Investigating the Role of Motivational Interviewing in Swedish Patients Undergoing Knee Arthroplasty

NCT05940246 | Completed

• 1 other identifier: The Empowerment TKA Study
• Study Type: interventional
• Target: 149
• Locations: 1 country
• Sites: 1

Brief Summary

Knee arthroplasty is a successful surgical treatment for end-stage osteoarthritis. Most patients are satisfied with the result, however, 10% of the patients have remained dissatisfied over the last decades despite the advantages of the surgical procedure. Previous studies suggest that rehabilitation needs to be individualized and that some patients request additional support. Patient empowerment is a patient-centered strategy to increase, amongst other, patient engagement, participation, and motivation. Patient empowerment can be defined as a "process that helps people gain control over their own lives and increases their capacity to act on issues that they themselves define as important". One way of increasing patient empowerment is through motivational interviewing. Motivational interviewing is an evidence-based approach in which patients are supported to identify behavior changes toward their own individual goals. The aim of this study is to investigate if motivational interviewing could increase satisfaction in patients undergoing knee arthroplasty. Furthermore, we want to examine role MI in this patient group with interviews of both MI-practitioners and patients as well as detailed investigations about the MI sessions.

Conditions

Knee Osteoarthritis

Keywords

Knee arthroplasty; Patient empowerment; Motivational interviewing

Outcome Measures

Primary Outcomes (4)

• Satisfaction with the rehabilitation

  Patient reported outcome. Question: "How would you define your level of satisfaction with the rehabilitation?" Answer options: (1) Very satisfied, (2) Satisfied, (3) Neither, (4) Dissatisfied and (5) Very dissatisfied

  Assessed 6 months postoperatively

• Satisfaction with the rehabilitation

  Patient reported outcome. Question: "How would you define your level of satisfaction with the rehabilitation?" Answer options: (1) Very satisfied, (2) Satisfied, (3) Neither, (4) Dissatisfied and (5) Very dissatisfied

  Assessed 12 months postoperatively

• Satisfaction with the knee

  Patient reported outcome. Question: "How would you define your level of satisfaction with your operated knee?" Answer options: (1) Very satisfied, (2) Satisfied, (3) Neither, (4) Dissatisfied and (5) Very dissatisfied

  Assessed 6 months postoperatively

• Satisfaction with the knee

  Patient reported outcome. Question: "How would you define your level of satisfaction with your operated knee?" Answer options: (1) Very satisfied, (2) Satisfied, (3) Neither, (4) Dissatisfied and (5) Very dissatisfied

  Assessed 12 months postoperatively

Secondary Outcomes (5)

• Knee awareness

  Preoperatively, 6 months postoperatively and 12 months postoperatively

• Self-reported pain and function

  Preoperatively, 6 months postoperatively and 12 months postoperatively

• Knee function

  Preoperatively, 6 months postoperatively and 12 months postoperatively

• Patient reported experience measures

  12 months postoperatively

• Knee improvement

  6 months postoperatively, 12 months postoperatively

Other Outcomes (5)

• Depression

  Preoperatively, 6 months postoperatively and 12 months postoperatively

• Health related quality of life

  Preoperatively, 6 months postoperatively and 12 months postoperatively

• Expectations on the rehabilitation

  Preoperatively

Study Arms (2)

Motivational interviewing

EXPERIMENTAL

Motivational Interviewing over the phone 1 time before surgery and 6 times (3-5 weeks interval) the first 6 months after surgery. Patients can contact a physical therapist in the first 6 months after surgery for additional questions and extra support.

Behavioral: Motivational Interviewing

Standard treatment

NO INTERVENTION

Standard treatment

Interventions

Motivational Interviewing BEHAVIORAL

MI was introduced by William Miller in 1983 as a strategy to promote behavioral changes that would make people drink less. It is well established that MI can be successfully applied to many areas across the medical disciplines. Although the aim of MI is behavioral changes toward a specific goal it is necessary to understand the essence of MI with the "four key interrelated elements of the spirits of MI". These are partnership, acceptance, compassion, and evocation. Together they form an equal and respectful collaboration between the MI practitioner and the patient wherein empathy and acknowledgment are important pillars. Moreover, an important message derived from the spirit of MI is the belief that patients in themselves have and know what is needed and get support from the MI practitioner to find it.

Motivational interviewing

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Scheduled for primary knee arthroplasty

Sponsors & Collaborators

• Region Stockholm: lead

Study Sites (1)

Capio Ortopediska Huset

Stockholm, Sweden

Location

MeSH Terms

Conditions

Osteoarthritis, Knee; Patient Participation

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Margareta Hedström, Professor, MD

  Karolinska Institutet

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 20, 2023
• First Posted: July 11, 2023
• Study Start: April 28, 2022
• Primary Completion: October 1, 2025
• Study Completion: October 1, 2025
• Last Updated: April 14, 2026

Record last verified: 2024-11

Locations

SE (1)