Research Grant Initiative
The NAON Research Committee awarded Candi Mori, PhD(c), APRN, ACNS-BC, ONC, a research grant to examine the lived experience of osteoporosis risk in people who have had bariatric surgery. Despite what is known about risk factors, preventive treatment, and increased prevalence of fragility fractures in post-bariatric surgical patients, little is known about how patient views of osteoporosis inform their commitment to bone health. Individuals who receive bariatric surgery face many challenges, such as depression, medication adherence, malnutrition/malabsorption, and body image disturbance.
The specific aim of this study is to understand what it means for people to live with the risk of osteoporosis after bariatric surgery and the perceptions of osteoporosis risks postoperatively. This study will use interpretive phenomenology to explore osteoporosis from the perspective of bariatric surgery patients. Recruitment will take place at one bariatric and one orthopedic center in Northeast Ohio, and participants will be recruited directly by the investigator and by staff referrals. All participants will be asked open-ended questions about perceptions of living with the risk of osteoporosis, awareness of risks, and attitudes and beliefs toward prevention. At the conclusion of interviews, participants will be asked if they are feeling distressed, and appropriate referrals will be provided as needed.
Of specific interest to NAON members will be the potential implications for practice by understanding the patient experience from the patient perspective. The researchers will be better positioned to develop more effective osteoporosis prevention strategies preoperatively and support the medically complex orthopaedic patient postoperatively after bariatric surgery.
The NAON Research Committee awarded their inaugural research grant to NAON member, Deborah Witting-Wells, PhD, RN, NE-BC. Deborah and her team are using their funding to explore the use of available technology and an existing app to promote adherence to ASA in order to prevent deep vein thrombosis (DVT) in post-orthopaedic surgery patients.
The specific aim of this study is to evaluate the impact of using a smartphone app reminder on medication adherences twice daily in 200 adults prescribed 81 milligrams of aspirin for 35 days as anti-thrombotic therapy after knee or hip arthroplasty. After screening and informed consent and baseline assessment, participants will be randomized using a 1:1 allocation to either the control or intervention group. Both will receive education and the intervention will also have an app downloaded onto their phone, pre-set with twice daily reminders and instructions on how to use with return demonstration. The in-person follow up assessment will occur on day 36.
This study is significant to NAON and its members as orthopaedic surgical procedures have some of the highest rates for post-operative DVT. Anticoagulant treatment is critical for these patients and ASA is an effective treatment for this particular patient population. While medication adherence is known to be of critical importance, adherence rates are typically low. Poor rates of adherence have been linked to the need for more medical treatment, greater expenses for the patients, and a greater financial burden on the healthcare system, less optimal health care outcomes, and increased morbidity and mortality. Reminders are critical for individuals to help prevent DVTs and improve outcomes.
The results of this study will be translatable to clinical practice and used to address ongoing adherence of aspirin (ASA). If found efficacious, the app could easily be used to promote medication adherence self-management by reminding patients to take medications for other chronic health conditions, specifically when forgetfulness is an issue.
NAON is dedicated to providing excellence in research. NAON feels that research is a systematic investigation in developing, testing and evaluating facts, theories or already developed concepts.
NAON is always interested in new research projects that will help our members with their career. To let NAON know about a project you think would be of interest, please contact our Research Committee members.
- Academic Center for Evidence-Based Nursing
- Agency for Healthcare Research and Quality
- AHRQ: Nursing Resources & Research Findings
- Center for Disease Control: Data and Statistics
- Center for Scientific Review
- Department of Defense Congressionally Directed Medical Research Programs
- National Institute on Aging
- National Institute of Arthritis and Musculoskeletal and Skin Disease
- National Institutes of Health
- National Institutes of Health Clinical Center
- National Institute for Nursing Research
- National League for Nursing
- National Library of Medicine
- National Women's Health Information Center
- Robert Wood Johnson Foundation