title: The psychosocial effect of web-based information in fast-track surgery.
abstract: The psychosocial effects of web-based information have yet to be tested for patients joining a fast-track total hip arthroplasty programme. This study compared and evaluated the psychosocial impact of standard total hip arthroplasty programme, with and without supplementation with a web-based information platform (E-total hip arthroplasty programme). Totally, 299 patients were enrolled in an un-controlled, before-and-after study, 117 in the S-total hip arthroplasty programme group and 182 in the E-total hip arthroplasty programme group. Psychosocial outcomes before and during admission and then 3 months post-surgery were evaluated, with analyses conducted between and within groups. All outcomes improved significantly from pre-admission to 3 months post-surgery, with no between-group differences. In all, 112 of the 182 E-total hip arthroplasty programme patients accessed the learning platform. A subgroup analysis showed no significant differences between users and non-users, either at baseline or in terms of outcome. This study found no positive psychosocial effect between groups, but a significant effect within groups.
authors.affiliation: Aarhus University, Denmark; Regional Hospital Silkeborg, Center for Planned Surgery, Denmark.
authors.forename: Lene Bastrup
authors.initials: LB
authors.lastname: Jørgensen
authors.affiliation: Regional Hospital Silkeborg, Center for Planned Surgery, Denmark.
authors.forename: Lone Ramer
authors.initials: LR
authors.lastname: Mikkelsen
authors.affiliation: Regional Hospital Herning, Center for Research and Education, Denmark.
authors.forename: Bodil Bjørnshave
authors.initials: BB
authors.lastname: Noe
authors.affiliation: Aarhus University, Denmark.
authors.forename: Martin
authors.initials: M
authors.lastname: Vesterby
authors.affiliation: Regional Hospital Silkeborg, Center for Planned Surgery, Denmark.
authors.forename: Maria
authors.initials: M
authors.lastname: Uhd
authors.affiliation: Jönköping University, Sweden.
authors.forename: Bengt
authors.initials: B
authors.lastname: Fridlund
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D006801:Humans; D057226:Information Seeking Behavior; D020407:Internet; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010361:Patients / Q000523:psychology*; D011594:Psychometrics / Q000295:instrumentation / Q000379:methods; D011795:Surveys and Questionnaires
keywords: fast-track; intervention; orthopaedic patients; psychosocial state; web-based animated information