Audiovisual Videodisc Education and Modification of Expectations With Total Knee Replacement (TKR)

NCT01463930 | Completed

• 1 other identifier: PSMARCOT01_2011
• Study Type: interventional
• Target: 92
• Locations: 1 country
• Sites: 1

Brief Summary

Information provided to patients modifies their expectations with surgery. The effects of preoperative audiovisual information on expectations with total knee replacement (TKR) have not been investigated. The purposes of this study were to investigate the effectiveness of an educational videodisc on the modification of pre-operative patients' expectations with TKR and to find a biophysical profile of subjects in whom this videodisc could be most effective. It was hypothesized that patients receiving standard information plus additional medical information through audiovisual videodiscs would modify their pre-operative expectations more than those only receiving the standard information through medical interviews.

Conditions

Total Knee Replacement

Keywords

Total Knee Replacement; Expectations; Audiovisual videodisc

Outcome Measures

Primary Outcomes (1)

• Change from baseline in patient-reported postoperative expectatives about the results of total knee replacement to inmediately after receiving audiovisual plus verbal information (intervention grou) or only verbal information (control group)

  The study measures the patient's expectatives about the improvement of pain, function, and psychological well-being after undergoing total knee replacement. These expectatives are measured through the Hospital for Special Surgery Knee Replacement Expectations Survey (KRES), and a score ranging from 0 to 100 is reported.

  Baseline and 1 month later (1 month before surgery)

Study Arms (2)

Audiovisual videodisc and medical verbal information

EXPERIMENTAL

Behavioral: Educational audiovisual videodisc and medical verbal information

Medical verbal information

ACTIVE COMPARATOR

Behavioral: Medical verbal information

Interventions

Educational audiovisual videodisc and medical verbal information BEHAVIORAL

General and specific medical verbal information and ten-minute DVD where the process from admission to the surgical intervention, recovery room, immediate postoperative care, and outpatient care at two, six, and twelve months after surgery was shown. The video included experiences of patients with respect to pain and function and examples of functionality during daily life activities such as stairs, kneeling or squatting. The video also demonstrated the facilities and rehabilitation techniques employed in the Physical Medicine and Rehabilitation Service.

Audiovisual videodisc and medical verbal information

Medical verbal information BEHAVIORAL

General and specific verbal information provided by both the surgeon and a specialized nurse including basics of surgical technique, potential complications, and rehabilitation.

Medical verbal information

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with knee osteoarthritis waiting for total knee replacement.

You may not qualify if:

• Cognitive disorders or language barriers precluding medical interview.
• Contralateral total knee replacement.
• History of revision total knee replacement.
• History of unicompartmental knee arthroplasty

Sponsors & Collaborators

• Parc de Salut Mar: lead

Study Sites (1)

Hospital de l'Esperança - Parc de Salut MAR

Barcelona, Barcelona, 08024, Spain

Location

Related Publications (5)

• Mancuso CA, Sculco TP, Wickiewicz TL, Jones EC, Robbins L, Warren RF, Williams-Russo P. Patients' expectations of knee surgery. J Bone Joint Surg Am. 2001 Jul;83(7):1005-12. doi: 10.2106/00004623-200107000-00005.

  PMID: 11451969 BACKGROUND

• Noble PC, Conditt MA, Cook KF, Mathis KB. The John Insall Award: Patient expectations affect satisfaction with total knee arthroplasty. Clin Orthop Relat Res. 2006 Nov;452:35-43. doi: 10.1097/01.blo.0000238825.63648.1e.

  PMID: 16967035 BACKGROUND

• Hepinstall MS, Rutledge JR, Bornstein LJ, Mazumdar M, Westrich GH. Factors that impact expectations before total knee arthroplasty. J Arthroplasty. 2011 Sep;26(6):870-6. doi: 10.1016/j.arth.2010.09.010. Epub 2010 Nov 12.

  PMID: 21074356 BACKGROUND

• Mancuso CA, Salvati EA, Johanson NA, Peterson MG, Charlson ME. Patients' expectations and satisfaction with total hip arthroplasty. J Arthroplasty. 1997 Jun;12(4):387-96. doi: 10.1016/s0883-5403(97)90194-7.

  PMID: 9195314 BACKGROUND

• Nilsdotter AK, Toksvig-Larsen S, Roos EM. Knee arthroplasty: are patients' expectations fulfilled? A prospective study of pain and function in 102 patients with 5-year follow-up. Acta Orthop. 2009 Feb;80(1):55-61. doi: 10.1080/17453670902805007.

  PMID: 19234886 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, MSc, PhD

Study Record Dates

• First Submitted: October 16, 2011
• First Posted: November 2, 2011
• Study Start: January 1, 2009
• Primary Completion: April 1, 2009
• Study Completion: April 1, 2010
• Last Updated: February 19, 2016

Record last verified: 2016-02

Locations

ES (1)