Patients' Views on an Education Booklet Following Spinal Surgery

Overview

Journal Eur Spine J

Specialty Orthopedics

Date 2012 Mar 3

PMID 22382727

Citations 6

Authors

A H McGregor

A Henley

T P Morris

C J Dore

Affiliations

Soon will be listed here.

Abstract

Purpose: This study evaluated an evidence-based education booklet developed for patients undergoing spinal surgery which was used as a treatment intervention in a multi-centre, factorial, randomised controlled trial (FASTER: Function after spinal treatment, exercise and rehabilitation) investigating the post-operative management of spinal surgery patients. This study sought to determine the acceptability and content of the booklet to patients.

Methods: Patients receiving the educational booklet before discharge from hospital as part of the FASTER study were asked to complete an evaluation, which rated the booklet "Your Back Operation" with regard to content, information, usability, etc. using forced and open questions. This assessment was conducted at the same time as the initial 6-week post-operative review performed as part of the larger study.

Results: Therefore, 97% of the 117 trial participants who returned their 6-week evaluation and randomised to receive a booklet returned their questionnaire. The booklet was highly rated receiving an overall rating of 7 or more out of 10 from 101/111 (91%), and high ratings for content, readability and information. The booklet's key messages were clear to the majority of patients; however, many patients highlighted deficiencies with respect to content particularly in relation to wound care and exercise.

Conclusions: Patients valued the booklet and rated its content highly. Many suggested that the booklet be developed further and there was a clear desire for specific exercises to be included even though there is no evidence to support specific exercise prescription.

Citing Articles

Post-Arthroscopic Rotator Cuff Repair Rehabilitation Booklet: A Patient-Based Evaluation.

Zhang C, Li Q, Li F, Zhang Y, Tang Y, Hou J Patient Prefer Adherence. 2020; 14:1493-1500.

PMID: 32943847 PMC: 7478374. DOI: 10.2147/PPA.S263645.

Decreasing hospital length of stay following lumbar fusion utilizing multidisciplinary committee meetings involving surgeons and other caretakers.

Shields L, Clark L, Glassman S, Shields C Surg Neurol Int. 2017; 8:5.

PMID: 28217384 PMC: 5288986. DOI: 10.4103/2152-7806.198732.

Increased preoperative knowledge reduces surgery-related anxiety: a randomised clinical trial in 100 spinal stenosis patients.

Kesanen J, Leino-Kilpi H, Lund T, Montin L, Puukka P, Valkeapaa K Eur Spine J. 2017; 26(10):2520-2528.

PMID: 28138781 DOI: 10.1007/s00586-017-4963-4.

Influence of Early Intensive Rehabilitation on Functional Mobility after Low Back Surgery.

Bizheva T, Lubenova D, Maznev I, Grigorova-Petrova K, Dimitrova A, Vasileva D Open Access Maced J Med Sci. 2016; 4(4):661-664.

PMID: 28028409 PMC: 5175517. DOI: 10.3889/oamjms.2016.121.

Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study.

Goodwin P, Wright C, Allan C, Crowther L, Darley C, Heap A BMJ Open. 2015; 5(3):e006069.

PMID: 25762227 PMC: 4360785. DOI: 10.1136/bmjopen-2014-006069.

References

McGregor A, Dicken B, Jamrozik K . National audit of post-operative management in spinal surgery. BMC Musculoskelet Disord. 2006; 7:47. PMC: 1481518. DOI: 10.1186/1471-2474-7-47. View

Entwistle V, Watt I . Disseminating information about healthcare effectiveness: a survey of consumer health information services. Qual Health Care. 1998; 7(3):124-9. PMC: 2483600. DOI: 10.1136/qshc.7.3.124. View

Aujoulat I, Luminet O, Deccache A . The perspective of patients on their experience of powerlessness. Qual Health Res. 2007; 17(6):772-85. DOI: 10.1177/1049732307302665. View

Helliwell P, Ohara M, Holdsworth J, Hesselden A, King T, Evans P . A 12-month randomized controlled trial of patient education on radiographic changes and quality of life in early rheumatoid arthritis. Rheumatology (Oxford). 1999; 38(4):303-8. DOI: 10.1093/rheumatology/38.4.303. View

