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, Daniel 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 & 5 others Hein Bac Stockmann, A. Dorien ten Cate, Hendrik J. Bonjer, Judith Af Huirne, Johannes R. Anema

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Support for 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. TRIAL REGISTRATION: Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5686.
Original languageEnglish
Pages (from-to)e9938
JournalJournal of Medical Internet Research
Volume21
Issue number2
DOIs
Publication statusPublished - 2019

Cite this

den Bakker, Chantal M. ; Schaafsma, Frederieke G. ; van der Meij, Eva ; Meijerink, Wilhelmus Jhj ; van den Heuvel, Baukje ; Baan, Astrid H. ; Davids, Paul Hp ; Scholten, Petrus C. ; van der Meij, Suzan ; van Baal, W. Marchien ; van Dalsen, Annette D. ; Lips, Daniel J. ; van der Steeg, Jan Willem ; Leclercq, Wouter Kg ; Geomini, Peggy Maj ; Consten, Esther Cj ; Schraffordt Koops, Steven E. ; de Castro, Steve Mm ; van Kesteren, Paul Jm ; Cense, Huib A. ; Stockmann, Hein Bac ; ten Cate, A. Dorien ; Bonjer, Hendrik J. ; Huirne, Judith Af ; Anema, Johannes R. / 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. In: Journal of Medical Internet Research. 2019 ; Vol. 21, No. 2. pp. e9938.
@article{8341599231e6408d941f081a91d6eda4,
title = "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",
abstract = "BACKGROUND: Support for 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. TRIAL REGISTRATION: Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5686.",
author = "{den Bakker}, {Chantal M.} and Schaafsma, {Frederieke G.} and {van der Meij}, Eva and Meijerink, {Wilhelmus Jhj} and {van den Heuvel}, Baukje and Baan, {Astrid H.} and Davids, {Paul Hp} and Scholten, {Petrus C.} and {van der Meij}, Suzan and {van Baal}, {W. Marchien} and {van Dalsen}, {Annette D.} and Lips, {Daniel J.} and {van der Steeg}, {Jan Willem} and Leclercq, {Wouter Kg} and Geomini, {Peggy Maj} and Consten, {Esther Cj} and {Schraffordt Koops}, {Steven E.} and {de Castro}, {Steve Mm} and {van Kesteren}, {Paul Jm} and Cense, {Huib A.} and Stockmann, {Hein Bac} and {ten Cate}, {A. Dorien} and Bonjer, {Hendrik J.} and Huirne, {Judith Af} and Anema, {Johannes R.}",
year = "2019",
doi = "10.2196/jmir.9938",
language = "English",
volume = "21",
pages = "e9938",
journal = "Journal of Medical Internet Research",
issn = "1438-8871",
publisher = "Journal of medical Internet Research",
number = "2",

}

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 2019, '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' Journal of Medical Internet Research, vol. 21, no. 2, pp. e9938. https://doi.org/10.2196/jmir.9938

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, Chantal M.; Schaafsma, Frederieke G.; van der Meij, Eva; Meijerink, Wilhelmus Jhj; van den Heuvel, Baukje; Baan, Astrid H.; Davids, Paul Hp; Scholten, Petrus C.; van der Meij, Suzan; van Baal, W. Marchien; van Dalsen, Annette D.; Lips, Daniel J.; van der Steeg, Jan Willem; Leclercq, Wouter Kg; Geomini, Peggy Maj; Consten, Esther Cj; Schraffordt Koops, Steven E.; de Castro, Steve Mm; van Kesteren, Paul Jm; Cense, Huib A.; Stockmann, Hein Bac; ten Cate, A. Dorien; Bonjer, Hendrik J.; Huirne, Judith Af; Anema, Johannes R.

In: Journal of Medical Internet Research, Vol. 21, No. 2, 2019, p. e9938.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - 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

AU - den Bakker, Chantal M.

AU - Schaafsma, Frederieke G.

AU - van der Meij, Eva

AU - Meijerink, Wilhelmus Jhj

AU - van den Heuvel, Baukje

AU - Baan, Astrid H.

AU - Davids, Paul Hp

AU - Scholten, Petrus C.

AU - van der Meij, Suzan

AU - van Baal, W. Marchien

AU - van Dalsen, Annette D.

AU - Lips, Daniel J.

AU - van der Steeg, Jan Willem

AU - Leclercq, Wouter Kg

AU - Geomini, Peggy Maj

AU - Consten, Esther Cj

AU - Schraffordt Koops, Steven E.

AU - de Castro, Steve Mm

AU - van Kesteren, Paul Jm

AU - Cense, Huib A.

AU - Stockmann, Hein Bac

AU - ten Cate, A. Dorien

AU - Bonjer, Hendrik J.

AU - Huirne, Judith Af

AU - Anema, Johannes R.

PY - 2019

Y1 - 2019

N2 - BACKGROUND: Support for 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. TRIAL REGISTRATION: Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5686.

AB - BACKGROUND: Support for 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. TRIAL REGISTRATION: Netherlands Trial Registry NTR5686; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5686.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85061131744&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/30724740

U2 - 10.2196/jmir.9938

DO - 10.2196/jmir.9938

M3 - Article

VL - 21

SP - e9938

JO - Journal of Medical Internet Research

JF - Journal of Medical Internet Research

SN - 1438-8871

IS - 2

ER -