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Impact of Patient Engagement on Tailored Education for Joint Replacement Population Using Technology
Bethany Howell1, Patricia Deyo, Ellen Swartwout
1Author Affiliations: Nursing Informatics, Wake Forest Baptist Health (Ms Howell), Winston-Salem, NC; O'Neil Center, GetWellNetwork (Ms Deyo, Dr Swartwout, Ms Herdman, and Ms Hui), Bethesda, MD; and Joint Replacement Unit, Lexington Medical Center, Wake Forest Baptist Health (Ms Caldwell and Ms Miller), NC.
Abstract:
Patient engagement and technology use for healthcare are important for optimal care. This study was designed to leverage technology in education among the adult joint population based on their engagement capacity and utilization of technology for care. A convenience sample of 80 patients undergoing joint replacement surgery and followed in the inpatient setting participated. Comparisons were made between an intervention group who completed the Person Engagement Index to measure their engagement capacity and received a technological educational plan based on their score versus those receiving the standard educational plan. The Person Engagement Index psychometrics were sound and indicated high engagement capacity. Overall, the groups did not differ in utilization, satisfaction, and education comprehension; however, the intervention group reported a higher unit mean for the extent they felt ready for discharge and instructions for care at home. Results of this study informed patients' engagement capacity and technology use for pre-/postoperative education for procedure expectations and self-management throughout the joint replacement process and recovery. Future research includes use of technology for engagement capacity and outcomes with other populations, collecting socio-demographic data to determine differences among groups and examining the patient and provider experience and satisfaction with using technology to enhance care and outcomes.
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