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Digital technology to support lifestyle and health behaviour changes in surgical patients: systematic review

Lookup NU author(s): Anna RobinsonORCiD, Professor Andy HusbandORCiD, Bob Slight, Professor Sarah SlightORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

Background: Digital technologies (such as smartphone applications, activity trackers, and e-learning platforms) have supported patients with long-term conditions to change their lifestyle health behaviours. The aim of this study was to examine the effective- ness of digital technologies in supporting patients undergoing elective surgery to change their health behaviours.Methods: A systematic review was conducted of articles reporting a digital intervention supporting behaviour change in adult patients who underwent elective bariatric, oncological or orthopaedic surgery. MEDLINE, Embase, CINAHL, PsycINFO, Web of Science, and Scopus were searched from inception to March 2019 for quantitative intervention studies with a specific focus on physical activ- ity, dietary intake, and weight loss in patients before and after surgery (PROSPERO: CRD42019127972). The Joanna Briggs Institute crit- ical appraisal checklist was used to assess study quality.Results: Of 3021 citations screened, 17 studies were included comprising 4923 surgical patients; these included experimental (pre– post design, feasibility studies, and RCTs) and observational studies. Three factors were identified as effective for supporting health behaviour change in elective surgical populations: digital technology delivery, implementation, and theoretical underpinning. Six of eight studies that referred to behaviour change theories observed significant improvements in health behaviour relating to reduced weight regain, and improved lifestyle choices for physical activity and diet. Meta-analysis was not possible because of heterogeneous outcome measures.Conclusion: Digital technologies may effectively support behavioural change in patients undergoing elective surgery.


Publication metadata

Author(s): Robinson A, Husband AK, Slight RD, Slight SP

Publication type: Article

Publication status: Published

Journal: BJS Open

Year: 2020

Volume: 5

Issue: 1

Online publication date: 28/12/2020

Acceptance date: 23/08/2020

Date deposited: 12/02/2021

ISSN (electronic): 2474-9842

Publisher: John Wiley & Sons Ltd.

URL: https://watermarhttps://academic.oup.com/bjsopen/advance-article/doi/10.1093/bjsopen/zraa009/6054048?login=truek.silverchair.com/zraa009.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAsQwggLABgkqhkiG9w0BBwagggKxMIICrQIBADCCAqYGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMaXWu9cEN7jfbQPPCAgEQgIICd_MPp8wxSFVab5KADi0oqmr-SPRRlVrH-tk0AEkA7c_KcK8cW8g1C53qRL0gscGARJ61MEn970tdq73Hyw2T5d40GyclQy4N72V2d70p9DHPkMyI5OWBDgLCZsHG6jFVztOObyrC2K5VEkWgTJMUVU7PI-AYUh_aA2A3jbWNR5Iaul5VVhKpBVfCGGrdqLhNlCXDTriujDxJ831sgY0c2jx3LV1PtNT8tR7YS1CWqGNhOj-Ke0Aj2nVNjSVab5LW-HqJHG2T1es7d_CZedXH-kTl82TsyLHF3EK-DnmP2Koo1IruSCRRRVeNmbS_J2RwhbBa2U8sGTJ_u9NnjIdDCrwTbQlYPx2I4ABCSkxZbtLYR1nJhZuotEdTHEGYblqmNpEFBKR5AVwp6Mrzo_FuMWYLxCllRxcwz9U63EvSwveABP1hB6pZUjHGMXvZjb0sN3i9b9csNAlK5MFUas603JW0UJtJ12jF0S13Va2H7qGUlAdhgcMrDmXznPwbyxD8O_HIKd5UdylXcWT_GNdJ2irwpeIqr8mPH9rrCAYfey1i4SS8BU83DSpkDxUMdaSH_DULfZwhRqbdAgJPqMcU4GNPuo7fiDeQ6SutotQYHujfsFsg2dQkS8eEGH2lBQ7giKpdy52V5btQ3yk9Y3APFfWpYO2z3GrijYfMm663Q-ASBArP43Ksd0D1GsTJ1S9TJ7iTzt4jrzpFb-ZkwGavfmRhicJb6dqhipea6tLgr9FC4ZytvzKW8fZfecaF6LD35norKsoh41Sb-xBZ3gI3yk9yzz7q8Seb0YxWtwyCOCXtURv9cgyO5hhlv7RJwNaKnmZp2QWjenE

DOI: https://doi.org/10.1093/bjsopen/zraa009


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