{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:45:21Z","timestamp":1785545121261,"version":"3.56.0"},"reference-count":83,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n With advancements in anesthesiologic and surgical techniques, many surgeries are now performed as day-surgery procedures, requiring greater responsibilities for self-management from patients during the perioperative process. Online health information often lacks reliability and comprehensibility, posing risks for patients with low health literacy. Carpal tunnel release (CTR) surgery, a common day-surgery procedure, necessitates effective patient education for optimal recovery and self-management.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study introduces the CTS Academy, a web-based education program designed for patients undergoing CTR day surgery. The study aimed to evaluate the CTS Academy\u2019s impact on patients\u2019 health education literacy (HEL) compared with self-directed online information seeking.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A scoping review on education programs focusing on the perioperative process of CTR was conducted before this study. In a nonrandomized controlled study, 60 patients scheduled for CTR were assigned to 2 groups based on the patients\u2019 preferences; the test group used the CTS Academy, while the control group performed self-directed online searches. HEL was assessed using the Health Education Literacy of Patients with chronic musculoskeletal diseases (HELP) questionnaire, focusing on patients\u2019s comprehension of medical information (COMPR), patients\u2019s ability to apply health-related information in an everyday life (APPLY), and patient\u2019s ability to communicate with health care professional (COMM). Secondary outcomes included content comprehensibility, patient preferences, platform usability, and clinical carpal tunnel syndrome (CTS)\u2013related parameters.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In the scoping review, 17 studies could be identified and included for full-text analysis. Eighteen patients each were included in the test group (13 women and 5 men) and in the control group (11 women and 7 men). The average time spent in the study was 167 and 176 days for the test and control groups, respectively. The test group showed significant improvements in APPLY (mean 28, SD 7.99 vs mean 24, SD 5.14;\n P<\/jats:italic>\n <.05) and COMM (mean 30, SD 10.52 vs mean 25, SD 6.01;\n P=.<\/jats:italic>\n 02) after using the CTS Academy in a longitudinal analysis. No significant changes were observed in the control group. In a comparison between groups, the test group had significantly higher APPLY scores at follow-up (mean 24, SD 5.14 vs mean 33, SD 14.78;\n P=.<\/jats:italic>\n 044) and fewer comprehension issues at baseline (mean 38, SD 16.60 vs mean 50, SD 19.00;\n P=.<\/jats:italic>\n 03). The CTS-related knowledge assessment yielded 92% (66\/72) versus 90% (65\/72) correct answers in the test and control groups, respectively. The test group rated the CTS Academy highly in usability (6.22 of 7.00 points) and utility (6.13 of 7.00 points). Preferences leaned toward using CTS Academy alongside doctor consultations (16\/18, 89%) and over self-directed searches (15\/18, 84%). No significant differences were found in CTS-related symptoms between groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The CTS Academy effectively enhanced patients\u2019 HEL, especially in applying and communicating medical information. The platform\u2019s usability and utility were rated favorably, and patients preferred it over independent online information seeking. This suggests that structured, web-based education enhances patient self-management during the day surgery process.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/65114","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:14:21Z","timestamp":1738628061000},"page":"e65114-e65114","source":"Crossref","is-referenced-by-count":4,"title":["Changes in Health Education Literacy After Structured Web-Based Education Versus Self-Directed Online Information Seeking in Patients Undergoing Carpal Tunnel Release Surgery: Nonrandomized, Controlled Study"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4308-7033","authenticated-orcid":false,"given":"Mariella","family":"Seel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7648-8874","authenticated-orcid":false,"given":"Julian Alexander","family":"Mihalic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5787-0213","authenticated-orcid":false,"given":"Stefan Mathias","family":"Froschauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3389-3621","authenticated-orcid":false,"given":"Bernhard","family":"Holzner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8727-2257","authenticated-orcid":false,"given":"Jens","family":"Meier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3458-4951","authenticated-orcid":false,"given":"Tobias","family":"Gotterbarm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9208-826X","authenticated-orcid":false,"given":"Matthias","family":"Holzbauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"issue":"8","key":"R1","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1001\/jamasurg.2018.0672","article-title":"Association between functional health literacy and postoperative recovery, health care contacts, and health-related quality of life among patients undergoing day surgery: secondary analysis of a randomized clinical trial","volume":"153","author":"H\u00e4lleberg Nyman","journal-title":"JAMA Surg"},{"issue":"12","key":"R2","doi-asserted-by":"publisher","first-page":"1630","DOI":"10.1016\/j.ijnurstu.2013.05.002","article-title":"Postoperative recovery from the perspective of day surgery patients: a phenomenographic study","volume":"50","author":"Berg","journal-title":"Int J Nurs Stud"},{"issue":"5","key":"R3","first-page":"407","volume":"60","author":"Tonsaker","journal-title":"Can Fam Physician"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Connelly RA Speer ME . 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