Exploring patient attitudes to behaviour change before surgery to reduce peri‐operative risk: preferences for short‐ vs. long‐term behaviour change
Article
Article Title | Exploring patient attitudes to behaviour change before surgery to reduce peri‐operative risk: preferences for short‐ vs. long‐term behaviour change |
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ERA Journal ID | 15668 |
Article Category | Article |
Authors | McDonald, S. (Author), Yates, D. (Author), Durrand, J. W. (Author), Kothmann, E. (Author), Sniehotta, F. F. (Author), Habgood, A. (Author), Colling, K. (Author), Hollingsworth, A. (Author) and Danjoux, G. (Author) |
Journal Title | Anaesthesia |
Journal Citation | 74 (12), pp. 1580-1588 |
Number of Pages | 9 |
Year | 2019 |
Place of Publication | United Kingdom |
ISSN | 0003-2409 |
1365-2044 | |
Digital Object Identifier (DOI) | https://doi.org/10.1111/anae.14826 |
Web Address (URL) | https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14826 |
Abstract | Pre‐operative intervention to improve general health and readiness for surgery is known as prehabilitation. Modification of risk factors such as physical inactivity, smoking, hazardous alcohol consumption and an unhealthy weight can reduce the risk of peri‐operative morbidity and improve patient outcomes. Interventions may need to target multiple risk behaviours. The acceptability to patients is unclear. We explored motivation, confidence and priority for changing health behaviours before surgery for short‐term peri‐operative health benefits in comparison with long‐term general health benefits. A total of 299 participants at three UK hospital Trusts completed a structured questionnaire. We analysed participant baseline characteristics and risk behaviour profiles using independent sample t‐tests and odds ratios. Ratings of motivation, confidence and priority were analysed using paired sample t‐tests. We identified a substantial prevalence of risk behaviours in this surgical population, and clustering of multiple behaviours in 42.1% of participants. Levels of motivation, confidence and priority for increasing physical activity, weight management and reducing alcohol consumption were higher for peri‐operative vs. longer term benefits. There was no difference for smoking cessation, and participants reported lower confidence for achieving this compared with other behaviours. Participants were also more confident than motivated in reducing their alcohol consumption pre‐operatively. Overall, confidence ratings were lower than motivation levels in both the short‐ and long‐term. This study identifies both substantial patient desire to modify behaviours for peri‐operative benefit and the need for structured pre‐operative support. These results provide objective evidence in support of a ‘pre‐operative teachable moment’, and of patients’ desire to change behaviours for health benefits in the short term. |
Keywords | health behaviour; intervention; prehabilitation |
ANZSRC Field of Research 2020 | 320201. Anaesthesiology |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | University of Queensland |
York Teaching Hospitals NHS Foundation Trust, United Kingdom | |
James Cook University Hospital, United Kingdom | |
University Hospitals of North Tees and Hartlepool, United Kingdom | |
Newcastle University, United Kingdom | |
Northumbria Healthcare NHS Foundation Trust, United Kingdom | |
Royal Centre for Defence Medicine, United Kingdom | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q58yq/exploring-patient-attitudes-to-behaviour-change-before-surgery-to-reduce-peri-operative-risk-preferences-for-short-vs-long-term-behaviour-change
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