Process evaluation of a multidisciplinary care program for patients undergoing gynaecological surgery

E. V. A. Bouwsma; A. Vonk Noordegraaf; Z. Szlavik; H. A. M. Brolmann; M. H. Emanuel; J. P. Lips; W. van Mechelen; A. Mozes; A. L. Thurkow; J. A. F. Huirne; J. R. Anema; H.A.M. Brölmann

doi:https://doi.org/10.1007/s10926-013-9475-4

Process evaluation of a multidisciplinary care program for patients undergoing gynaecological surgery

E. V. A. Bouwsma, A. Vonk Noordegraaf, Z. Szlavik, H. A. M. Brolmann, M. H. Emanuel, J. P. Lips, W. van Mechelen, A. Mozes, A. L. Thurkow, J. A. F. Huirne, J. R. Anema, H.A.M. Brölmann

Research output: Contribution to journal › Article › Academic › peer-review

19 Citations (Scopus)

Abstract

This study describes the process evaluation of an innovative multidisciplinary care program for patients undergoing benign gynaecologic surgery. This care program aims at improving recovery and preventing delayed return to work and consists of two steps: (1) an interactive e-health intervention for all participants, and (2) integrated clinical and occupational care management for those participants whose sick leave exceeds 10 weeks. Eligible for this study were employed women aged between 18-65 years scheduled for a laparoscopic adnexal surgery and/or hysterectomy. Data were collected from patients, their supervisors and their gynaecologists, by means of electronic questionnaires during a 6 month follow-up period and an automatically generated, detailed weblog of the patient web portal ( www.ikherstel.nl ). Investigated process measures included: reach, dose delivered, dose received, and fidelity. In addition, attitudes towards the intervention were explored among all stakeholders. 215 patients enrolled in the study and accounted to a reach of 60.2 % (215/357). All intervention group patients used their account at least once and total time spent on the patient web portal was almost 2 h for each patient (median 118 min, IQR 64-173 min). Most patients visited the website several times (median 11 times, IQR 6-16). Perceived effectiveness among patients was high (74 %). In addition, gynaecologists (76 %) and employers (61 %) were satisfied with the web portal as well. Implementation of the second step of the intervention was suboptimal. Motivating patients to consent to additional guidance and developing an accurate return-to-work-prognosis were two important obstacles. The results of this study indicate good feasibility for implementation on a broad scale of the e-health intervention for patients undergoing benign gynaecological surgery. To enhance the implementation of the second step of the perioperative care program, adaptations in the integrated care protocol are needed

Original language	English
Pages (from-to)	425-438
Journal	Journal of Occupational Rehabilitation
Volume	24
Issue number	3
DOIs	https://doi.org/10.1007/s10926-013-9475-4
Publication status	Published - 2014

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Bouwsma, E. V. A., Vonk Noordegraaf, A., Szlavik, Z., Brolmann, H. A. M., Emanuel, M. H., Lips, J. P., van Mechelen, W., Mozes, A., Thurkow, A. L., Huirne, J. A. F., Anema, J. R., & Brölmann, H. A. M. (2014). Process evaluation of a multidisciplinary care program for patients undergoing gynaecological surgery. Journal of Occupational Rehabilitation, 24(3), 425-438. https://doi.org/10.1007/s10926-013-9475-4

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title = "Process evaluation of a multidisciplinary care program for patients undergoing gynaecological surgery",

abstract = "This study describes the process evaluation of an innovative multidisciplinary care program for patients undergoing benign gynaecologic surgery. This care program aims at improving recovery and preventing delayed return to work and consists of two steps: (1) an interactive e-health intervention for all participants, and (2) integrated clinical and occupational care management for those participants whose sick leave exceeds 10 weeks. Eligible for this study were employed women aged between 18-65 years scheduled for a laparoscopic adnexal surgery and/or hysterectomy. Data were collected from patients, their supervisors and their gynaecologists, by means of electronic questionnaires during a 6 month follow-up period and an automatically generated, detailed weblog of the patient web portal ( www.ikherstel.nl ). Investigated process measures included: reach, dose delivered, dose received, and fidelity. In addition, attitudes towards the intervention were explored among all stakeholders. 215 patients enrolled in the study and accounted to a reach of 60.2 % (215/357). All intervention group patients used their account at least once and total time spent on the patient web portal was almost 2 h for each patient (median 118 min, IQR 64-173 min). Most patients visited the website several times (median 11 times, IQR 6-16). Perceived effectiveness among patients was high (74 %). In addition, gynaecologists (76 %) and employers (61 %) were satisfied with the web portal as well. Implementation of the second step of the intervention was suboptimal. Motivating patients to consent to additional guidance and developing an accurate return-to-work-prognosis were two important obstacles. The results of this study indicate good feasibility for implementation on a broad scale of the e-health intervention for patients undergoing benign gynaecological surgery. To enhance the implementation of the second step of the perioperative care program, adaptations in the integrated care protocol are needed",

