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A Social Media–Promoted Educational Community of Joint Replacement Patients Using the WeChat App: Survey Study

BACKGROUND: Much effort has been made to optimize the results of total hip arthroplasty and total knee arthroplasty. With the rapid growth of social media use, mobile apps, such as WeChat, have been considered for improving outcomes and patient satisfaction after total hip arthroplasty and total kne...

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Autores principales: Zhang, Xianzuo, Chen, Xiaoxuan, Kourkoumelis, Nikolaos, Gao, Ran, Li, Guoyuan, Zhu, Chen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088850/
https://www.ncbi.nlm.nih.gov/pubmed/33734094
http://dx.doi.org/10.2196/18763
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author Zhang, Xianzuo
Chen, Xiaoxuan
Kourkoumelis, Nikolaos
Gao, Ran
Li, Guoyuan
Zhu, Chen
author_facet Zhang, Xianzuo
Chen, Xiaoxuan
Kourkoumelis, Nikolaos
Gao, Ran
Li, Guoyuan
Zhu, Chen
author_sort Zhang, Xianzuo
collection PubMed
description BACKGROUND: Much effort has been made to optimize the results of total hip arthroplasty and total knee arthroplasty. With the rapid growth of social media use, mobile apps, such as WeChat, have been considered for improving outcomes and patient satisfaction after total hip arthroplasty and total knee arthroplasty. OBJECTIVE: We aimed to evaluate the effectiveness of a WeChat-based community as an intervention for overall patient satisfaction. METHODS: The study was conducted among discharged in-hospital patients who received hip or knee procedures in the First Affiliated Hospital of the University of Science and Technology of China from April 2019 to January 2020. An educational online social community was constructed with the WeChat app. Participants willing to join the community were enrolled in a WeChat group and received 3 months of intervention and follow-up. Those who were not willing to use the account were included in a control group and received routine publicity via telephone, mail, and brochures. The Danish Health and Medicine Authority patient satisfaction questionnaire was used to score perioperative patient education and overall satisfaction. The contents in the group chat were analyzed using natural language processing tools. RESULTS: A total of 3428 patients were enrolled in the study, including 2292 in the WeChat group and 1236 in the control group. Participants in the WeChat group had higher overall satisfaction scores than those in the control group (mean 8.48, SD 1.12 vs mean 6.66, SD 1.80, P<.001). The difference between the two groups was significant for primary surgery based on subgroup stratification. To control confounding factors and explore the effects of WeChat participation as a mediating variable between perioperative patient education and overall satisfaction, hierarchical regression was utilized. An interpatient interaction model was found in the community group chat, and it contributed to overall satisfaction. Patients in the group with more interpatient interactions were more likely to have better overall satisfaction. CONCLUSIONS: The social media–promoted educational community using WeChat was effective among joint replacement patients. Provision of more perioperative education is associated with more active patient participation in the community and therefore more patient satisfaction in terms of the overall joint procedure. Community group chat could facilitate interactions among patients and contribute to overall satisfaction.
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spelling pubmed-80888502021-05-07 A Social Media–Promoted Educational Community of Joint Replacement Patients Using the WeChat App: Survey Study Zhang, Xianzuo Chen, Xiaoxuan Kourkoumelis, Nikolaos Gao, Ran Li, Guoyuan Zhu, Chen JMIR Mhealth Uhealth Original Paper BACKGROUND: Much effort has been made to optimize the results of total hip arthroplasty and total knee arthroplasty. With the rapid growth of social media use, mobile apps, such as WeChat, have been considered for improving outcomes and patient satisfaction after total hip arthroplasty and total knee arthroplasty. OBJECTIVE: We aimed to evaluate the effectiveness of a WeChat-based community as an intervention for overall patient satisfaction. METHODS: The study was conducted among discharged in-hospital patients who received hip or knee procedures in the First Affiliated Hospital of the University of Science and Technology of China from April 2019 to January 2020. An educational online social community was constructed with the WeChat app. Participants willing to join the community were enrolled in a WeChat group and received 3 months of intervention and follow-up. Those who were not willing to use the account were included in a control group and received routine publicity via telephone, mail, and brochures. The Danish Health and Medicine Authority patient satisfaction questionnaire was used to score perioperative patient education and overall satisfaction. The contents in the group chat were analyzed using natural language processing tools. RESULTS: A total of 3428 patients were enrolled in the study, including 2292 in the WeChat group and 1236 in the control group. Participants in the WeChat group had higher overall satisfaction scores than those in the control group (mean 8.48, SD 1.12 vs mean 6.66, SD 1.80, P<.001). The difference between the two groups was significant for primary surgery based on subgroup stratification. To control confounding factors and explore the effects of WeChat participation as a mediating variable between perioperative patient education and overall satisfaction, hierarchical regression was utilized. An interpatient interaction model was found in the community group chat, and it contributed to overall satisfaction. Patients in the group with more interpatient interactions were more likely to have better overall satisfaction. CONCLUSIONS: The social media–promoted educational community using WeChat was effective among joint replacement patients. Provision of more perioperative education is associated with more active patient participation in the community and therefore more patient satisfaction in terms of the overall joint procedure. Community group chat could facilitate interactions among patients and contribute to overall satisfaction. JMIR Publications 2021-03-18 /pmc/articles/PMC8088850/ /pubmed/33734094 http://dx.doi.org/10.2196/18763 Text en ©Xianzuo Zhang, Xiaoxuan Chen, Nikolaos Kourkoumelis, Ran Gao, Guoyuan Li, Chen Zhu. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 18.03.2021. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mHealth and uHealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
Zhang, Xianzuo
Chen, Xiaoxuan
Kourkoumelis, Nikolaos
Gao, Ran
Li, Guoyuan
Zhu, Chen
A Social Media–Promoted Educational Community of Joint Replacement Patients Using the WeChat App: Survey Study
title A Social Media–Promoted Educational Community of Joint Replacement Patients Using the WeChat App: Survey Study
title_full A Social Media–Promoted Educational Community of Joint Replacement Patients Using the WeChat App: Survey Study
title_fullStr A Social Media–Promoted Educational Community of Joint Replacement Patients Using the WeChat App: Survey Study
title_full_unstemmed A Social Media–Promoted Educational Community of Joint Replacement Patients Using the WeChat App: Survey Study
title_short A Social Media–Promoted Educational Community of Joint Replacement Patients Using the WeChat App: Survey Study
title_sort social media–promoted educational community of joint replacement patients using the wechat app: survey study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088850/
https://www.ncbi.nlm.nih.gov/pubmed/33734094
http://dx.doi.org/10.2196/18763
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