Balancing clinician and patient priorities for total shoulder replacement preoperative education programs

Rochelle Furtado; Joy C MacDermid; Dianne Bryant; Kenneth J Faber; Darren S Drosdowech; George S Athwal

doi:10.1016/j.pec.2023.107759

Balancing clinician and patient priorities for total shoulder replacement preoperative education programs

Patient Educ Couns. 2023 Jul:112:107759. doi: 10.1016/j.pec.2023.107759. Epub 2023 Apr 14.

Authors

Rochelle Furtado¹, Joy C MacDermid², Dianne Bryant³, Kenneth J Faber⁴, Darren S Drosdowech⁴, George S Athwal⁴

Affiliations

¹ Department of Rehabilitation Sciences, Faculty of Health Science, Western University, London, ON, Canada; School of Physical Therapy, Faculty of Health Science, Western University, London, ON, Canada; Collaborative Program in Musculoskeletal Health Research, Bone and Joint Institute, Western University, London, ON, Canada. Electronic address: rfurtad5@uwo.ca.
² Department of Rehabilitation Sciences, Faculty of Health Science, Western University, London, ON, Canada; School of Physical Therapy, Faculty of Health Science, Western University, London, ON, Canada; Department of Surgery Western University and Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada.
³ Department of Rehabilitation Sciences, Faculty of Health Science, Western University, London, ON, Canada; School of Physical Therapy, Faculty of Health Science, Western University, London, ON, Canada.
⁴ Department of Surgery Western University and Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada.

PMID: 37075651
DOI: 10.1016/j.pec.2023.107759

Abstract

Objective: To investigate patient and clinician preferences regarding a preoperative educational program for patients undergoing shoulder replacement surgery.

Methods: This study used a cross-sectional survey of patients awaiting shoulder replacement surgery and clinicians. The survey was comprised of 41 questions for patients and clinicians, regarding preferences for receiving information, content preferences and device preferences. Descriptive statistics were reported for survey questions.

Results: 180 patients and 175 clinicians completed the survey. Patients and clinicians' top choices for ways to receive information were: in-person, website and booklets, with use of CD/DVD being extremely unlikely. Patients and clinicians had different preferences regarding content choices. Patients rated the following content topics as important to include in a program: including other patient's previous experiences with this surgery (83 % patients; 40 % clinicians), information for caregivers (84 % patients; 65 % clinicians), expectations for hospital stay (89 % patients; 57 % clinicians), process of anesthesia (87 % patients; 51 % clinicians), and how the surgery is performed (94 % patients; 60 % clinicians).

Conclusions: Clinicians and patients have differing priorities and perspectives on the content and delivery of preoperative education programs, however, therapeutic goals and accessibility should be considered when designing programs.

Practice implications: Creating education programs should include the lens of both clinicians and patients.

Keywords: Patient; Patient education; Preoperative; Programs; Shoulder replacement.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Arthroplasty, Replacement, Shoulder*
Cross-Sectional Studies
Humans
Preoperative Care
Surveys and Questionnaires

Grants and funding

167284/CIHR/Canada