Flacker J, Park W, Sims A . Hospital discharge information and older patients: do they get what they need?. J Hosp Med. 2007; 2(5):291-6. DOI: 10.1002/jhm.166. View

Bodenheimer T, Lorig K, Holman H, Grumbach K . Patient self-management of chronic disease in primary care. JAMA. 2002; 288(19):2469-75. DOI: 10.1001/jama.288.19.2469. View

Roter D, Rudd R . Current perspectives on patient education in the US. Patient Educ Couns. 2001; 44(1):79-86. DOI: 10.1016/s0738-3991(01)00108-2. View

Worth A, Tierney A, Watson N . Discharged from hospital: should more responsibility for meeting patients' and carers' information needs now be shouldered in the community?. Health Soc Care Community. 2001; 8(6):398-405. DOI: 10.1046/j.1365-2524.2000.00265.x. View

Yee A, Adjei N, Do J, Ford M, Finkelstein J . Do patient expectations of spinal surgery relate to functional outcome?. Clin Orthop Relat Res. 2008; 466(5):1154-61. PMC: 2311462. DOI: 10.1007/s11999-008-0194-7. View

10.

Engers A, Jellema P, Wensing M, van der Windt D, Grol R, van Tulder M . Individual patient education for low back pain. Cochrane Database Syst Rev. 2008; (1):CD004057. PMC: 6999124. DOI: 10.1002/14651858.CD004057.pub3. View

11.

Turner J, Ersek M, Herron L, Deyo R . Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature. Spine (Phila Pa 1976). 1992; 17(1):1-8. DOI: 10.1097/00007632-199201000-00001. View

12.

McGregor A, Burton A, Sell P, Waddell G . The development of an evidence-based patient booklet for patients undergoing lumbar discectomy and un-instrumented decompression. Eur Spine J. 2006; 16(3):339-46. PMC: 2200695. DOI: 10.1007/s00586-006-0141-9. View

13.

Blackstock F, Webster K . Disease-specific health education for COPD: a systematic review of changes in health outcomes. Health Educ Res. 2006; 22(5):703-17. DOI: 10.1093/her/cyl150. View

14.

McGregor A, Hughes S . The evaluation of the surgical management of nerve root compression in patients with low back pain: Part 1: the assessment of outcome. Spine (Phila Pa 1976). 2002; 27(13):1465-70. DOI: 10.1097/00007632-200207010-00018. View

15.

Morris S, Morris T, McGregor A, Dore C, Jamrozik K . Function after spinal treatment, exercise, and rehabilitation: cost-effectiveness analysis based on a randomized controlled trial. Spine (Phila Pa 1976). 2011; 36(21):1807-14. DOI: 10.1097/BRS.0b013e31821cba1f. View

16.

Atlas S, Keller R, Wu Y, Deyo R, Singer D . Long-term outcomes of surgical and nonsurgical management of lumbar spinal stenosis: 8 to 10 year results from the maine lumbar spine study. Spine (Phila Pa 1976). 2005; 30(8):936-43. DOI: 10.1097/01.brs.0000158953.57966.c0. View

17.

Thomas K, Fisher C, Boyd M, Bishop P, Wing P, Dvorak M . Outcome evaluation of surgical and nonsurgical management of lumbar disc protrusion causing radiculopathy. Spine (Phila Pa 1976). 2007; 32(13):1414-22. DOI: 10.1097/BRS.0b013e318060a5d1. View

18.

Barlow J . How to use education as an intervention in osteoarthritis. Best Pract Res Clin Rheumatol. 2001; 15(4):545-58. DOI: 10.1053/berh.2001.0172. View

19.

Solberg T, Nygaard O, Sjaavik K, Hofoss D, Ingebrigtsen T . The risk of "getting worse" after lumbar microdiscectomy. Eur Spine J. 2004; 14(1):49-54. PMC: 3476683. DOI: 10.1007/s00586-004-0721-5. View

20.

BARTLETT E . How can patient education contribute to improved health care under prospective pricing?. Health Policy. 1985; 6(3):283-94. DOI: 10.1016/0168-8510(86)90038-2. View