Increased Perioperative Communication Program in Knee Arthroplasty

NCT06130813 | Completed

• 1 other identifier: HU-SEYMAN-001
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Total knee replacement (TKA) is a surgical procedure to increase the function of the knee joint. However, in the postoperative period, it takes a long time for patients to gain independence and adapt to daily life, and they need information and support. The aim of this study is to determine the effect of the increased perioperative communication program (IPCP) in patients with TKA on early postoperative complications.

Conditions

Knee Arthroplasty; Postoperative Complications

Keywords

knee arthroplasty; communication program; complication; randomized controlled trial

Outcome Measures

Primary Outcomes (1)

• Postoperative complications

  The investigators expect the IPCP to reduce early postoperative complications

  30 days

Study Arms (2)

Increased perioperative communication program

EXPERIMENTAL

The sample of the research is; it was determined as 70 patients by G. Power analysis based on the correlation coefficients in a sample study. 35 of the patients will be assigned to the intervention group (IG) and 35 to the control group (CG). Patients in the CG will receive routine perioperative care, while patients in the IG will be included in the IPCP. All patients will be followed for one month after discharge. IPCP consists of 8 informative contents such as preoperative preparations, surgical procedure, pain management, first mobilization, knee joint movements, exercise, discharge process, wound care, showering, nutrition, daily living activities, driving, sexual life, postoperative routine control, unexpected situations and etc. These informative contents will send to patients on days 7th, 4t and 1th days before the surgery and on days 1th, 2th, 3th, 5th an 7th days after surgery via whatsapp. Additionally, all participants will follow postoperative one month.

Other: increased perioperative communication program

Standart of care

NO INTERVENTION

Patients in the control group will receive routine perioperative care and will follow postoperative for one month.

Interventions

increased perioperative communication program OTHER

Thanks to this communication program, informative content (8 times) will be shared with patients.

Increased perioperative communication program

Eligibility Criteria

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

You may qualify if:

• Elective primary unilateral knee arthroplasty planned,
• Having a smartphone,
• Literate,
• Have no communication problems and
• Agreed to participate in the study were included.

You may not qualify if:

• Those with revision total knee arthroplasty
• Those with bilateral total knee arthroplasty
• Those with speech and hearing disabilities and cognitive problems such as Alzheimer's and dementia
• Patients who do not agree to participate in the study will be excluded from the study.

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Cigdem Canbolat Seyman

Ankara, Altındağ, 06600, Turkey (Türkiye)

Location

Related Publications (5)

• Yoon RS, Nellans KW, Geller JA, Kim AD, Jacobs MR, Macaulay W. Patient education before hip or knee arthroplasty lowers length of stay. J Arthroplasty. 2010 Jun;25(4):547-51. doi: 10.1016/j.arth.2009.03.012. Epub 2009 May 8.

  PMID: 19427164 RESULT

• Day MA, Anthony CA, Bedard NA, Glass NA, Clark CR, Callaghan JJ, Noiseux NO. Increasing Perioperative Communication With Automated Mobile Phone Messaging in Total Joint Arthroplasty. J Arthroplasty. 2018 Jan;33(1):19-24. doi: 10.1016/j.arth.2017.08.046. Epub 2017 Sep 19.

  PMID: 29017803 RESULT

• Karimi AH, Shah AK, Hecht CJ 2nd, Burkhart RJ, Acuna AJ, Kamath AF. Readability of Online Patient Education Materials for Total Joint Arthroplasty: A Systematic Review. J Arthroplasty. 2023 Jul;38(7):1392-1399. doi: 10.1016/j.arth.2023.01.032. Epub 2023 Jan 27.

  PMID: 36716898 RESULT

• Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ. 1995 May 1;152(9):1423-33.

  PMID: 7728691 RESULT

• Clarke HD, Timm VL, Goldberg BR, Hattrup SJ. Preoperative patient education reduces in-hospital falls after total knee arthroplasty. Clin Orthop Relat Res. 2012 Jan;470(1):244-9. doi: 10.1007/s11999-011-1951-6.

  PMID: 21691907 RESULT

MeSH Terms

Conditions

Postoperative Complications; Communication

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Cigdem Canbolat Seyman, PHD

  Hacettepe University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Randomized controlled trial

Study Record Dates

• First Submitted: November 9, 2023
• First Posted: November 14, 2023
• Study Start: November 30, 2023
• Primary Completion: December 30, 2023
• Study Completion: January 30, 2024
• Last Updated: October 3, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, CSR
• Time Frame: March 2024
• Access Criteria: Data from this study can be open to all other clinical trial researchers.

Locations

TU (1)