Electronic Health Program to Empower Patients in Returning to Normal Activities After General Surgical and Gynecological Procedures: Intervention Mapping as a Useful Method for Further Development

Support for guiding and monitoring postoperative recovery and resumption of activities is usually not provided to patients after discharge from the hospital. Therefore, a perioperative electronic health (eHealth) intervention ("ikherstel" intervention or "I recover" intervention)...

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Veröffentlicht in:Journal of medical Internet research 2019-02, Vol.21 (2), p.e9938-e9938
Hauptverfasser: den Bakker, Chantal M, Schaafsma, Frederieke G, van der Meij, Eva, Meijerink, Wilhelmus Jhj, van den Heuvel, Baukje, Baan, Astrid H, Davids, Paul Hp, Scholten, Petrus C, van der Meij, Suzan, van Baal, W Marchien, van Dalsen, Annette D, Lips, Daniel J, van der Steeg, Jan Willem, Leclercq, Wouter Kg, Geomini, Peggy Maj, Consten, Esther Cj, Schraffordt Koops, Steven E, de Castro, Steve Mm, van Kesteren, Paul Jm, Cense, Huib A, Stockmann, Hein Bac, Ten Cate, A Dorien, Bonjer, Hendrik J, Huirne, Judith Af, Anema, Johannes R
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container_issue 2
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container_title Journal of medical Internet research
container_volume 21
creator den Bakker, Chantal M
Schaafsma, Frederieke G
van der Meij, Eva
Meijerink, Wilhelmus Jhj
van den Heuvel, Baukje
Baan, Astrid H
Davids, Paul Hp
Scholten, Petrus C
van der Meij, Suzan
van Baal, W Marchien
van Dalsen, Annette D
Lips, Daniel J
van der Steeg, Jan Willem
Leclercq, Wouter Kg
Geomini, Peggy Maj
Consten, Esther Cj
Schraffordt Koops, Steven E
de Castro, Steve Mm
van Kesteren, Paul Jm
Cense, Huib A
Stockmann, Hein Bac
Ten Cate, A Dorien
Bonjer, Hendrik J
Huirne, Judith Af
Anema, Johannes R
description Support for guiding and monitoring postoperative recovery and resumption of activities is usually not provided to patients after discharge from the hospital. Therefore, a perioperative electronic health (eHealth) intervention ("ikherstel" intervention or "I recover" intervention) was developed to empower gynecological patients during the perioperative period. This eHealth intervention requires a need for further development for patients who will undergo various types of general surgical and gynecological procedures. This study aimed to further develop the "ikherstel" eHealth intervention using Intervention Mapping (IM) to fit a broader patient population. The IM protocol was used to guide further development of the "ikherstel" intervention. First, patients' needs were identified using (1) the information of a process evaluation of the earlier performed "ikherstel" study, (2) a review of the literature, (3) a survey study, and (4) focus group discussions (FGDs) among stakeholders. Next, program outcomes and change objectives were defined. Third, behavior change theories and practical tools were selected for the intervention program. Finally, an implementation and evaluation plan was developed. The outcome for an eHealth intervention tool for patients recovering from abdominal general surgical and gynecological procedures was redefined as "achieving earlier recovery including return to normal activities and work." The Attitude-Social Influence-Self-Efficacy model was used as a theoretical framework to transform personal and external determinants into change objectives of personal behavior. The knowledge gathered by needs assessment and using the theoretical framework in the preparatory steps of the IM protocol resulted in additional tools. A mobile app, an activity tracker, and an electronic consultation (eConsult) will be incorporated in the further developed eHealth intervention. This intervention will be evaluated in a multicenter, single-blinded randomized controlled trial with 18 departments in 11 participating hospitals in the Netherlands. The intervention is extended to patients undergoing general surgical procedures and for malignant indications. New intervention tools such as a mobile app, an activity tracker, and an eConsult were developed. Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5686.
