Preoperative Video-Based Education in Total Hip Arthroplasty

NCT07279974 | Completed

• 1 other identifier: 2022-17-46
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

This single-center, prospective, randomized controlled trial aims to evaluate the effect of preoperative video-based mobilization education on postoperative fear of movement (kinesiophobia), pain during first mobilization, and early mobilization characteristics in patients undergoing total hip arthroplasty. Ninety-six participants were randomized to receive either routine verbal education plus video-based education or routine verbal education alone. Postoperative outcomes were assessed using the Tampa Scale of Kinesiophobia (TSK), Numerical Pain Rating Scale (NPRS), and standardized mobilization observation forms.

Conditions

Total Hip Arthroplasty (THA); Kinesiophobia; Postoperative Pain; Early Mobilization; Hip Osteoarthritis; Musculoskeletal Rehabilitation

Keywords

Total Hip Arthroplasty; Kinesiophobia; Fear of Movement; Preoperative Education; Video-Based Training; Mobilization; Postoperative Pain; Rehabilitation Nursing; Orthopedic Surgery; Early Mobilization

Outcome Measures

Primary Outcomes (1)

• Kinesiophobia (TSK Score)

  Kinesiophobia will be measured using the Tampa Scale of Kinesiophobia (TSK), a 17-item scale scored on a 4-point Likert system (1-4). Total scores range from 17 to 68, with higher scores indicating greater fear of movement. The Turkish validated version will be used.

  First postoperative day, after first mobilization

Secondary Outcomes (6)

• Pain Intensity Before First Mobilization

  Immediately before first mobilization

• Pain Intensity After First Mobilization

  Immediately after first mobilization

• Mobilization Duration

  First postoperative day

• Number of Steps During First Mobilization

  First postoperative day

• Activity Level During First Mobilization

  First postoperative day

Study Arms (2)

Intervention Group

EXPERIMENTAL

Participants in this arm receive routine preoperative verbal education plus a structured video-based mobilization training. The video includes demonstrations of bed exercises, mobilization with assistive devices, chair transfer techniques, toilet use, stair negotiation, and postoperative precautions.

Behavioral: Video-Based Mobilization Education

Control Group

ACTIVE COMPARATOR

Participants in this arm receive only routine preoperative verbal education provided by ward nurses. No video-based training is given.

Behavioral: Standard Verbal Education

Interventions

Video-Based Mobilization Education BEHAVIORAL

A structured preoperative video-based mobilization training including demonstrations of bed exercises, mobilization with assistive devices, chair transfer, toilet use, stair negotiation, and postoperative precautions.

Intervention Group

Standard Verbal Education BEHAVIORAL

Routine preoperative verbal instruction provided by ward nurses.

Control Group

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 or older
• Able to communicate verbally
• Scheduled for primary total hip arthroplasty
• No major neurological disease
• No major psychiatric disease
• Able to participate in postoperative mobilization
• Provided written informed consent

You may not qualify if:

• Scheduled for revision total hip arthroplasty
• Comorbidities that prevent safe mobilization (e.g., severe cardiopulmonary limitations, severe balance disorders)
• Severe cognitive impairment affecting comprehension or cooperation
• Any condition preventing participation in the mobilization protocol
• Declining to provide informed consent

Sponsors & Collaborators

• Acibadem University: lead

Study Sites (1)

Acibadem Healthcare Group Hospital - Orthopedic Clinic

Istanbul, 34752, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Kinesiophobia; Pain, Postoperative; Osteoarthritis, Hip

Condition Hierarchy (Ancestors)

Phobic Disorders; Anxiety Disorders; Mental Disorders; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Officials

• Nermin Ocaktan

  Acıbadem Mehmet Ali Aydınlar University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Due to the nature of the intervention (video-based education), neither participants nor care providers could be blinded. Outcome assessment was conducted by a researcher who was not involved in randomization; however, full blinding was not feasible.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant professor

Model Details: This study uses a parallel assignment design in which participants are randomly allocated to either an intervention group receiving preoperative video-based mobilization education or a control group receiving standard verbal education. Both groups are followed concurrently, and no crossover occurs between groups. Outcomes are assessed on the first postoperative day.

Study Record Dates

• First Submitted: December 1, 2025
• First Posted: December 12, 2025
• Study Start: November 15, 2023
• Primary Completion: July 30, 2024
• Study Completion: July 30, 2024
• Last Updated: December 12, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)