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Mobile health supported multi-domain recovery trajectories after major arthroplasty or spine surgery: a pilot feasibility and usability study

BACKGROUND: Recovery after surgery intersects physical, psychological, and social domains. In this study we aim to assess the feasibility and usability of a mobile health application called PositiveTrends to track recovery in these domains amongst participants undergoing hip, knee arthroplasty or sp...

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Autores principales: Naik, Bhiken I., Durieux, Marcel E., Dillingham, Rebecca, Waldman, Ava Lena, Holstege, Margaret, Arbab, Zunaira, Tsang, Siny, Cui, Quanjun, Li, Xudong Joshua, Singla, Anuj, Yen, Chun-Po, Dunn, Lauren K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557197/
https://www.ncbi.nlm.nih.gov/pubmed/37803365
http://dx.doi.org/10.1186/s12891-023-06928-3
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author Naik, Bhiken I.
Durieux, Marcel E.
Dillingham, Rebecca
Waldman, Ava Lena
Holstege, Margaret
Arbab, Zunaira
Tsang, Siny
Cui, Quanjun
Li, Xudong Joshua
Singla, Anuj
Yen, Chun-Po
Dunn, Lauren K.
author_facet Naik, Bhiken I.
Durieux, Marcel E.
Dillingham, Rebecca
Waldman, Ava Lena
Holstege, Margaret
Arbab, Zunaira
Tsang, Siny
Cui, Quanjun
Li, Xudong Joshua
Singla, Anuj
Yen, Chun-Po
Dunn, Lauren K.
author_sort Naik, Bhiken I.
collection PubMed
description BACKGROUND: Recovery after surgery intersects physical, psychological, and social domains. In this study we aim to assess the feasibility and usability of a mobile health application called PositiveTrends to track recovery in these domains amongst participants undergoing hip, knee arthroplasty or spine surgery. Our secondary aim was to generate procedure-specific, recovery trajectories within the pain and medication, psycho-social and patient-reported outcomes domain. METHODS: Prospective, observational study in participants greater than eighteen years of age. Data was collected prior to and up to one hundred and eighty days after completion of surgery within the three domains using PositiveTrends. Feasibility was assessed using participant response rates from the PositiveTrends app. Usability was assessed quantitatively using the System Usability Scale. Heat maps and effect plots were used to visualize multi-domain recovery trajectories. Generalized linear mixed effects models were used to estimate the change in the outcomes over time. RESULTS: Forty-two participants were enrolled over a four-month recruitment period. Proportion of app responses was highest for participants who underwent spine surgery (median = 78, range = 36–100), followed by those who underwent knee arthroplasty (median = 72, range = 12–100), and hip arthroplasty (median = 62, range = 12–98). System Usability Scale mean score was 82 ± 16 at 180 days postoperatively. Function improved by 8 and 6.4 points per month after hip and knee arthroplasty, respectively. In spine participants, the Oswestry Disability Index decreased by 1.4 points per month. Mood improved in all three cohorts, however stress levels remained elevated in spine participants. Pain decreased by 0.16 (95% Confidence Interval: 0.13–0.20, p < 0.001), 0.25 (95% CI: 0.21–0.28, p < 0.001) and 0.14 (95% CI: 0.12–0.15, p < 0.001) points per month in hip, knee, and spine cohorts respectively. There was a 10.9-to-40.3-fold increase in the probability of using no medication for each month postoperatively. CONCLUSIONS: In this study, we demonstrate the feasibility and usability of PositiveTrends, which can map and track multi-domain recovery trajectories after major arthroplasty or spine surgery.
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spelling pubmed-105571972023-10-07 Mobile health supported multi-domain recovery trajectories after major arthroplasty or spine surgery: a pilot feasibility and usability study Naik, Bhiken I. Durieux, Marcel E. Dillingham, Rebecca Waldman, Ava Lena Holstege, Margaret Arbab, Zunaira Tsang, Siny Cui, Quanjun Li, Xudong Joshua Singla, Anuj Yen, Chun-Po Dunn, Lauren K. BMC Musculoskelet Disord Research BACKGROUND: Recovery after surgery intersects physical, psychological, and social domains. In this study we aim to assess the feasibility and usability of a mobile health application called PositiveTrends to track recovery in these domains amongst participants undergoing hip, knee arthroplasty or spine surgery. Our secondary aim was to generate procedure-specific, recovery trajectories within the pain and medication, psycho-social and patient-reported outcomes domain. METHODS: Prospective, observational study in participants greater than eighteen years of age. Data was collected prior to and up to one hundred and eighty days after completion of surgery within the three domains using PositiveTrends. Feasibility was assessed using participant response rates from the PositiveTrends app. Usability was assessed quantitatively using the System Usability Scale. Heat maps and effect plots were used to visualize multi-domain recovery trajectories. Generalized linear mixed effects models were used to estimate the change in the outcomes over time. RESULTS: Forty-two participants were enrolled over a four-month recruitment period. Proportion of app responses was highest for participants who underwent spine surgery (median = 78, range = 36–100), followed by those who underwent knee arthroplasty (median = 72, range = 12–100), and hip arthroplasty (median = 62, range = 12–98). System Usability Scale mean score was 82 ± 16 at 180 days postoperatively. Function improved by 8 and 6.4 points per month after hip and knee arthroplasty, respectively. In spine participants, the Oswestry Disability Index decreased by 1.4 points per month. Mood improved in all three cohorts, however stress levels remained elevated in spine participants. Pain decreased by 0.16 (95% Confidence Interval: 0.13–0.20, p < 0.001), 0.25 (95% CI: 0.21–0.28, p < 0.001) and 0.14 (95% CI: 0.12–0.15, p < 0.001) points per month in hip, knee, and spine cohorts respectively. There was a 10.9-to-40.3-fold increase in the probability of using no medication for each month postoperatively. CONCLUSIONS: In this study, we demonstrate the feasibility and usability of PositiveTrends, which can map and track multi-domain recovery trajectories after major arthroplasty or spine surgery. BioMed Central 2023-10-06 /pmc/articles/PMC10557197/ /pubmed/37803365 http://dx.doi.org/10.1186/s12891-023-06928-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Naik, Bhiken I.
Durieux, Marcel E.
Dillingham, Rebecca
Waldman, Ava Lena
Holstege, Margaret
Arbab, Zunaira
Tsang, Siny
Cui, Quanjun
Li, Xudong Joshua
Singla, Anuj
Yen, Chun-Po
Dunn, Lauren K.
Mobile health supported multi-domain recovery trajectories after major arthroplasty or spine surgery: a pilot feasibility and usability study
title Mobile health supported multi-domain recovery trajectories after major arthroplasty or spine surgery: a pilot feasibility and usability study
title_full Mobile health supported multi-domain recovery trajectories after major arthroplasty or spine surgery: a pilot feasibility and usability study
title_fullStr Mobile health supported multi-domain recovery trajectories after major arthroplasty or spine surgery: a pilot feasibility and usability study
title_full_unstemmed Mobile health supported multi-domain recovery trajectories after major arthroplasty or spine surgery: a pilot feasibility and usability study
title_short Mobile health supported multi-domain recovery trajectories after major arthroplasty or spine surgery: a pilot feasibility and usability study
title_sort mobile health supported multi-domain recovery trajectories after major arthroplasty or spine surgery: a pilot feasibility and usability study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557197/
https://www.ncbi.nlm.nih.gov/pubmed/37803365
http://dx.doi.org/10.1186/s12891-023-06928-3
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