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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Jan 25, 2018
Open Peer Review Period: Jan 25, 2018 - May 21, 2018
Date Accepted: Aug 30, 2018
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Electronic Health Program to Empower Patients in Returning to Normal Activities After General Surgical and Gynecological Procedures: Intervention Mapping as a Useful Method for Further Development

den Bakker CM, Schaafsma FG, van der Meij E, Meijerink WJ, van den Heuvel B, Baan AH, Davids PH, Scholten PC, van der Meij S, van Baal WM, van Dalsen AD, Lips DJ, van der Steeg JW, Leclercq WK, Geomini PM, Consten EC, Schraffordt Koops SE, de Castro SM, van Kesteren PJ, Cense HA, Stockmann HB, ten Cate AD, Bonjer HJ, Huirne JA, Anema JR

Electronic Health Program to Empower Patients in Returning to Normal Activities After General Surgical and Gynecological Procedures: Intervention Mapping as a Useful Method for Further Development

J Med Internet Res 2019;21(2):e9938

DOI: 10.2196/jmir.9938

PMID: 30724740

PMCID: 6381532

Electronic Health Program to Empower Patients in Returning to Normal Activities After General Surgical and Gynecological Procedures: Intervention Mapping as a Useful Method for Further Development

  • Chantal M den Bakker; 
  • Frederieke G Schaafsma; 
  • Eva van der Meij; 
  • Wilhelmus JHJ Meijerink; 
  • Baukje van den Heuvel; 
  • Astrid H Baan; 
  • Paul HP Davids; 
  • Petrus C Scholten; 
  • Suzan van der Meij; 
  • W Marchien van Baal; 
  • Annette D van Dalsen; 
  • Daan J Lips; 
  • Jan Willem van der Steeg; 
  • Wouter KG Leclercq; 
  • Peggy MAJ Geomini; 
  • Esther CJ Consten; 
  • Steven E Schraffordt Koops; 
  • Steve MM de Castro; 
  • Paul JM van Kesteren; 
  • Huib A Cense; 
  • Hein BAC Stockmann; 
  • A Dorien ten Cate; 
  • Hendrik J Bonjer; 
  • Judith AF Huirne; 
  • Johannes R Anema

ABSTRACT

Background:

Support with respect to guiding and monitoring postoperative recovery and resumption of activities is usually not provided to patients after discharge from the hospital. Therefore, a perioperative electronic health (eHealth) intervention (“ikherstel” intervention or “I recover” intervention) was developed to empower gynecological patients during the perioperative period. This eHealth intervention requires a need for further development for patients who will undergo various types of general surgical and gynecological procedures.

Objective:

This study aimed to further develop the “ikherstel” eHealth intervention using Intervention Mapping (IM) to fit a broader patient population.

Methods:

The IM protocol was used to guide further development of the “ikherstel” intervention. First, patients’ needs were identified using (1) the information of a process evaluation of the earlier performed “ikherstel” study, (2) a review of the literature, (3) a survey study, and (4) focus group discussions (FGDs) among stakeholders. Next, program outcomes and change objectives were defined. Third, behavior change theories and practical tools were selected for the intervention program. Finally, an implementation and evaluation plan was developed.

Results:

The outcome for an eHealth intervention tool for patients recovering from abdominal general surgical and gynecological procedures was redefined as “achieving earlier recovery including return to normal activities and work.” The Attitude-Social Influence-Self-Efficacy model was used as a theoretical framework to transform personal and external determinants into change objectives of personal behavior. The knowledge gathered by needs assessment and using the theoretical framework in the preparatory steps of the IM protocol resulted in additional tools. A mobile app, an activity tracker, and an electronic consultation (eConsult) will be incorporated in the further developed eHealth intervention. This intervention will be evaluated in a multicenter, single-blinded randomized controlled trial with 18 departments in 11 participating hospitals in the Netherlands.

Conclusions:

The intervention is extended to patients undergoing general surgical procedures and for malignant indications. New intervention tools such as a mobile app, an activity tracker, and an eConsult were developed. Clinical Trial: Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5686


 Citation

Please cite as:

den Bakker CM, Schaafsma FG, van der Meij E, Meijerink WJ, van den Heuvel B, Baan AH, Davids PH, Scholten PC, van der Meij S, van Baal WM, van Dalsen AD, Lips DJ, van der Steeg JW, Leclercq WK, Geomini PM, Consten EC, Schraffordt Koops SE, de Castro SM, van Kesteren PJ, Cense HA, Stockmann HB, ten Cate AD, Bonjer HJ, Huirne JA, Anema JR

Electronic Health Program to Empower Patients in Returning to Normal Activities After General Surgical and Gynecological Procedures: Intervention Mapping as a Useful Method for Further Development

J Med Internet Res 2019;21(2):e9938

DOI: 10.2196/jmir.9938

PMID: 30724740

PMCID: 6381532

Per the author's request the PDF is not available.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.