"The Effect of AI-Assisted Mobilization Education on Kinesiophobia and Readiness for Hospital Discharge in Patients Undergoing Total Knee Arthroplasty''

NCT07694895 | Recruiting

• 1 other identifier: 2025/24/38
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the effect of artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty on their level of kinesiophobia and readiness for hospital discharge. The research questions are as follows: Does artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty affect their level of kinesiophobia? Does artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty affect their readiness for hospital discharge? Study Procedure In the control group, participants will receive the standard care routinely provided in the orthopedic clinic, without viewing the artificial intelligence-assisted mobilization education video. In the intervention group, participants will receive an artificial intelligence-assisted video-based mobilization education program developed to prepare them for their first postoperative mobilization. Intervention Group: After hospital admission, participants will complete a Personal Information Form. On postoperative day 1, before the first mobilization, the Tampa Scale for Kinesiophobia will be administered. Following completion of the baseline assessment, participants will receive the artificial intelligence-assisted video-based mobilization education delivered by a nurse. Immediately after the education, the Tampa Scale for Kinesiophobia will be administered again. Four hours before hospital discharge, participants will complete the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the nurse will complete the Readiness for Hospital Discharge Scale for Adult Patients-Nurse Assessment Short Form. Control Group: After hospital admission, participants will complete a Personal Information Form. On postoperative day 1, before the first mobilization, the Tampa Scale for Kinesiophobia will be administered. Following the baseline assessment, participants will receive the routine verbal mobilization education provided by the nurse. Immediately after the education, the Tampa Scale for Kinesiophobia will be administered again. Four hours before hospital discharge, participants will complete the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the nurse will complete the Readiness for Hospital Discharge Scale for Adult Patients-Nurse Assessment Short Form. At the final stage of the study, all preoperative and postoperative data collected from the participants will be compiled, recorded, and analyzed. Inclusion Criteria: Patients will be included in the study if they meet the following criteria: Age 18 years or older Undergoing total knee arthroplasty for the first time Able to read and write in Turkish No impairments that would prevent watching, hearing, or understanding the educational video No diagnosed psychiatric disorders and not using psychiatric medications that may affect the accuracy of responses No additional conditions affecting mobility other than knee arthroplasty No administration of narcotic analgesics within 30-60 minutes prior to mobilization Having access to a mobile phone capable of viewing the educational video during both the preoperative and postoperative periods. The population of the study will consist of all patients undergoing total knee arthroplasty in the Orthopedics Clinic of a state hospital. The sample will include patients who meet the study eligibility criteria and agree to participate in the study. A total of 72 patients will participate in the study, with 36 patients assigned to the control group and 36 patients assigned to the intervention group. Written and verbal informed consent will be obtained from all patients prior to participation in the study. Data will be analyzed using SPSS version 25.0 (Statistical Package for the Social Sciences).

Conditions

Total Knee Anthroplasty

Keywords

total knee arthroplasty; Kinesiophobia; Artificial intelligence-asisted education; Readiness for Hospital Discharge

Outcome Measures

Primary Outcomes (1)

• Effect of AI-Assisted Mobilization Education on Kinesiophobia Change in Kinesiophobia

  Kinesiophobia will be assessed using the Tampa Scale for Kinesiophobia (TSK). The TSK is a validated questionnaire used to measure fear of movement and reinjury. Higher scores indicate greater levels of kinesiophobia.

  Postoperative day1, immediately before and after mobilization education.

Secondary Outcomes (2)

• Effect of AI-Assisted Mobilization Education on Readiness for Hospital Discharge Readiness for Hospital Discharge

  Within 4 hours before hospital discharge.

• Effect of AI-Assisted Mobilization Education on Readiness for hospital Discharge Readiness for hospital Discharge

  Within 4 hours before hospital discharge

Study Arms (2)

1.Control Group - Standard Mobilization Education

NO INTERVENTION

Intervention Group - AI-Assisted Video-Based Mobilization Education

EXPERIMENTAL

Other: Artificial intelligence-assisted mobilization education video

Interventions

Artificial intelligence-assisted mobilization education video OTHER

Participants in the intervention group will receive an artificial intelligence-assisted video-based mobilization education program designed to prepare them for postoperative mobilization after total knee arthroplasty. The educational video will be delivered by a nurse on postoperative day 1 prior to the first mobilization. The content of the video includes information and guidance on safe mobilization techniques following surgery. Kinesiophobia levels will be assessed using the Tampa Scale for Kinesiophobia before and immediately after the intervention. In addition, readiness for hospital discharge will be evaluated prior to discharge using the Readiness for Hospital Discharge Scale.

Intervention Group - AI-Assisted Video-Based Mobilization Education

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Willing to participate in the study voluntarily,
• Aged 18 years or older,
• Undergoing primary total knee arthroplasty for the first time,
• Able to read and write in Turkish,
• Having no visual, hearing, or cognitive impairment that would prevent watching, hearing, or understanding the educational video,
• Having no psychiatric disorder or use of psychiatric medication that could interfere with providing accurate responses to the study questionnaires, Having no other condition, apart from the indication for total knee arthroplasty, that affects mobility,
• Not having received narcotic analgesia within 30-60 minutes before mobilization,
• Having access to a mobile phone on which the educat

You may not qualify if:

• Patients who are immobile or have restricted mobility,
• Patients undergoing revision surgery or those who have undergone concomitant orthopedic surgery or orthopedic surgery within the previous month,
• Patients with impaired consciousness,
• Patients who decline to participate in the study,
• Patients with visual, hearing, or cognitive impairment,
• Patients who develop a postoperative complication resulting in restricted mobility,
• Patients with any condition that limits mobilization (e.g., amputation, paralysis, etc.)

Sponsors & Collaborators

• Kocaeli University: lead

Study Sites (1)

Seka Devlet Hastanesi

Kocaeli, İzmit, 41900, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Kinesiophobia

Condition Hierarchy (Ancestors)

Phobic Disorders; Anxiety Disorders; Mental Disorders

Central Study Contacts

Berru B Erseçkin

CONTACT

+90 543 507 48 87; berru038@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Registered Nurse

Study Record Dates

• First Submitted: June 29, 2026
• First Posted: July 10, 2026
• Study Start: May 5, 2026
• Primary Completion (Estimated): October 1, 2026
• Study Completion (Estimated): October 30, 2026
• Last Updated: July 10, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)