Health-GIS Platform for Hip Replacement Rehabilitation Coordination

NCT07201116 | Completed

• 1 other identifier: NROC 4
• Study Type: interventional
• Target: 142
• Locations: 1 country
• Sites: 1

Brief Summary

This study tests whether a mobile phone app with mapping technology can help patients find rehabilitation services faster after hip replacement surgery. After having their hip replaced, patients typically need several months of physical therapy to recover fully. However, many patients face long waiting times or don't know where to find rehabilitation services near them. In this study, half of the patients will use a new mobile app that shows rehabilitation centers on a map, displays available appointment times, and allows patients to compare services and costs. The other half will receive standard care, where they must contact their family doctor to help find rehabilitation services. The study will measure how quickly patients start rehabilitation after leaving the hospital, how well their hip functions after treatment, their quality of life, and pain levels. The investigators will also look at whether the app is easy to use.

Conditions

Hip Arthroplasty, Total; Hip Osteoarthritis; Rehabilitation; Hip Arthroplasty Replacement

Keywords

Total hip arthroplasty; Hip replacement; Rehabilitation; Patient navigation; Mobile health application; Geographic information systems; Healthcare delivery; Rehabilitation access; Post-operative care; Quality of life

Outcome Measures

Primary Outcomes (2)

• Time to Rehabilitation Initiation

  Time from discharge from surgical hospital to initiation of second-stage rehabilitation services, measured in days

  12 months from enrollment

• SF-12 Quality of Life Score

  12-Item Short Form Health Survey (SF-12) Physical Component Summary (PCS): 0-100 Mental Component Summary (MCS): 0-100 Higher scores indicate better quality of life and better health status.

  Baseline, 6 months, and 12 months from enrollment

Secondary Outcomes (4)

• Harris Hip Score

  Baseline, 6 weeks, 6 months, and 12 months from enrollment

• Visual Analog Scale (VAS) Pain Score

  Baseline, 6 weeks, 6 months, and 12 months from enrollment

• System Usability Scale (SUS) Score

  3 months and 6 months from enrollment

• Quality-Adjusted Life Years (QALY)

  12 months from enrollment

Study Arms (2)

GIS-Guided Rehabilitation App

EXPERIMENTAL

Patients receive access to a specialized mobile application with integrated Geographic Information System (GIS) components for rehabilitation service coordination after total hip arthroplasty.

Device: Health-GIS Rehabilitation Coordination Platform

Standard Primary Care Referral

ACTIVE COMPARATOR

Patients receive standard rehabilitation referral process through primary care physicians after total hip arthroplasty

Other: Standard Rehabilitation Referral

Interventions

Standard Rehabilitation Referral OTHER

Upon discharge, patients receive written recommendations stating that rehabilitation is advised as part of their post-operative care plan. No specific rehabilitation facilities are recommended or contacts provided by the surgical team. Patients are instructed to contact their assigned primary care physician (general practitioner) at their local polyclinic for further referral coordination. The primary care physician is responsible for identifying available rehabilitation facilities, making referrals, and coordinating the rehabilitation timeline based on their knowledge of local resources and current availability. This intervention represents routine clinical practice typically provided to patients after total hip arthroplasty.

Standard Primary Care Referral

Health-GIS Rehabilitation Coordination Platform DEVICE

Participants receive access to a specialized mobile application with integrated Geographic Information System (GIS) components for rehabilitation service coordination. While hospitalized, patients submit rehabilitation requests through the platform, indicating their location, desired time, and specific rehabilitation needs. Registered rehabilitation centers within the platform receive these requests and can submit counter-proposals with available slots, services offered, and estimated costs. The platform provides real-time visualization of available rehabilitation facilities on an interactive map, displays facility ratings, services offered, current capacity, and waiting times. Patients receive automated notifications about new proposals and can compare options based on location proximity, service quality ratings, and availability. Technical support is available through in-app messaging and a dedicated helpline during business hours.

GIS-Guided Rehabilitation App

Eligibility Criteria

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

You may qualify if:

• Age ≥18 years
• Completed primary total hip arthroplasty within the past 7 days
• Ability to understand study procedures and provide signed informed consent
• Fluency in Russian or Kazakh language
• Access to smartphone or tablet device with internet connectivity

You may not qualify if:

• Severe cognitive impairment
• Participation in another clinical trial that might interfere with study outcomes
• Intraoperative or postoperative complications requiring extended hospitalization after total hip arthroplasty
• Medical contraindications to rehabilitation
• Planned total hip arthroplasty within 12 months
• Severe visual impairments preventing mobile application usage
• Patients who declined to participate after being informed about the study protocol

Sponsors & Collaborators

• Tulip Medicine: lead

Study Sites (1)

NCJSC "Astana Medical University"

Astana, 010000, Kazakhstan

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: TRIPLE
• Who Masked: CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of department

Study Record Dates

• First Submitted: September 23, 2025
• First Posted: October 1, 2025
• Study Start: November 28, 2024
• Primary Completion: December 19, 2025
• Study Completion: December 19, 2025
• Last Updated: March 10, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

KA (1)