Patients' Views on Outcomes Following Total Knee Arthroplasty: a Focus-group Study

NCT03064334 | Completed

• 1 other identifier: qualitative
• Study Type: observational
• Target: 8
• Locations: 1 country
• Sites: 1

Brief Summary

In order to assess patients' concerns and other quality of life aspects, post-total knee arthroplasty (TKA) requires further assessment tools, more than controlled experiments testing defined isolated variables. Qualitative research offers useful methods to explicate the complexity and deeper meaning of patient experiences and outcomes post-TKA. Qualitative methods facilitate the collection of in-depth experiences and perceptions from individuals about a specific phenomenon which, in this case, is outcomes post-TKA. Specifically, a phenomenological approach allows for the collection of diverse and unique patient experiences and outcomes post-TKA . The focus of this project is using focus groups to explore poorly understood areas, such as outcomes and experiences post-TKA, in order to generate useful findings and hypotheses.

Conditions

Total Knee Arthroplasty

Outcome Measures

Primary Outcomes (1)

• Medium focus groups discussion to explore the patients experiance and functional recovery post -TKA.

  Qualitative methods in term of medium focus groups discussion will be used to explore the patients perceptions and experiences post-surgery. The focus groups will be facilitated by a focus-group expert and the researcher using open-ended questions in order to prompt free discussion to explore their experience and barrier post-TKA. All topics and questions covered will be suitable to discuss in a semi-public setting. All discussions will be recorded using electronic methods, in addition to field notes taken by both facilitator and researcher. Discussion guide: How was experience of Total Knee Arthroplasty (TKA), Functional improvements after TKA, What modifications have been made to compensate for that, What are the barrier, In the course of routine activities did the patients need help, Did the patients need family support, Were patients able return to work after TKA, (if not, why? what are the barriers

  60 -70 minute of total 120 minute of focus group discussion.

Secondary Outcomes (1)

• Medium focus groups discussion to explore the quality of health service provide post -TKA

  40 -50 minute of total 120 minute of focus group discussion.

Study Arms (1)

one medium of focus groups

The present study aims to understand patient experiences and outcomes post- Total Knee Arthroplasty(TKA). Therefore, a qualitative approach will be most appropriate to facilitate the collection of in-depth experiences and perceptions of patients post-TKA. The medium of focus groups (with 8-10 patients) is preferred to allow a group of patients to share their perceptions and experiences post-surgery, with sufficient quantity and diversity of views while balancing the facilitator's ability to manage all patients' participation for 90-120 minutes (Bloor, 2006).

Procedure: Total Knee Arthroplasty

Interventions

Total Knee Arthroplasty PROCEDURE

surgical knee joints Arthroplasty

Also known as: Total Knee Replacement surgery

one medium of focus groups

Eligibility Criteria

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

Study Population

The participants will be recruited at Stepping Hill Hospital. Sample criteria require will be clarified for all three orthopaedic surgeons at the hospital. Any patients attending for a one-year follow-up visit who are willing to participate in a focus-group study will be included in a research-patients list. A participant information sheet and an informed consent form will be sent via Royal Mail or email to each participant four weeks before the study to allow participants to consider their involvement in the study and have the time to decide whether or not to contribute. They will be able to change their minds on the day should they wish to do so.

You may qualify if:

• Patients who have undergone primary unilateral total knee arthroplasty within the last year.
• Maximum post-operative achievement is between one and two years.
• Patients can read and understand English, non-English speaking patients will be excluded from the study to avoid any language barrier.
• Purposive sampling will be used to recruit the most relevant patients to answer the research questions such as;
• mixed genders to explore gender-experience differences.
• mixed work and retired to explore return to work barriers
• patients with family support and patients living alone to explore the value of family support or home-care services
• mixed educational levels to explore educational background effects.
• So there will be no age, gender, social, work status or educational level limitations (Schwandt, 2001)

You may not qualify if:

• There are possible complications or they present with other pathological conditions that might change recovery progression, they will be excluded to minimize confounding factors and their effects on patients' experiences and outcomes, such as:
• They have undergone bilateral knee arthroplasty, unilateral knee revision surgery, post-traumatic or unicompartmental knee replacement.
• They cannot read and understand English.
• Their function is limited due to musculoskeletal involvements other than unilateral knee osteoarthritis.
• They have been diagnosed with uncontrolled diabetes mellitus or blood pressure.
• Post-TKR they are in pathological groups, such as having neurological disorders (stroke, Parkinson's disease etc.), haemophilia or psychological pathologies.
• They are morbidly obese and have a body mass index (BMI) greater than 40.
• They have advanced osteoporosis or some other unstable chronic disease.
• They have been diagnosed with peripheral vascular disease or an uncontrolled cardiac disease.
• They present with major postoperative complications, such as infection, fracture, acute myocardial infarction, stroke, pulmonary embolism or deep-vein thrombosis.

Sponsors & Collaborators

• University of Salford: lead
• Stockport NHS Foundation Trust: collaborator

Study Sites (1)

Stockport NHS Foundation Trust

Stockport, Manchester, SK2 7JE, United Kingdom

Location

Related Publications (20)

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MeSH Terms

Interventions

Arthroplasty, Replacement, Knee

Intervention Hierarchy (Ancestors)

Arthroplasty, Replacement; Arthroplasty; Orthopedic Procedures; Surgical Procedures, Operative; Plastic Surgery Procedures; Prosthesis Implantation

Study Officials

• Professor Richard Professor Jones

  Director of the Salford University Gait Laboratory

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD student

Study Record Dates

• First Submitted: February 15, 2017
• First Posted: February 27, 2017
• Study Start: January 1, 2018
• Primary Completion: April 30, 2018
• Study Completion: April 30, 2018
• Last Updated: May 3, 2018

Record last verified: 2018-05

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)