Balancing clinician and patient priorities for total shoulder replacement preoperative education programs. (July 2023)

• Record Type: Journal Article
• Authors: Furtado, Rochelle; MacDermid, Joy C.; Bryant, Dianne; Faber, Kenneth J.; Drosdowech, Darren S.; Athwal, George S.
• Is Part Of: Patient education and counseling. Volume 112(2023)
• Publication Date: 2023-07
• Subjects: Patient education -- Shoulder replacement -- Preoperative -- Patient -- Programs; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2023.107759
• Languages: English
• ISSNs: 0738-3991

Abstract

Abstract: Objective: To investigate patient and clinician preferences regarding a preoperative educational program for patients undergoing shoulder replacement surgery. Methods: This study used a cross-sectional survey of patients awaiting shoulder replacement surgery and clinicians. The survey was comprised of 41 questions for patients and clinicians, regarding preferences for receiving information, content preferences and device preferences. Descriptive statistics were reported for survey questions. Results: 180 patients and 175 clinicians completed the survey. Patients and clinicians' top choices for ways to receive information were: in-person, website and booklets, with use of CD/DVD being extremely unlikely. Patients and clinicians had different preferences regarding content choices. Patients rated the following content topics as important to include in a program: including other patient's previous experiences with this surgery (83 % patients; 40 % clinicians), information for caregivers (84 % patients; 65 % clinicians), expectations for hospital stay (89 % patients; 57 % clinicians), process of anesthesia (87 % patients; 51 % clinicians), and how the surgery is performed (94 % patients; 60 % clinicians). Conclusions: Clinicians and patients have differing priorities and perspectives on the content and delivery of preoperative education programs, however, therapeutic goals and accessibility should be considered when designing programs. Practice Implications: Creating education programs should include the lens of both clinicians and patients. Highlights: We cannot generalize programs between lower limb replacements and shoulder replacements. Patient and clinician priorities must be included as recovery will be seen differently through their differing perspectives. Our study highlights that a multimedia program of both online education and a physical workbook can increase accessibility to all users.