The Effect of Preoperative Information and Education in the Clinical Outcome of Total Hip Arthroplasty

NCT06662981 | Completed

• 1 other identifier: 11000
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 2

Brief Summary

Preoperative patient information and education is an essential aspect of modern surgical care, particularly for patients undergoing total hip arthroplasty (THA). This prospective, randomized trial aims to assess the effects of structured preoperative education and information on clinical outcomes in patients undergoing THA.

Conditions

Total Hip Arthroplasty

Keywords

preoperative information; preoperative education; total hip arthroplasty

Outcome Measures

Primary Outcomes (4)

• Hip pain and functionality

  Assessed using modified Harris Hip Score (mHHS), validated in Greek, one day preoperatively and one month postoperatively

  30 days postoperatively

• Length of Hospital Stay

  Duration of hospitalization, measured in days

  30 days postoperatively

• Anxiety and Depression

  Assessed using the Hospital Anxiety and Depression Scale (HADS), validated in Greek, one day preoperatively, one day before discharge from hospital, and one month postoperatively

  30 days postoperatively

• Health-related quality of life

  Assessed using EQ-5D-5L index and EQ-5D-5L visual analog scale (VAS), validated in Greek one day preoperatively, one day before discharge from hospital, and one month postoperatively

  30 days postoperatively

Study Arms (2)

preoperative education

EXPERIMENTAL

The intervention will include oral and written education about the operation, nursing and active participation in self-care. The intervention will take place in 3 phases: One week before THA, one day before THA after patient admission and postoperatively, before patient discharge. After a rough description of the operation, the anatomy and functionality of the joint will be presented, underlining the necessity of the operation. Instructions for recognizing and managing potential complications will be given. Patients will be informed about the appropriate post-operative walking aids, walking style, sitting up techniques, standing-up techniques, lying down techniques and getting in and out of the car. There will be a demonstration of muscle strengthening exercises, isometric quadriceps and gluteal exercises, Patients will also be informed about the necessity of prophylactic postoperative antithrombotic and antibiotic treatment.

Behavioral: preoparative information and education

no preoparative education (basic information)

NO INTERVENTION

Patients will receive the standard preoperative care, which will not include formalized education beyond routine consent.

Interventions

preoparative information and education BEHAVIORAL

The intervention will include oral and written education about the operation, nursing and active participation in self-care. The intervention will take place in 3 phases: One week before THA, one day before THA after patient admission and postoperatively, before patient discharge. After a rough description of the operation, the anatomy and functionality of the joint will be presented, underlining the necessity of the operation. Instructions for recognizing and managing potential complications will be given. Patients will be informed about the appropriate post-operative walking aids, walking style, sitting up techniques, standing-up techniques, lying down techniques and getting in and out of the car. There will be a demonstration of muscle strengthening exercises, isometric quadriceps and gluteal exercises, Patients will also be informed about the necessity of prophylactic postoperative antithrombotic and antibiotic treatment.

preoperative education

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• under 50 years old
• with reduced mental abilities
• with a presence of mental illness
• who have had previous hip surgery

Sponsors & Collaborators

• National and Kapodistrian University of Athens: lead

Study Sites (2)

Sara Eleni Amprachim

Athens, Athens, 15124, Greece

Location

KAT Hospital

Kifissia, Attica, 14561, Greece

Location

Related Publications (1)

• Amprachim SE, Vlamis J, Nikolaou VS, Pneumaticos SG. Role of Preoperative Information and Education of Patients Undergoing Total Hip Arthroplasty: A Narrative Review of the Literature. Cureus. 2024 Aug 3;16(8):e66094. doi: 10.7759/cureus.66094. eCollection 2024 Aug.

  PMID: 39224727 BACKGROUND

MeSH Terms

Interventions

Educational Status

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: RN, MSc, MSc, PhD (c), General Hospital of Attica "KAT", Athens, Greece

Study Record Dates

• First Submitted: September 23, 2023
• First Posted: October 29, 2024
• Study Start: October 31, 2022
• Primary Completion: September 30, 2024
• Study Completion: October 1, 2024
• Last Updated: October 29, 2024

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

GR (2)