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SIMDiscovery: a simulation-based preparation program for adolescents undergoing spinal fusion surgery.

Lauren M Potthoff1,2,3, Michael P Glotzbecker4,5, Brianna O'Connell6,7

  • 1Department of Psychiatry, Boston Children's Hospital, Boston, MA, US. lmpotthoff@luriechildrens.org.

Spine Deformity
|March 10, 2021
PubMed
Summary
This summary is machine-generated.

A simulation program (SIMDiscovery) effectively reduced anxiety and improved preparedness for spinal fusion surgery patients and their caregivers. This enhanced understanding and reduced stress were sustained post-operatively, though participants suggested further refinements.

Keywords:
PediatricPosterior spinal fusionPreparationScoliosisSimulation-based

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Area of Science:

  • Neurosurgery
  • Medical Education
  • Patient Care

Background:

  • Spinal fusion surgery causes significant stress and anxiety for patients and caregivers.
  • Medical simulation is a proven method for enhancing patient preparedness and knowledge for procedures.
  • Existing preparation methods may not fully address the psychological impact of spinal fusion surgery.

Purpose of the Study:

  • To evaluate the effectiveness of the SIMDiscovery simulation program in reducing anxiety and increasing preparedness for spinal fusion surgery patients and their caregivers.
  • To assess the impact of simulation-based preparation on patient and caregiver knowledge and emotional state.
  • To determine the long-term effects of the SIMDiscovery program on patient and caregiver well-being.

Main Methods:

  • A multi-faceted preparation program, SIMDiscovery, utilizing simulation techniques was implemented.
  • Anxiety, preparedness, and knowledge were measured using self-report surveys pre- and post-simulation.
  • A follow-up questionnaire was administered at the first post-operative appointment to assess sustained effects.

Main Results:

  • Participants (22 patients, 29 caregivers) showed increased knowledge and decreased anxiety post-SIMDiscovery.
  • Patients reported enhanced preparedness in all aspects; caregivers reported increased preparedness in most areas.
  • Positive program impact persisted 30 days post-surgery, with suggestions for further preparation areas.

Conclusions:

  • The SIMDiscovery program successfully enhanced knowledge and reduced anxiety for spinal fusion surgery patients and caregivers.
  • Simulation-based preparation led to greater feelings of preparedness regarding the surgical process.
  • Program benefits were largely maintained post-operatively, underscoring the value of adaptive, feedback-driven patient education.