eHealth intervention on Anxiety for AAA
Trial question
What is the role of eHealth intervention on anxiety in patients undergoing AAA surgery?
Study design
Single center
Open label
RCT
Population
Characteristics of study participants
14.0% female
86.0% male
N = 96
96 patients (13 female, 83 male).
Inclusion criteria: patients undergoing AAA surgery.
Key exclusion criteria: severe visual impairment or blindness; severe hearing impairment or deafness; dementia; medical condition with a suspected life expectancy < 1 year.
Interventions
N=48 eHealth intervention (program consisting of an eHealth tool in the format of a mobile app, a psychosocial support program by a contact nurse plus usual care).
N=48 usual care (oral and written information per the institution's standards by a vascular surgeon, registered nurse, and anesthetist).
Primary outcome
Reduction in mean anxiety score at 1 year after surgery
0.33 points
0.35 points
0.3 points
0.3 points
0.2 points
0.1 points
0.0 points
EHealth
intervention
Usual
care
No significant
difference ↔
No significant difference in reduction in mean anxiety score at 1 year after surgery (0.33 points vs. 0.35 points; MD 0.02, 95% CI -1.89 to 1.93).
Secondary outcomes
No significant difference in improvement in mean Hospital Anxiety and Depression Scale-Depression score at 1 year (0.5 points vs. -0.28 points; MD 0.78, 95% CI -2.33 to 0.77).
No significant difference in improvement in 12-Item Short Form Health Survey-Mental Component Summary score at 1 year (1.37 points vs. 2.55 points; MD 1.18, 95% CI -3.69 to 6.06).
No significant difference in reduction in 12-Item Short Form Health Survey-Physical Component Summary score at 1 year (1.3 points vs. 3.18 points; MD 1.88, 95% CI -1.66 to 5.41).
Conclusion
In patients undergoing AAA surgery, eHealth intervention was not superior to usual care with respect to reduction in mean anxiety score at 1 year after surgery.
Reference
Olga Nilsson, Malin Stenman, Anna Letterstål et al. One-year results of an eHealth intervention on anxiety in patients undergoing abdominal aortic aneurysm surgery: randomized clinical trial. BJS Open. 2024 Dec 30;9(1):zrae144.
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