59.4%,
p
= 0.03), complications (69.8 vs 47.8%,
p
= 0.01), hospital-based catheter care (54 vs 34.8%,
p
= 0.04) and patient perception that nurses and doctors had spent enough time preparing them for their upcoming surgery (84.1 vs 60.9%,
p
< 0.01). At 4–8 weeks, no differences in postoperative and patient reported outcomes were observed between groups (all
p
> 0.05).
Conclusions
A short preoperative telehealth call improves patient preparedness for urogynecological surgery.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-021-04831-w</identifier><identifier>PMID: 34028575</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Counseling ; Female ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Pelvic Floor ; Pelvic Organ Prolapse - surgery ; Preoperative Care - methods ; Surgery ; Telemedicine ; Urinary Incontinence, Stress - surgery ; Urology</subject><ispartof>International Urogynecology Journal, 2022-01, Vol.33 (1), p.85-93</ispartof><rights>The International Urogynecological Association 2021</rights><rights>2021. The International Urogynecological Association.</rights><rights>The International Urogynecological Association 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-6c91ee6a38bfcc420a292ab43960d64753abb61c2474101994d6478952fc318d3</citedby><cites>FETCH-LOGICAL-c474t-6c91ee6a38bfcc420a292ab43960d64753abb61c2474101994d6478952fc318d3</cites><orcidid>0000-0002-5505-9638</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34028575$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Halder, Gabriela E.</creatorcontrib><creatorcontrib>White, Amanda B.</creatorcontrib><creatorcontrib>Brown, Heidi W.</creatorcontrib><creatorcontrib>Caldwell, Lauren</creatorcontrib><creatorcontrib>Wright, Michelle L.</creatorcontrib><creatorcontrib>Giles, Dobie L.</creatorcontrib><creatorcontrib>Heisler, Christine A.</creatorcontrib><creatorcontrib>Bilagi, Daksha</creatorcontrib><creatorcontrib>Rogers, Rebecca G.</creatorcontrib><title>A telehealth intervention to increase patient preparedness for surgery: a randomized trial</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
Methods to increase surgical preparedness in urogynecology are lacking. Our objective was to evaluate the impact of a preoperative provider-initiated telehealth call on surgical preparedness.
Methods
This was a multicenter randomized controlled trial. Women undergoing surgery for pelvic organ prolapse and/or stress urinary incontinence were randomized to either a telehealth call 3 (± 2) days before surgery plus usual preoperative counseling versus usual preoperative counseling alone. Our primary outcome was surgical preparedness, as measured by the Preoperative Prepardeness Questionnaire. The Modified Surgical Pain Scale, Pelvic Floor Distress Inventory-20, Patient Global Impressions of Improvement, Patient Global Impressions of Severity, Satisfaction with Decision Scale, Decision Regret Scale, and Clavien–Dindo scores were obtained at 4–8 weeks postoperatively and comparisons were made between groups.
Results
Mean telehealth call time was 11.1 ± 4.11 min. Women who received a preoperative telehealth call (
n
= 63) were significantly more prepared for surgery than those who received usual preoperative counseling alone (
n
= 69); 82.5 vs 59.4%,
p
< 0.01). A preoperative telehealth call was associated with greater understanding of surgical alternatives (77.8 vs 59.4%,
p
= 0.03), complications (69.8 vs 47.8%,
p
= 0.01), hospital-based catheter care (54 vs 34.8%,
p
= 0.04) and patient perception that nurses and doctors had spent enough time preparing them for their upcoming surgery (84.1 vs 60.9%,
p
< 0.01). At 4–8 weeks, no differences in postoperative and patient reported outcomes were observed between groups (all
p
> 0.05).
