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Use of Audience Response System (Ars) Technology in a Post-Bariatric Surgery Population
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Integrated Health Oral Presentations / Surgery for Obesity and Related Diseases 11 (2015) S43–S48
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USE OF AUDIENCE RESPONSE SYSTEM (ARS) TECHNOLOGY IN A POST-BARIATRIC SURGERY POPULATION Paul Lorentz, MS RN RD BBA; Maria Collazo-Clavell, MD; Manpreet Mundi, MD; Karen Grothe, PhD ABPP LP; Todd Kellogg, MD; Mayo Clinic, Rochester, MN, USA Background: Group-based care of the post-bariatric surgery patient has been shown to offer benefits to both bariatric surgery patients and their care teams. However, group-based care has inherent challenges which may impact the quality of care received. For example, shy or introverted patients may avoid endorsing nonadherence in a group setting of their patient peers. Audience Response System (ARS) technology was incorporated into an existing small group-based follow-up care model for post-bariatric surgery patients. ARS was utilized to allow an anonymous capture of pertinent aspects of the post-bariatric surgery period, in an effort to more accurately grasp the lived experience of patients and to reduce known challenges of group-based care models. Methods: Patients who underwent primary bariatric surgery at Mayo Clinic in Rochester, MN, between January 2012 and April 2015, being seen in a long-term (Z 2 years post-surgery) groupbased medical visit setting, answered a series of ARS-based questions, which were embedded in a PowerPoints presentation. Patients anonymously answered 24 questions using handheld “clickers”. Once all patients responded to a particular question, the group results were displayed for all patients to view. Sample topics polled included: post-surgical challenges; hunger control; eating frequency; high-calorie beverage consumption; average portion sizes; physical activity; GI symptoms; alcohol consumption; mental health; and confidence. Results: A total of 234 patient responses were captured. All patients polled (n¼234) responded that they found the ARS technology easy to use and 99.6% (n¼233) responded that the ARS technology made their medical visit more enjoyable. Of
those, 90.9% were o5 years post-surgery; 9.1% were Z 5 years post-surgery. The average length of time since surgery was 3.2 years. Of those polled, 85.5% were status post Roux-en-Y gastric bypass; 6% were status post sleeve gastrectomy, 8.1% were status post duodenal switch, and 0.4% responded were status post an “Other” procedure. Regarding what they found most challenging post-surgery, adequate physical activity was the most common response, with 38% selecting this answer. When questioned regarding minutes of moderate-to-vigorous physical activity, 69.2% of patients polled reported getting o30 minutes per day. Trying not to snack between meals was the second most commonly identified challenge, with 34.2% identifying this as their primary challenge. Of those polled, 56.8% responded “agree” or “strongly agree” when asked if their hunger was wellcontrolled. Conversely, 18.8% responded “disagree” or “strongly disagree” to the same question. When asked about consumption of high-calorie beverages, 44.4% of patients responded that they consumed a high-calorie (420 calories/serving) on at least a daily basis. At least monthly alcohol consumption was endorsed by 61.1% of patients, with 10.1% of patients reporting consumption 2 or more times per week. Of those consuming alcohol, 9.4% reported consuming 3 or more drinks on days they were consuming alcohol. Conclusions: Our findings show that post-bariatric surgery patients find ARS technology easy to use and enjoyable. As intended, the technology allowed for the anonymous capture of many aspects regarding the post-bariatric surgery experience. The information captured with the ARS technology serves several purposes, including: a mechanism for reserved patients to express concerns in a group setting; a tool to support tailored group education; and an effective means of aggregating useful data on the post-bariatric surgery patient experience. ARS technology may allow bariatric surgery care providers to augment existing models of care, leading to improved patient education and a more accurate understanding of the post-bariatric surgery patient experience.
Integrated Health Oral Presentations / Surgery for Obesity and Related Diseases 11 (2015) S43–S48
A182
USE OF AUDIENCE RESPONSE SYSTEM (ARS) TECHNOLOGY IN A POST-BARIATRIC SURGERY POPULATION Paul Lorentz, MS RN RD BBA; Maria Collazo-Clavell, MD; Manpreet Mundi, MD; Karen Grothe, PhD ABPP LP; Todd Kellogg, MD; Mayo Clinic, Rochester, MN, USA Background: Group-based care of the post-bariatric surgery patient has been shown to offer benefits to both bariatric surgery patients and their care teams. However, group-based care has inherent challenges which may impact the quality of care received. For example, shy or introverted patients may avoid endorsing nonadherence in a group setting of their patient peers. Audience Response System (ARS) technology was incorporated into an existing small group-based follow-up care model for post-bariatric surgery patients. ARS was utilized to allow an anonymous capture of pertinent aspects of the post-bariatric surgery period, in an effort to more accurately grasp the lived experience of patients and to reduce known challenges of group-based care models. Methods: Patients who underwent primary bariatric surgery at Mayo Clinic in Rochester, MN, between January 2012 and April 2015, being seen in a long-term (Z 2 years post-surgery) groupbased medical visit setting, answered a series of ARS-based questions, which were embedded in a PowerPoints presentation. Patients anonymously answered 24 questions using handheld “clickers”. Once all patients responded to a particular question, the group results were displayed for all patients to view. Sample topics polled included: post-surgical challenges; hunger control; eating frequency; high-calorie beverage consumption; average portion sizes; physical activity; GI symptoms; alcohol consumption; mental health; and confidence. Results: A total of 234 patient responses were captured. All patients polled (n¼234) responded that they found the ARS technology easy to use and 99.6% (n¼233) responded that the ARS technology made their medical visit more enjoyable. Of
those, 90.9% were o5 years post-surgery; 9.1% were Z 5 years post-surgery. The average length of time since surgery was 3.2 years. Of those polled, 85.5% were status post Roux-en-Y gastric bypass; 6% were status post sleeve gastrectomy, 8.1% were status post duodenal switch, and 0.4% responded were status post an “Other” procedure. Regarding what they found most challenging post-surgery, adequate physical activity was the most common response, with 38% selecting this answer. When questioned regarding minutes of moderate-to-vigorous physical activity, 69.2% of patients polled reported getting o30 minutes per day. Trying not to snack between meals was the second most commonly identified challenge, with 34.2% identifying this as their primary challenge. Of those polled, 56.8% responded “agree” or “strongly agree” when asked if their hunger was wellcontrolled. Conversely, 18.8% responded “disagree” or “strongly disagree” to the same question. When asked about consumption of high-calorie beverages, 44.4% of patients responded that they consumed a high-calorie (420 calories/serving) on at least a daily basis. At least monthly alcohol consumption was endorsed by 61.1% of patients, with 10.1% of patients reporting consumption 2 or more times per week. Of those consuming alcohol, 9.4% reported consuming 3 or more drinks on days they were consuming alcohol. Conclusions: Our findings show that post-bariatric surgery patients find ARS technology easy to use and enjoyable. As intended, the technology allowed for the anonymous capture of many aspects regarding the post-bariatric surgery experience. The information captured with the ARS technology serves several purposes, including: a mechanism for reserved patients to express concerns in a group setting; a tool to support tailored group education; and an effective means of aggregating useful data on the post-bariatric surgery patient experience. ARS technology may allow bariatric surgery care providers to augment existing models of care, leading to improved patient education and a more accurate understanding of the post-bariatric surgery patient experience.