{"id":6088,"date":"2018-04-28T11:04:02","date_gmt":"2018-04-28T15:04:02","guid":{"rendered":"https:\/\/news.elearninginside.com\/?p=6088"},"modified":"2019-05-31T11:15:54","modified_gmt":"2019-05-31T15:15:54","slug":"study-suggests-web-based-patient-education-can-outperform-traditional-methods-orthopedic-medicine","status":"publish","type":"post","link":"https:\/\/news.elearninginside.com\/study-suggests-web-based-patient-education-can-outperform-traditional-methods-orthopedic-medicine\/","title":{"rendered":"Study Suggests Web-Based Patient Education Can Outperform Traditional Methods in Orthopedic Medicine"},"content":{"rendered":"<p>We\u2019ve all heard not to believe everything we read on the internet. Doctors exasperated by their hypochondriac patients who\u2019ve spent too much time on WebMD have nearly\u00a0<a href=\"https:\/\/www.thecut.com\/2016\/09\/doctors-really-really-want-you-to-stop-using-webmd.html\">become a clich\u00e9<\/a>. But a new study has found that web-based patient education efforts can, in some cases, be more effective than traditional instruction.<\/p>\n<p>These efforts provide a real opportunity to help people understand their conditions, make informed consent, and live healthier lives. A group of researchers have recently conducted a review of existing studies that looked specifically at \u2018web-based patient education interventions\u2019 for orthopedic patients. The team headed by Danish researcher Tessa Dekkers from Delft University of Technology <a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/\">published their results<\/a> on Monday.<\/p>\n<h1>Web-Based Patient Education at a Glance<\/h1>\n<p>According to the authors, there\u2019s a growing need for more information on the subject. Put simply, more orthopedic patients are using the internet.<\/p>\n<p>\u201c[I]t is now common for patients to also use the internet to learn about health and illness [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref9\">9<\/a>]. People with orthopedic conditions such as osteoarthritis, rheumatic arthrosis, or trauma form no exception to this trend. Internet use among this group increases rapidly: 79% of patients had internet access in 2012, and among them, 23% in 2010 to 65% in 2012 had used the internet to research their orthopedic condition or upcoming treatment [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref10\">10<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref11\">11<\/a>].\u201d<\/p>\n<p>But despite this trend, many doctors don\u2019t trust the internet as a medium in general. \u201cMost of these stress the poor quality of online health information, which is deemed overly commercialized and poorly readable even when produced by qualified HCPs [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref19\">19<\/a>&#8211;<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref21\">21<\/a>],\u201d the authors write. \u201cFurthermore, despite increasing internet access in the population as a whole, clinicians fear the generalizability of previous findings to elderly patients who may be inexperienced with internet usage [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref13\">13<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref17\">17<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref22\">22<\/a>].<\/p>\n<p>After sifting through over 1,000 studies, the team identified 14 that looked at 10 different web-based patient education interventions. They came in with two hypotheses:<\/p>\n<blockquote>\n<h3><em>Hypothesis 1: Web-based patient education interventions have a positive effect on patients\u2019 knowledge, but not on anxiety or clinical outcomes.<\/em><\/h3>\n<h3><em>Hypothesis 2: theory-based, or professionally facilitated, Web-based patient education interventions perform better than generic health information websites.<\/em><\/h3>\n<\/blockquote>\n<p>To begin, the researchers identified several inconsistencies with the studies in question. While most involved single websites, they differed in terms of information delivery. Some were rather basic, with just a combination of image and text. Others used video.<\/p>\n<p>\u201cWhile half of the interventions could be considered dynamic in terms of multimedia use,\u201d Dekkers\u2019 team found, \u201conly one provided highly dynamic activities (meaning, more than three interactive online activities were offered) [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref51\">51<\/a>]. Activities offered to the patient on the dynamic Bone Health Improvement Project website included problem-solving exercises, goal-setting exercises, and self-assessment. Among the more static websites, self-assessment was the most common interactive activity [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref53\">53<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref56\">56<\/a>]. Due to the limited use of interactive online activities, we were not able to assess the influence interactivity might have on patient outcomes.\u201d Notably, only two studies used extra educational material, such as patient testimonies. Some also included forums or message boards.