Conclusions
A short preoperative telehealth call improves patient preparedness for urogynecological surgery.</description><subject>Counseling</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Pelvic Floor</subject><subject>Pelvic Organ Prolapse - surgery</subject><subject>Preoperative Care - methods</subject><subject>Surgery</subject><subject>Telemedicine</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kbtuFTEQhi1ERE4CL0CBLNHQLJmxvTcKpCgigBSJBhoay-udzXG0x15sb6Lw9DicEC4FleWZb_65_Iw9R3iNAO1JAsBeVCCwAtVJrG4esQ0qKSsJQj5mG-hlW0nViEN2lNIVACio4Qk7lApEV7f1hn095Zlm2pKZ85Y7nylek88ueJ5D-dtIJhFfTHYlzJdIi4k0ekqJTyHytMZLirdvuOHR-DHs3HcaeY7OzE_ZwWTmRM_u32P25fzd57MP1cWn9x_PTi8qq1qVq8b2SNQY2Q2TtUqAEb0wg5J9A2Oj2lqaYWjQikJjWbhXd9Gur8VkJXajPGZv97rLOuxotGXOaGa9RLcz8VYH4_TfGe-2-jJc6w6VaBCLwKt7gRi-rZSy3rlkaZ6Np7AmLWqJtVRdrwr68h_0KqzRl_V0kWoRVTl5ocSesjGkFGl6GAZB31mn99bpYp3-aZ2-KUUv_lzjoeSXVwWQeyCVlC9X_937P7I_AGH0paw</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Halder, Gabriela E.</creator><creator>White, Amanda B.</creator><creator>Brown, Heidi W.</creator><creator>Caldwell, Lauren</creator><creator>Wright, Michelle L.</creator><creator>Giles, Dobie L.</creator><creator>Heisler, Christine A.</creator><creator>Bilagi, Daksha</creator><creator>Rogers, Rebecca G.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5505-9638</orcidid></search><sort><creationdate>20220101</creationdate><title>A telehealth intervention to increase patient preparedness for surgery: a randomized trial</title><author>Halder, Gabriela E. ; White, Amanda B. ; Brown, Heidi W. ; Caldwell, Lauren ; Wright, Michelle L. ; Giles, Dobie L. ; Heisler, Christine A. ; Bilagi, Daksha ; Rogers, Rebecca G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-6c91ee6a38bfcc420a292ab43960d64753abb61c2474101994d6478952fc318d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Counseling</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Pelvic Floor</topic><topic>Pelvic Organ Prolapse - surgery</topic><topic>Preoperative Care - methods</topic><topic>Surgery</topic><topic>Telemedicine</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Halder, Gabriela E.</creatorcontrib><creatorcontrib>White, Amanda B.</creatorcontrib><creatorcontrib>Brown, Heidi W.</creatorcontrib><creatorcontrib>Caldwell, Lauren</creatorcontrib><creatorcontrib>Wright, Michelle L.</creatorcontrib><creatorcontrib>Giles, Dobie L.</creatorcontrib><creatorcontrib>Heisler, Christine A.</creatorcontrib><creatorcontrib>Bilagi, Daksha</creatorcontrib><creatorcontrib>Rogers, Rebecca G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Halder, Gabriela E.</au><au>White, Amanda B.</au><au>Brown, Heidi W.</au><au>Caldwell, Lauren</au><au>Wright, Michelle L.</au><au>Giles, Dobie L.</au><au>Heisler, Christine A.</au><au>Bilagi, Daksha</au><au>Rogers, Rebecca G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A telehealth intervention to increase patient preparedness for surgery: a randomized trial</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>33</volume><issue>1</issue><spage>85</spage><epage>93</epage><pages>85-93</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
Methods to increase surgical preparedness in urogynecology are lacking. Our objective was to evaluate the impact of a preoperative provider-initiated telehealth call on surgical preparedness.
Methods
This was a multicenter randomized controlled trial. Women undergoing surgery for pelvic organ prolapse and/or stress urinary incontinence were randomized to either a telehealth call 3 (± 2) days before surgery plus usual preoperative counseling versus usual preoperative counseling alone. Our primary outcome was surgical preparedness, as measured by the Preoperative Prepardeness Questionnaire. The Modified Surgical Pain Scale, Pelvic Floor Distress Inventory-20, Patient Global Impressions of Improvement, Patient Global Impressions of Severity, Satisfaction with Decision Scale, Decision Regret Scale, and Clavien–Dindo scores were obtained at 4–8 weeks postoperatively and comparisons were made between groups.
Results
Mean telehealth call time was 11.1 ± 4.11 min. Women who received a preoperative telehealth call (
n
= 63) were significantly more prepared for surgery than those who received usual preoperative counseling alone (
n
= 69); 82.5 vs 59.4%,
p
< 0.01). A preoperative telehealth call was associated with greater understanding of surgical alternatives (77.8 vs 59.4%,
p
= 0.03), complications (69.8 vs 47.8%,
p
= 0.01), hospital-based catheter care (54 vs 34.8%,
p
= 0.04) and patient perception that nurses and doctors had spent enough time preparing them for their upcoming surgery (84.1 vs 60.9%,
p
< 0.01). At 4–8 weeks, no differences in postoperative and patient reported outcomes were observed between groups (all
p
> 0.05).
Conclusions
A short preoperative telehealth call improves patient preparedness for urogynecological surgery.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>34028575</pmid><doi>10.1007/s00192-021-04831-w</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5505-9638</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International Urogynecology Journal, 2022-01, Vol.33 (1), p.85-93 |
| issn | 0937-3462 1433-3023 |
| language | eng |
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| source | Springer Link |
| subjects | Counseling Female Gynecology Humans Medicine Medicine & Public Health Original Original Article Pelvic Floor Pelvic Organ Prolapse - surgery Preoperative Care - methods Surgery Telemedicine Urinary Incontinence, Stress - surgery Urology |
| title | A telehealth intervention to increase patient preparedness for surgery: a randomized trial |
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