The Effectiveness of Client-Centered Intervention inTotal Hip Arthroplasty

NCT06070220 | Completed

• 1 other identifier: E-53875521
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The current study was conducted to effectiveness of the Client-centered (CC) intervention after Total Hip Arthroplasty (TKA). The current study was planned to examine the impact of the CC intervention on quality of life, perceived occupational performance and satisfaction. The current study was designed according to the CONSORT statement, which provides a standardized method for randomized controlled trial (RCT) design. Approval for the study was granted by the Local Ethics Committee. Written informed consent was obtained from all participants prior to the study.

Conditions

Hip Osteoarthritis

Keywords

Client-centered; Quality of life; Occupational performance; Hip arthroplasty

Outcome Measures

Primary Outcomes (2)

• Canadian Occupational Performance Measure

  The Canadian Occupational Performance Measure (COPM) was used to identify occupations where participants had problems with ADLs and to determine the perceived occupational performance and satisfaction level in these occupations. In the COPM, which was designed with the semi-structured interview method, firstly, the occupations in which the participants experience problems in the areas of self-care, productivity and free time are determined by giving importance points with a 1-10 Likert type scoring system. The higher the score, the higher the performance and satisfaction level.

  40 minutes

• Nottingham Health Profile

  Nottingham Health Profile Nottingham Health Profile (NHP) is a 38-item quality of life survey that measures individuals' perceived health problems and the extent to which these health problems affect ADLs. It consists of 6 sub-dimensions and each sub-dimension consists of 0-100 points (0 points indicate good health status-100 points indicate poor health status): energy (3 items), pain (8 items), emotional reactions (9 items), sleep (5 items), social isolation (5 items), and physical activity (8 items). The Turkish version of the NHP was used to evaluate the health-related quality of life.

  10 minutes

Study Arms (2)

client-centered intervention group

EXPERIMENTAL

Behavioral: traditional occupational therapy intervention and client-centered intervention

control group

EXPERIMENTAL

Behavioral: Traditional occupational therapy intervention

Interventions

traditional occupational therapy intervention and client-centered intervention BEHAVIORAL

Traditional occupational therapy intervention and client centered intervention were given to the participants. CC intervention is a dynamic approach that involves a systematic therapy process, that is, in which the participant and the therapist are active in the treatment process. In the current study, a treatment program was designed over a maximum of 5 occupations in which participants evaluated after THA indicated problems in activities of daily living according to COPM. This systematic and dynamic program consists of 4 phases: (1) client-centered goal setting, (2) negotiating an intervention plan, (3) the actual intervention, (4) an evaluation of the outcome and finally reporting to relevant others.

client-centered intervention group

Traditional occupational therapy intervention BEHAVIORAL

The following training procedure, which included exercise, transfer activities and home arrangements, was followed in common in both groups: 1. st day: After the operation, exercises to strengthen the muscles of the participants (thigh, hip and trunk muscles) were explained verbally and visually. Each exercise consists of 3 sets of 12 repetitions. Exercises were updated in bed, sitting or standing, depending on the participant's functional status, pain and fatigue. Additionally, transfer activities training was provided. 2. nd day: The exercises taught to the participants on the first day were repeated. Following these exercises, participants were given verbal instructions on gait training, and then gait training began. According to the pain and fatigue status of the participants, gait exercises were continued. 3. rd day: The work done on the first and second day was repeated. Pre-discharge home arrangements training was provided.

control group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• (1) Being 65 years of age or older,
• (2) Mini Mental State Examination score of ≥ 24,
• (3) having undergone unilateral total hip replacement,
• (4) education level of at least completion of elementary school,
• (5) ability to understand and follow verbal instructions,
• (6) volunteer to participate in the study

You may not qualify if:

• (1) revision surgery,
• (2) having any chronic disease that will affect the rehabilitation process,
• (3) auditory and visual problems that may affect rehabilitation implementation and communication,
• (4) postoperative complications (e.g. nerve injury and deep vein thrombosis), and
• (5) attendance of any rehabilitation program (physiotherapy, speech therapy, psychotherapy, etc.) before and during the study period

Sponsors & Collaborators

• Saglik Bilimleri Universitesi: lead

Study Sites (1)

Lokman Hekim University

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Osteoarthritis, Hip

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: September 30, 2023
• First Posted: October 6, 2023
• Study Start: July 1, 2022
• Primary Completion: July 1, 2023
• Study Completion: July 1, 2023
• Last Updated: October 18, 2023

Record last verified: 2023-10

Locations

TU (1)