Ambulatory Orthopaedic Surgery Patients’ Knowledge with Internet-based Education

K. Heikkinen; H. Leino-Kilpi; S. Salanterä

doi:10.3414/ME11-02-0004

Methods of Information in Medicine, Table of Contents

Methods Inf Med 2012; 51(04): 295-300
DOI: 10.3414/ME11-02-0004

Original Articles

Schattauer GmbH

Ambulatory Orthopaedic Surgery Patients’ Knowledge with Internet-based Education

K. Heikkinen

¹Department of Nursing Science, University of Turku, Vanhalinna, Finland

,

H. Leino-Kilpi

¹Department of Nursing Science, University of Turku, Vanhalinna, Finland

,

S. Salanterä

¹Department of Nursing Science, University of Turku, Vanhalinna, Finland

› Author Affiliations

Abstract

Summary

Background: There is a growing need for patient education and an evaluation of its outcomes.

Objectives: The aim of this study was to compare ambulatory orthopaedic surgery patients’ knowledge with Internet-based education and face-to-face education with a nurse. The following hypothesis was proposed: Internet-based patient education (experiment) is as effective as face-to-face education with a nurse (control) in increasing patients’ level of knowledge and sufficiency of knowledge. In addition, the correlations of demographic variables were tested.

Methods: The patients were randomized to either an experiment group (n = 72) or a control group (n = 75). Empirical data were collected with two instruments.

Results: Patients in both groups showed improvement in their knowledge during their care. Patients in the experiment group improved their knowledge level significantly more in total than those patients in the control group. There were no differences in patients’ sufficiency of knowledge between the groups. Knowledge was correlated especially with patients’ age, gender and earlier ambulatory surgeries.

Conclusions: As a conclusion, positive results concerning patients’ knowledge could be achieved with the Internet-based education. The Internet is a viable method in ambulatory care.

Keywords

Patient education - Internet - outcome assessment

Full Text

References

References
1 Adelhard K, Obst O. Evaluation of Medical Internet Sites. Methods Inf Med 1999; 38: 75-79.
2 Darmoni SJ, Amsallem E, Haugh M, Lukacs B, Leroux V, Thirion B, Weber J, Boissel JP. Level of Evidence as a Future Gold Standard for the Content Quality of Health Resources on the Internet - A Preliminary Study. Methods Inf Med 2003; 42: 220-225.
3 Internet Word Stats. 2010. Usage and population statistics Retrieved April 5, 2011, from http://www.internetworldstats.com/.
4 Ritterband LM, Thorndike F. 2006. Internet interventions or Patient Education Web sites?. J Med Internet Res 2006; 8 (03) e18
5 Webb T L, Joseph J, Yardley L, Michie S. Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on Efficacy. J Med Internet Res 2010; 12 (01) e4
6 Wantland D J, Portillo CJ, Holzemer WL, Slaughter R, McGhee EM. The Effectiveness of Web-Based vs. Non-Web-Based Interventions: A Meta-Analysis of Behavioral Change Outcomes. J Med Internet Res 2004; 6 (04) e40
7 Lewis D. Computer-based approaches to patient education: a review of the literature. J Am Med Inform Assoc 1999; 6: 272-282.
8 Bessell TL, McDonald S, Silagy CA, Anderson JN, Hiller JE, Sansom LN. Do internet interventions for consumers cause more harm than good?A systematic review. Health Expect 2002; 5: 28-37.
9 Lewis D. Computers in patient education. Comput Inform Nurs 2003; 21: 88-96.
10 Kirsch SE, Lewis FM. Using the world wide web in health-related intervention research. A review of controlled trials. Comput Inform Nurs 2004; 22: 8-18.
11 Wofford JL, Smith ED, Miller DP. The multimedia computer for office-based patient education: a systematic review. Patient Educ Couns 2005; 59: 148-157.
12 Griffiths F, Lindenmeyer A, Powell J, Lowe P, Thorogood M. Why are health care interventions delivered over the internet? A systematic review of the published literature. J Med Internet Res 2006; 8: e10-23.
13 Beranova E, Sykes C. A systematic review of computer-based softwares for educating patients with coronary heart disease. Patient Educ Couns 2007; 66: 21-28.
14 Moehr J. R. Guidelines, the Internet, and Per-sonal Health: Insights from the Canadian HEALNet Experience1. Methods Inf Med 2002; 41: 230-234.
15 Winter A. The Future of Medical Informatics. Methods Inf Med 2009; 48: 62-65.
16 Goldsmith DM, Safran C. Using the web to reduce postoperative pain following ambulatory surgery. Proc AMIA Symp 1999: 780-784.
17 Hering K, Harvan J, Dangelo M, Jasinski D. The use of a computer website prior to scheduled surgery (a pilot study): impact on patient information, acquisition, anxiety level, and overall satisfaction with anesthesia care. AANA J 2005; 73: 29-33.
18 ASA. American Association of Anaesthesiologists Retrieved April 5, 2011, from http://www.asahq.org/clinical/physicalstatus.htm.
19 Heikkinen K, Suomi R, Jääskeläinen M, Kal-jonen A, Leino-Kilpi H, Salanterä S.. Creation and evaluation of an ambulatory orthopaedic sur-gical patient education website to support empowerment. Comput Informat Nurs 2010; 28: 282-290.
20 Leino-Kilpi H, Luoto E, Katajisto J. Elements of empowerment and MS patients. J Neurosci Nurs 1998; 18: 116-123.
21 Leino-Kilpi H, Mäenpää I, Katajisto J. Nursing study of the significance of rheumatoid arthritis as perceived by patients using the concept of empowerment. J Orthop Nurs 1999; 3: 138-145.
22 Heikkinen K, Leino-Kilpi H, Nummela T, Kaljonen A, Salanterä S. A comparison of two educational interventions for the cognitive empowerment of ambulatory orthopaedic surgery patients. Patient Educ Couns 2008; 73: 272-279.
23 STAKES. 2007. Official statistics of Finland. Regional variation in surgery in Finland 1998, 2001 and 2003 Retrieved August 22, 2011, from http://www.stakes.fi/tilastot/tilastotiedotteet/2007/Tt03_07.pdf.