author = "Bouwsma, {E. V. A.} and {Vonk Noordegraaf}, A. and Z. Szlavik and Brolmann, {H. A. M.} and Emanuel, {M. H.} and Lips, {J. P.} and {van Mechelen}, W. and A. Mozes and Thurkow, {A. L.} and Huirne, {J. A. F.} and Anema, {J. R.} and H.A.M. Br{\"o}lmann",

year = "2014",

doi = "https://doi.org/10.1007/s10926-013-9475-4",

language = "English",

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Bouwsma, EVA, Vonk Noordegraaf, A, Szlavik, Z, Brolmann, HAM, Emanuel, MH, Lips, JP, van Mechelen, W, Mozes, A, Thurkow, AL, Huirne, JAF , Anema, JR & Brölmann, HAM 2014, 'Process evaluation of a multidisciplinary care program for patients undergoing gynaecological surgery', Journal of Occupational Rehabilitation, vol. 24, no. 3, pp. 425-438. https://doi.org/10.1007/s10926-013-9475-4

TY - JOUR

T1 - Process evaluation of a multidisciplinary care program for patients undergoing gynaecological surgery

AU - Bouwsma, E. V. A.

AU - Vonk Noordegraaf, A.

AU - Szlavik, Z.

AU - Brolmann, H. A. M.

AU - Emanuel, M. H.

AU - Lips, J. P.

AU - van Mechelen, W.

AU - Mozes, A.

AU - Thurkow, A. L.

AU - Huirne, J. A. F.

AU - Anema, J. R.

AU - Brölmann, H.A.M.

PY - 2014

Y1 - 2014

N2 - This study describes the process evaluation of an innovative multidisciplinary care program for patients undergoing benign gynaecologic surgery. This care program aims at improving recovery and preventing delayed return to work and consists of two steps: (1) an interactive e-health intervention for all participants, and (2) integrated clinical and occupational care management for those participants whose sick leave exceeds 10 weeks. Eligible for this study were employed women aged between 18-65 years scheduled for a laparoscopic adnexal surgery and/or hysterectomy. Data were collected from patients, their supervisors and their gynaecologists, by means of electronic questionnaires during a 6 month follow-up period and an automatically generated, detailed weblog of the patient web portal ( www.ikherstel.nl ). Investigated process measures included: reach, dose delivered, dose received, and fidelity. In addition, attitudes towards the intervention were explored among all stakeholders. 215 patients enrolled in the study and accounted to a reach of 60.2 % (215/357). All intervention group patients used their account at least once and total time spent on the patient web portal was almost 2 h for each patient (median 118 min, IQR 64-173 min). Most patients visited the website several times (median 11 times, IQR 6-16). Perceived effectiveness among patients was high (74 %). In addition, gynaecologists (76 %) and employers (61 %) were satisfied with the web portal as well. Implementation of the second step of the intervention was suboptimal. Motivating patients to consent to additional guidance and developing an accurate return-to-work-prognosis were two important obstacles. The results of this study indicate good feasibility for implementation on a broad scale of the e-health intervention for patients undergoing benign gynaecological surgery. To enhance the implementation of the second step of the perioperative care program, adaptations in the integrated care protocol are needed

AB - This study describes the process evaluation of an innovative multidisciplinary care program for patients undergoing benign gynaecologic surgery. This care program aims at improving recovery and preventing delayed return to work and consists of two steps: (1) an interactive e-health intervention for all participants, and (2) integrated clinical and occupational care management for those participants whose sick leave exceeds 10 weeks. Eligible for this study were employed women aged between 18-65 years scheduled for a laparoscopic adnexal surgery and/or hysterectomy. Data were collected from patients, their supervisors and their gynaecologists, by means of electronic questionnaires during a 6 month follow-up period and an automatically generated, detailed weblog of the patient web portal ( www.ikherstel.nl ). Investigated process measures included: reach, dose delivered, dose received, and fidelity. In addition, attitudes towards the intervention were explored among all stakeholders. 215 patients enrolled in the study and accounted to a reach of 60.2 % (215/357). All intervention group patients used their account at least once and total time spent on the patient web portal was almost 2 h for each patient (median 118 min, IQR 64-173 min). Most patients visited the website several times (median 11 times, IQR 6-16). Perceived effectiveness among patients was high (74 %). In addition, gynaecologists (76 %) and employers (61 %) were satisfied with the web portal as well. Implementation of the second step of the intervention was suboptimal. Motivating patients to consent to additional guidance and developing an accurate return-to-work-prognosis were two important obstacles. The results of this study indicate good feasibility for implementation on a broad scale of the e-health intervention for patients undergoing benign gynaecological surgery. To enhance the implementation of the second step of the perioperative care program, adaptations in the integrated care protocol are needed

U2 - https://doi.org/10.1007/s10926-013-9475-4

DO - https://doi.org/10.1007/s10926-013-9475-4

M3 - Article

C2 - 24057871

SN - 1053-0487

VL - 24

SP - 425

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JO - Journal of Occupational Rehabilitation

JF - Journal of Occupational Rehabilitation

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