doi_str_mv 10.2196/jmir.9938
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Therefore, a perioperative electronic health (eHealth) intervention ("ikherstel" intervention or "I recover" intervention) was developed to empower gynecological patients during the perioperative period. This eHealth intervention requires a need for further development for patients who will undergo various types of general surgical and gynecological procedures. This study aimed to further develop the "ikherstel" eHealth intervention using Intervention Mapping (IM) to fit a broader patient population. The IM protocol was used to guide further development of the "ikherstel" intervention. First, patients' needs were identified using (1) the information of a process evaluation of the earlier performed "ikherstel" study, (2) a review of the literature, (3) a survey study, and (4) focus group discussions (FGDs) among stakeholders. Next, program outcomes and change objectives were defined. Third, behavior change theories and practical tools were selected for the intervention program. Finally, an implementation and evaluation plan was developed. The outcome for an eHealth intervention tool for patients recovering from abdominal general surgical and gynecological procedures was redefined as "achieving earlier recovery including return to normal activities and work." The Attitude-Social Influence-Self-Efficacy model was used as a theoretical framework to transform personal and external determinants into change objectives of personal behavior. The knowledge gathered by needs assessment and using the theoretical framework in the preparatory steps of the IM protocol resulted in additional tools. A mobile app, an activity tracker, and an electronic consultation (eConsult) will be incorporated in the further developed eHealth intervention. This intervention will be evaluated in a multicenter, single-blinded randomized controlled trial with 18 departments in 11 participating hospitals in the Netherlands. The intervention is extended to patients undergoing general surgical procedures and for malignant indications. New intervention tools such as a mobile app, an activity tracker, and an eConsult were developed. Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5686.</description><identifier>ISSN: 1438-8871</identifier><identifier>ISSN: 1439-4456</identifier><identifier>EISSN: 1438-8871</identifier><identifier>DOI: 10.2196/jmir.9938</identifier><identifier>PMID: 30724740</identifier><language>eng</language><publisher>Canada: Journal of Medical Internet Research</publisher><subject>Abdomen ; Behavior change ; Cancer therapies ; Cholecystectomy ; Clinical trials ; Electronics ; Empowerment ; Evaluation ; Female ; Focus groups ; Gynecologic Surgical Procedures - instrumentation ; Gynecologic Surgical Procedures - methods ; Gynecology ; Health education ; Health Promotion - methods ; Hernias ; Hospitals ; Humans ; Hysterectomy ; Influence ; Intervention ; Laparoscopy ; Literature reviews ; Malignant ; Mapping ; Methods ; Needs assessment ; Netherlands ; Objectives ; Original Paper ; Patient Reported Outcome Measures ; Patients ; Perioperative care ; Recovery ; Recovery (Medical) ; Self-efficacy ; Sick leave ; Surgery ; Teaching hospitals ; Telemedicine - methods</subject><ispartof>Journal of medical Internet research, 2019-02, Vol.21 (2), p.e9938-e9938</ispartof><rights>Chantal M den Bakker, Frederieke G Schaafsma, Eva van der Meij, Wilhelmus JHJ Meijerink, Baukje van den Heuvel, Astrid H Baan, Paul HP Davids, Petrus C Scholten, Suzan van der Meij, W Marchien van Baal, Annette D van Dalsen, Daniel J Lips, Jan Willem van der Steeg, Wouter KG Leclercq, Peggy MAJ Geomini, Esther CJ Consten, Steven E Schraffordt Koops, Steve MM de Castro, Paul JM van Kesteren, Huib A Cense, Hein BAC Stockmann, A Dorien ten Cate, Hendrik J Bonjer, Judith AF Huirne, Johannes R Anema. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 06.02.2019.</rights><rights>COPYRIGHT 2019 Journal of Medical Internet Research</rights><rights>2019. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Chantal M den Bakker, Frederieke G Schaafsma, Eva van der Meij, Wilhelmus JHJ Meijerink, Baukje van den Heuvel, Astrid H Baan, Paul HP Davids, Petrus C Scholten, Suzan van der Meij, W Marchien van Baal, Annette D van Dalsen, Daniel J Lips, Jan Willem van der Steeg, Wouter KG Leclercq, Peggy MAJ Geomini, Esther CJ Consten, Steven E Schraffordt Koops, Steve MM de Castro, Paul JM van Kesteren, Huib A Cense, Hein BAC Stockmann, A Dorien ten Cate, Hendrik J Bonjer, Judith AF Huirne, Johannes R Anema. 