Geraldine Martorella*, University of Montreal, Montreal, Canada Céline Gélinas, McGill University, Montreal, Canada Margaret Purden, McGill University, Montreal, Canada Track: Research Presentation Topic: Web 2.0 approaches for behaviour change, public health and biosurveillance Presentation Type: Poster presentation Submission Type: Single Presentation Last modified: 2014-08-29

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Background
Approximately two thirds of adults undergoing cardiac surgery suffer from moderate to severe postoperative pain. Assisting patients with pain management is therefore critical to prevent its negative consequences. Information technologies have become part of our lifestyle and can facilitate the implementation of interventions influencing pain management in a busy care setting. A computer-tailored and Web-based intervention (SOULAGE-TAVI) for the self-management of pain was developed. Findings from a previous pilot RCT provided some evidence of the feasibility and preliminary effectiveness of this intervention in decreasing pain interference with a few postoperative activities and modulating pain beliefs and analgesic intake. However, its acceptability from the patient’s perspective remains unclear. Moreover, the proportion of women being much lower in the cardiac surgical population makes difficult to detect differences in experiences between men and women.
Objectives
The objectives were 1) to describe SOULAGE-TAVIE’s acceptability from the perspective of adults experiencing pain after cardiac surgery and 2) compare the perceptions of men and women.
Methods
A mixed method approach was used to capture the various attributes of patients’ perceptions of the intervention’s acceptability and compare the perception of men and women. A quota sample of men (n=10; mean age=62.5, SD=7.3) and women (n=10 ; mean age=64.3, SD=10.7) who had a cardiac surgery in the past month, was invited to view the intervention, complete a brief questionnaire to rate its acceptability, and then to discuss each component in a 60-minute semi-structured interview. Mann-Whitney U tests were used to compare groups. The transcripts were content analyzed to generate themes based on patients’ experience with the intervention and reports of acceptability. The content of each category and subcategories were compared between men and women. Frequency counts were also done to validate the emergence of a difference between the two subgroups.
Results
Participants perceived the intervention to be very acceptable in terms of content and format, and tended to describe awareness-raising and convenient support experiences. Women scored higher than men in terms of intervention’s appropriateness (U=13.5, P=.008). They were willing to adhere to the intervention based on the importance and relevance of the advice provided whereas men were more focused on the delivery mode and its flexibility.
Conclusions
This study underlined the acceptability of computer tailoring and persuasive communication to modulate pain beliefs and attitudes in an acute care context. Besides, both men and women appreciated the Web-based interface and general self-guided approach of the intervention. The delivery of SOULAGE-TAVIE across the continuum of care seems to be an interesting avenue to influence the transition from acute to chronic postoperative pain.