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01-12-2024 | Research

A standardized treatment protocol for pilonidal disease can influence the health mindset of adolescents

Authors: Claudia Mueller, Madeline Adams, Claire Abrajano, Razie Yousefi, Kyla Santos Dalusag, Thomas Hui, Wendy Su, Julie Fuchs, Bill Chiu

Published in: Langenbeck's Archives of Surgery | Issue 1/2024

Abstract

Purpose

Pilonidal disease (PD) significantly impacts patients’ quality of life and requires regular maintenance behaviors to achieve cure. Health mindset is a psychological construct which can influence health behaviors and outcomes, with a growth mindset being associated with better outcomes than a fixed. We propose that participation in a standardized treatment protocol can affect the health mindset for adolescents with pilonidal disease.

Methods

PD patients’ demographics, recurrence, and comorbidities were prospectively collected from 2019 to 2022. We assessed patients’ mindset score at initial presentation using the validated Three-Item Mindset Scale (1–6) then reassessed during follow-up. t-test was used to compare baseline and follow-up mindset scores and stratified by recurrence or comorbidities. p ≤ 0.05 was considered significant.

Results

A total of 207 PD patients (108 males, 99 females) with mean age 18.2 ± 3.7 years were followed for 351 ± 327 days. Mean baseline mindset score (4.76 ± 1.27) was significantly lower than mean follow-up mindset score (5.03 ± 1.18, p = 0.049). Baseline mindset score was significantly lower among patients with PD recurrence (4.00 ± 0.66) compared to those without recurrence (4.8 ± 1.29, p = 0.05). Among patients with PD recurrence, mean baseline mindset score (4.00 ± 0.66) was significantly lower than mean follow-up mindset score (5.27 ± 0.93, p = 0.0038). Patient comorbidity did not affect the baseline or follow-up mindset score.

Conclusions

Participation in a standardized treatment protocol is associated with the development of a stronger growth mindset over time for patients with PD. Furthermore, a growth mindset was linked to lower recurrence rate than a fixed mindset. Further investigations into how treatment approaches can work in concert with health mindset are proposed.

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Title: A standardized treatment protocol for pilonidal disease can influence the health mindset of adolescents
Authors: Claudia Mueller
Madeline Adams
Claire Abrajano
Razie Yousefi
Kyla Santos Dalusag
Thomas Hui
Wendy Su
Julie Fuchs
Bill Chiu
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Published in: Langenbeck's Archives of Surgery / Issue 1/2024
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-024-03282-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A standardized treatment protocol for pilonidal disease can influence the health mindset of adolescents

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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