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Therefore, a perioperative electronic health (eHealth) intervention ("ikherstel" intervention or "I recover" intervention) was developed to empower gynecological patients during the perioperative period. This eHealth intervention requires a need for further development for patients who will undergo various types of general surgical and gynecological procedures. This study aimed to further develop the "ikherstel" eHealth intervention using Intervention Mapping (IM) to fit a broader patient population. The IM protocol was used to guide further development of the "ikherstel" intervention. First, patients' needs were identified using (1) the information of a process evaluation of the earlier performed "ikherstel" study, (2) a review of the literature, (3) a survey study, and (4) focus group discussions (FGDs) among stakeholders. Next, program outcomes and change objectives were defined. Third, behavior change theories and practical tools were selected for the intervention program. Finally, an implementation and evaluation plan was developed. The outcome for an eHealth intervention tool for patients recovering from abdominal general surgical and gynecological procedures was redefined as "achieving earlier recovery including return to normal activities and work." The Attitude-Social Influence-Self-Efficacy model was used as a theoretical framework to transform personal and external determinants into change objectives of personal behavior. The knowledge gathered by needs assessment and using the theoretical framework in the preparatory steps of the IM protocol resulted in additional tools. A mobile app, an activity tracker, and an electronic consultation (eConsult) will be incorporated in the further developed eHealth intervention. This intervention will be evaluated in a multicenter, single-blinded randomized controlled trial with 18 departments in 11 participating hospitals in the Netherlands. The intervention is extended to patients undergoing general surgical procedures and for malignant indications. New intervention tools such as a mobile app, an activity tracker, and an eConsult were developed. Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5686.</description><subject>Abdomen</subject><subject>Behavior change</subject><subject>Cancer therapies</subject><subject>Cholecystectomy</subject><subject>Clinical trials</subject><subject>Electronics</subject><subject>Empowerment</subject><subject>Evaluation</subject><subject>Female</subject><subject>Focus groups</subject><subject>Gynecologic Surgical Procedures - instrumentation</subject><subject>Gynecologic Surgical Procedures - methods</subject><subject>Gynecology</subject><subject>Health education</subject><subject>Health Promotion - methods</subject><subject>Hernias</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Influence</subject><subject>Intervention</subject><subject>Laparoscopy</subject><subject>Literature reviews</subject><subject>Malignant</subject><subject>Mapping</subject><subject>Methods</subject><subject>Needs assessment</subject><subject>Netherlands</subject><subject>Objectives</subject><subject>Original Paper</subject><subject>Patient Reported Outcome Measures</subject><subject>Patients</subject><subject>Perioperative care</subject><subject>Recovery</subject><subject>Recovery (Medical)</subject><subject>Self-efficacy</subject><subject>Sick leave</subject><subject>Surgery</subject><subject>Teaching hospitals</subject><subject>Telemedicine - 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Health Program to Empower Patients in Returning to Normal Activities After General Surgical and Gynecological Procedures: Intervention Mapping as a Useful Method for Further Development</title><author>den Bakker, Chantal M ; Schaafsma, Frederieke G ; van der Meij, Eva ; Meijerink, Wilhelmus Jhj ; van den Heuvel, Baukje ; Baan, Astrid H ; Davids, Paul Hp ; Scholten, Petrus C ; van der Meij, Suzan ; van Baal, W Marchien ; van Dalsen, Annette D ; Lips, Daniel J ; van der Steeg, Jan Willem ; Leclercq, Wouter Kg ; Geomini, Peggy Maj ; Consten, Esther Cj ; Schraffordt Koops, Steven E ; de Castro, Steve Mm ; van Kesteren, Paul Jm ; Cense, Huib A ; Stockmann, Hein Bac ; Ten Cate, A Dorien ; Bonjer, Hendrik J ; Huirne, Judith Af ; Anema, Johannes R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-baaaa9f49e5ef86fbd5145312c399611251b8d3906ba7e2405534adeee4b7ce93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abdomen</topic><topic>Behavior change</topic><topic>Cancer therapies</topic><topic>Cholecystectomy</topic><topic>Clinical trials</topic><topic>Electronics</topic><topic>Empowerment</topic><topic>Evaluation</topic><topic>Female</topic><topic>Focus groups</topic><topic>Gynecologic Surgical Procedures - instrumentation</topic><topic>Gynecologic Surgical Procedures - methods</topic><topic>Gynecology</topic><topic>Health education</topic><topic>Health Promotion - methods</topic><topic>Hernias</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Influence</topic><topic>Intervention</topic><topic>Laparoscopy</topic><topic>Literature reviews</topic><topic>Malignant</topic><topic>Mapping</topic><topic>Methods</topic><topic>Needs assessment</topic><topic>Netherlands</topic><topic>Objectives</topic><topic>Original Paper</topic><topic>Patient Reported Outcome Measures</topic><topic>Patients</topic><topic>Perioperative care</topic><topic>Recovery</topic><topic>Recovery (Medical)</topic><topic>Self-efficacy</topic><topic>Sick leave</topic><topic>Surgery</topic><topic>Teaching hospitals</topic><topic>Telemedicine - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>den Bakker, Chantal M</creatorcontrib><creatorcontrib>Schaafsma, Frederieke G</creatorcontrib><creatorcontrib>van der Meij, Eva</creatorcontrib><creatorcontrib>Meijerink, Wilhelmus Jhj</creatorcontrib><creatorcontrib>van den Heuvel, Baukje</creatorcontrib><creatorcontrib>Baan, Astrid H</creatorcontrib><creatorcontrib>Davids, Paul Hp</creatorcontrib><creatorcontrib>Scholten, Petrus C</creatorcontrib><creatorcontrib>van der Meij, Suzan</creatorcontrib><creatorcontrib>van Baal, W Marchien</creatorcontrib><creatorcontrib>van Dalsen, Annette D</creatorcontrib><creatorcontrib>Lips, Daniel J</creatorcontrib><creatorcontrib>van der Steeg, Jan Willem</creatorcontrib><creatorcontrib>Leclercq, Wouter Kg</creatorcontrib><creatorcontrib>Geomini, Peggy Maj</creatorcontrib><creatorcontrib>Consten, Esther Cj</creatorcontrib><creatorcontrib>Schraffordt Koops, Steven E</creatorcontrib><creatorcontrib>de Castro, Steve Mm</creatorcontrib><creatorcontrib>van Kesteren, Paul Jm</creatorcontrib><creatorcontrib>Cense, Huib A</creatorcontrib><creatorcontrib>Stockmann, Hein Bac</creatorcontrib><creatorcontrib>Ten Cate, A Dorien</creatorcontrib><creatorcontrib>Bonjer, Hendrik J</creatorcontrib><creatorcontrib>Huirne, Judith Af</creatorcontrib><creatorcontrib>Anema, Johannes R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE 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Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of medical Internet research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>den Bakker, Chantal M</au><au>Schaafsma, Frederieke G</au><au>van der Meij, Eva</au><au>Meijerink, Wilhelmus Jhj</au><au>van den Heuvel, Baukje</au><au>Baan, Astrid H</au><au>Davids, Paul Hp</au><au>Scholten, Petrus C</au><au>van der Meij, Suzan</au><au>van Baal, W Marchien</au><au>van Dalsen, Annette D</au><au>Lips, Daniel J</au><au>van der Steeg, Jan Willem</au><au>Leclercq, Wouter Kg</au><au>Geomini, Peggy Maj</au><au>Consten, Esther Cj</au><au>Schraffordt Koops, Steven E</au><au>de Castro, Steve Mm</au><au>van Kesteren, Paul Jm</au><au>Cense, Huib A</au><au>Stockmann, Hein Bac</au><au>Ten Cate, A Dorien</au><au>Bonjer, Hendrik J</au><au>Huirne, Judith Af</au><au>Anema, Johannes R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electronic Health Program to Empower Patients in Returning to Normal Activities After General Surgical and Gynecological Procedures: Intervention Mapping as a Useful Method for Further Development</atitle><jtitle>Journal of medical Internet research</jtitle><addtitle>J Med Internet Res</addtitle><date>2019-02-06</date><risdate>2019</risdate><volume>21</volume><issue>2</issue><spage>e9938</spage><epage>e9938</epage><pages>e9938-e9938</pages><issn>1438-8871</issn><issn>1439-4456</issn><eissn>1438-8871</eissn><abstract>Support for guiding and monitoring postoperative recovery and resumption of activities is usually not provided to patients after discharge from the hospital. Therefore, a perioperative electronic health (eHealth) intervention ("ikherstel" intervention or "I recover" intervention) was developed to empower gynecological patients