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6113 alignleft\" src=\"https:\/\/news.elearninginside.com\/wp-content\/uploads\/2018\/04\/doctor-and-patient-1024x684.jpg\" alt=\"web-based patient education\" width=\"453\" height=\"302\" srcset=\"https:\/\/news.elearninginside.com\/wp-content\/uploads\/2018\/04\/doctor-and-patient-1024x684.jpg 1024w, https:\/\/news.elearninginside.com\/wp-content\/uploads\/2018\/04\/doctor-and-patient-300x200.jpg 300w, https:\/\/news.elearninginside.com\/wp-content\/uploads\/2018\/04\/doctor-and-patient-768x513.jpg 768w, https:\/\/news.elearninginside.com\/wp-content\/uploads\/2018\/04\/doctor-and-patient-223x148.jpg 223w, https:\/\/news.elearninginside.com\/wp-content\/uploads\/2018\/04\/doctor-and-patient-360x241.jpg 360w, https:\/\/news.elearninginside.com\/wp-content\/uploads\/2018\/04\/doctor-and-patient.jpg 1797w\" sizes=\"auto, (max-width: 453px) 100vw, 453px\" \/>The team identified two main limitations in their survey. First, conducting a literature review is always difficult because you\u2019re never completely comparing apples to apples. Second, none of the studies observed older patients who are less likely to be unfamiliar with the internet.<\/p>\n<p>\u201cWhile keeping these limitations in mind, the currently available evidence does suggest that patients who are offered Web-based patient education find the service both usable and satisfactory [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref43\">43<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref48\">48<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref49\">49<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref51\">51<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref52\">52<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref53\">53<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref55\">55<\/a>],\u201d the authors write. \u201cIt increases their knowledge levels [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref44\">44<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref45\">45<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref48\">48<\/a>&#8211;<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref50\">50<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref53\">53<\/a>&#8211;<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref55\">55<\/a>], which also results in patients who feel knowledgeable [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref44\">44<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref45\">45<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref49\">49<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref54\">54<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref55\">55<\/a>] and are able to participate in the informed consent process [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref48\">48<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref49\">49<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref55\">55<\/a>].\u201d<\/p>\n<p>\u201cWeb-based education appeared to be more effective in these aspects than traditional education methods [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref44\">44<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref45\">45<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref48\">48<\/a>&#8211;<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref50\">50<\/a>]. Despite their knowledge gain, the provision of online information to patients does not subsequently reduce patients\u2019 anxiety [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref47\">47<\/a>&#8211;<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref49\">49<\/a>]. These findings support our first hypothesis that Web-based patient education interventions would have a positive effect on patients\u2019 knowledge but not on anxiety. Contrary to second hypothesis, however, Web-based education was not found more effective than generic health information websites [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref49\">49<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref51\">51<\/a>]. A possible explanation for this finding is that both Web-based patient education materials and generic health information websites suffer from issues such as poor readability [<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref21\">21<\/a>,<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref57\">57<\/a>&#8211;<a href=\"https:\/\/www.jmir.org\/2018\/4\/e143\/#ref59\">59<\/a>].\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>These efforts provide a real opportunity to help people understand their conditions, make informed consent, and live healthier lives. A group of researchers have recently conducted a review of existing studies that looked specifically at \u2018web-based patient education interventions\u2019 for orthopedic patients. The team headed by Danish researcher Tessa Dekkers from Delft University of Technology published their results on Monday.<\/p>\n","protected":false},"author":11,"featured_media":6114,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-6088","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-editors-picks"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Study Suggests Web-Based Patient Education Can Outperform Traditional Methods in Orthopedic Medicine - eLearningInside News<\/title>\n<meta name=\"description\" content=\"A group of researchers have recently conducted a review of existing studies that looked specifically at web-based patient education interventions for orthopedic patients.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/news.elearninginside.com\/study-suggests-web-based-patient-education-can-outperform-traditional-methods-orthopedic-medicine\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Study Suggests Web-Based Patient Education Can Outperform Traditional Methods in Orthopedic Medicine - 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