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The Influence of Mindfulness on Patient-Reported Outcomes Following Hip Preservation Surgery.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The Influence of Mindfulness on Patient-Reported Outcomes Following Hip Preservation Surgery./
作者:	Anderson, Scott A.
面頁冊數:	1 online resource (123 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-10, Section: B.
Contained By:	Dissertations Abstracts International84-10B.
標題:	Surgery. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30426322click for full text (PQDT)
ISBN:	9798379439934

The Influence of Mindfulness on Patient-Reported Outcomes Following Hip Preservation Surgery.
Anderson, Scott A.

The Influence of Mindfulness on Patient-Reported Outcomes Following Hip Preservation Surgery. - 1 online resource (123 pages)

Source: Dissertations Abstracts International, Volume: 84-10, Section: B.

Thesis (Ph.D.)--The University of Wisconsin - Madison, 2023.

Includes bibliographical references

Introduction: Hip arthroscopy is an increasingly common procedure that can improve hip pain and function, and delay the need for hip arthroplasty. Worse surgical outcomes are associated with baseline psychological co-morbidities, however, suggesting that the incorporation of a post-operative behavioral intervention, such as mindfulness meditation, may improve outcomes.Purpose: To evaluate the influence of an 8-week, remotely-delivered mindfulness intervention on hip pain and function, and mental and physical well-being following hip preservation surgery, and the factors that influence the efficacy of remote mindfulness in patient-reported out comes following hip arthroscopy.Methods: Thirty-six hip arthroscopy patients ages 18-50 years were randomly assigned to two groups; standard of care, or standard of care plus mindfulness. The 8-week mindfulness program was delivered remotely via the Healthy Minds smartphone-based training. One week before surgery and three months after surgery, participants in both groups completed the International Hip Outcome Tool (iHOT) with its embedded subdomains (symptoms & functional limitations, sports & recreational activities, job-related concerns and social/emotional & lifestyle), PROMIS Global Health Questionnaire Mental and Physical, and PROMIS - Anxiety and PROMIS - Depression measures. Additionally participants provided demographic information (age, sex, and race) and height & weight. ANCOVA models were used to compare 3-month outcomes between groups while adjusting for the baseline value, age, sex and BMI. The influence of various moderator variables on the effect of mindfulness on patient-reported outcomes were compared between groups at 3 months using an intention-to-treat analysis with linear regressions, including the baseline value of the variable, sex, age, Beighton score, BMI and treatment group as covariates.Results: In the mindfulness group, 9 (50%) were female, with mean (95% CI) age and BMI of 32.9 (8.7) years and 26.6 (4.4) kg/m2, respectively. In the Control group, 13 (72%) were female and had an age and BMI of 32.6 (8.8) years and 27.0 (5.3) kg/m2, respectively. The mindfulness group engaged with the app 3.73 (3.5) minutes per day. The mindfulness group reported less hip pain 3-months post-surgery than the Control group, although the results were not statistically significant [mean (95% CI) for mindfulness 83.63 (7.53) and control 73.89 (7.89), 95% CI, p=0.076, d=0.644]. Similarly, the mindfulness group demonstrated a non-significant trend toward less hip-related job-related concerns at 3-months post-surgery than the control group [79.66 (10.22) v. 65.95 (10.95), 95% CI, p=0.066, d=0.674]. No statistically significant differences were found in the iHOT total score or its other domains (p>0.05 for all), nor did PROMIS Global Physical [mindfulness 48.32 (3.29) and Control 48.65 (3.29), 95% CI, p=0.886, d=0.051] and Global Mental [mindfulness 50.57 (2.70) and Control 50.13 (2.70), 95% CI, p=0.822, d=0.084] scores show a statistical difference between the mindfulness and control group Although not statistically significant, participants in the mindfulness group with higher baseline PROMIS - Anxiety scores reported greater reductions in hip pain than participants with lower baseline PROMIS - Anxiety scores [2.02 (1.14), p = 0.087], and those with lower baseline BMI reported greater improvements in PROMIS Physical and Mental scores than those with higher BMI [-0.77 (0.49), p = 0.131] and [-0.577 (0.388), p = 0.147], respectively. Time engaged with app practice sessions was negatively correlated with improvements in iHOT Job-Related Concerns [-0.12 (0.054), p = 0.052]. Sex and joint hypermobility did not seem to influence the effect of mindfulness on iHOT scores, global mental or global physical health.Conclusion: This pilot study suggests that remotely delivered mindfulness may be associated with reduced hip pain and hip-related job-related concerns after hip arthroscopy surgery, though may not be associated with improvements in patient-reported global physical and mental well-being indices. Remotely delivered mindfulness may be associated with improved physical well-being and less pain in patients with lower BMI and higher baseline anxiety. In the domain of hip-related job-related concerns, shorter mindfulness practice sessions may be more beneficial than longer practice sessions. Further research is needed to determine the short and long-term post-operative effects of remote mindfulness.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379439934Subjects--Topical Terms:

707153
Surgery.
Subjects--Index Terms:

Hip arthroscopyIndex Terms--Genre/Form:

542853
Electronic books.

The Influence of Mindfulness on Patient-Reported Outcomes Following Hip Preservation Surgery.
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