during the perioperative period. This eHealth intervention requires a need for further development for patients who will undergo various types of general surgical and gynecological procedures. This study aimed to further develop the "ikherstel" eHealth intervention using Intervention Mapping (IM) to fit a broader patient population. The IM protocol was used to guide further development of the "ikherstel" intervention. First, patients' needs were identified using (1) the information of a process evaluation of the earlier performed "ikherstel" study, (2) a review of the literature, (3) a survey study, and (4) focus group discussions (FGDs) among stakeholders. Next, program outcomes and change objectives were defined. Third, behavior change theories and practical tools were selected for the intervention program. Finally, an implementation and evaluation plan was developed. The outcome for an eHealth intervention tool for patients recovering from abdominal general surgical and gynecological procedures was redefined as "achieving earlier recovery including return to normal activities and work." The Attitude-Social Influence-Self-Efficacy model was used as a theoretical framework to transform personal and external determinants into change objectives of personal behavior. The knowledge gathered by needs assessment and using the theoretical framework in the preparatory steps of the IM protocol resulted in additional tools. A mobile app, an activity tracker, and an electronic consultation (eConsult) will be incorporated in the further developed eHealth intervention. This intervention will be evaluated in a multicenter, single-blinded randomized controlled trial with 18 departments in 11 participating hospitals in the Netherlands. The intervention is extended to patients undergoing general surgical procedures and for malignant indications. New intervention tools such as a mobile app, an activity tracker, and an eConsult were developed. Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5686.</abstract><cop>Canada</cop><pub>Journal of Medical Internet Research</pub><pmid>30724740</pmid><doi>10.2196/jmir.9938</doi><orcidid>https://orcid.org/0000-0002-2228-517X</orcidid><orcidid>https://orcid.org/0000-0003-1621-2043</orcidid><orcidid>https://orcid.org/0000-0002-6059-5240</orcidid><orcidid>https://orcid.org/0000-0002-4094-4941</orcidid><orcidid>https://orcid.org/0000-0002-9787-8228</orcidid><orcidid>https://orcid.org/0000-0002-1533-9432</orcidid><orcidid>https://orcid.org/0000-0002-0887-7304</orcidid><orcidid>https://orcid.org/0000-0003-0301-0389</orcidid><orcidid>https://orcid.org/0000-0003-1159-1857</orcidid><orcidid>https://orcid.org/0000-0002-7504-4468</orcidid><orcidid>https://orcid.org/0000-0001-8657-0917</orcidid><orcidid>https://orcid.org/0000-0001-7491-0910</orcidid><orcidid>https://orcid.org/0000-0001-5827-7000</orcidid><orcidid>https://orcid.org/0000-0002-9124-3483</orcidid><orcidid>https://orcid.org/0000-0002-5402-0811</orcidid><orcidid>https://orcid.org/0000-0002-8248-2677</orcidid><orcidid>https://orcid.org/0000-0001-5356-4801</orcidid><orcidid>https://orcid.org/0000-0001-7234-9365</orcidid><orcidid>https://orcid.org/0000-0002-1951-1076</orcidid><orcidid>https://orcid.org/0000-0001-5390-292X</orcidid><orcidid>https://orcid.org/0000-0001-7245-1714</orcidid><orcidid>https://orcid.org/0000-0002-9447-8181</orcidid><orcidid>https://orcid.org/0000-0002-0545-2714</orcidid><orcidid>https://orcid.org/0000-0001-5111-3951</orcidid><orcidid>https://orcid.org/0000-0002-4905-1867</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abdomen
Behavior change
Cancer therapies
Cholecystectomy
Clinical trials
Electronics
Empowerment
Evaluation
Female
Focus groups
Gynecologic Surgical Procedures - instrumentation
Gynecologic Surgical Procedures - methods
Gynecology
Health education
Health Promotion - methods
Hernias
Hospitals
Humans
Hysterectomy
Influence
Intervention
Laparoscopy
Literature reviews
Malignant
Mapping
Methods
Needs assessment
Netherlands
Objectives
Original Paper
Patient Reported Outcome Measures
Patients
Perioperative care
Recovery
Recovery (Medical)
Self-efficacy
Sick leave
Surgery
Teaching hospitals
Telemedicine - methods
title Electronic Health Program to Empower Patients in Returning to Normal Activities After General Surgical and Gynecological Procedures: Intervention Mapping as a Useful Method for Further Development
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