NCT07885449

Brief Summary

Total knee arthroplasty is a surgical procedure used to relieve pain and improve function in patients with severe knee joint problems. However, patients may experience pain, fear of movement (kinesiophobia), and difficulties in feeling ready to leave the hospital after surgery. The purpose of this study is to evaluate the effect of mind mapping-based education on postoperative pain, kinesiophobia, and discharge readiness in patients undergoing total knee arthroplasty. In this study, patients will receive education based on mind mapping in addition to routine care, or routine care alone, according to their assigned study group. Mind mapping is a visual learning method that presents information using connected words, concepts, and diagrams. The study will compare the outcomes of the groups to determine whether mind mapping-based education improves patients' postoperative experiences and readiness for discharge. Postoperative pain, fear of movement, and discharge readiness will be assessed using appropriate measurement tools. The findings may help improve patient education and support recovery after total knee arthroplasty.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
102

participants targeted

Target at P50-P75 for not_applicable

Timeline
1mo left

Started Jun 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress79%
Jun 2026Dec 2026

Study Start

First participant enrolled

June 1, 2026

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

October 14, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

October 21, 2026

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Last Updated

October 21, 2026

Status Verified

July 1, 2026

Enrollment Period

6 months

First QC Date

October 14, 2026

Last Update Submit

October 14, 2026

Conditions

Keywords

Total Knee ArthroplastyMind MappingKinesiophobiaDischarge Readiness

Outcome Measures

Primary Outcomes (3)

  • Change from Baseline in Kinesiophobia Score

    Kinesiophobia will be assessed at the initial data collection (baseline) and on postoperative day 1 using the kinesiophobia measurement instrument specified in the study protocol. The change in score from baseline to postoperative day 1 will be calculated and compared between the mind mapping-based education group and the routine care group. Scoring and interpretation will follow the instrument's guidelines.

    Baseline (initial data collection before the intervention) and postoperative day 1.

  • Postoperative Pain Intensity on the Numeric Rating Scale

    Postoperative pain intensity will be assessed using the Numeric Rating Scale (NRS) on postoperative days 0, 1, and 2. Pain scores at each assessment time point will be compared between the mind mapping-based education group and the routine care group. Scoring will follow the version of the NRS specified in the study protocol.

    Postoperative day 0, postoperative day 1, and postoperative day 2.

  • Readiness for Hospital Discharge Score

    Readiness for hospital discharge will be assessed using the Readiness for Hospital Discharge Scale on postoperative day 2, after the decision to discharge the patient has been made. Scores will be calculated according to the instrument's scoring guidelines and compared between the mind mapping-based education group and the routine care group

    Postoperative day 2, after the decision to discharge the patient has been made.

Study Arms (2)

Mind Mapping-Based Education Group

EXPERIMENTAL

Participants in this group will receive mind mapping-based education before and after total knee arthroplasty in addition to routine care. The education will provide structured visual information about the perioperative process, postoperative pain management, mobilization, recovery, and preparation for hospital discharge.

Behavioral: Mind Mapping-Based Education

Routine Care Group

NO INTERVENTION

Participants in this group will receive routine care, including standard patient education provided by the clinical unit, without the additional mind mapping-based educational intervention.

Interventions

Participants will receive mind mapping-based education before and after total knee arthroplasty, in addition to routine care. The education will cover the perioperative process, postoperative pain management, mobilization, recovery, and discharge preparation.

Mind Mapping-Based Education Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Individuals without speech or hearing impairments.
  • Individuals who are literate in Turkish.
  • Individuals who are oriented to person, place, and time.
  • Individuals aged 18 years or older.

You may not qualify if:

  • Individuals with a neurological diagnosis (e.g., Alzheimer's disease) or a psychiatric diagnosis (e.g., schizophrenia) that may affect cognitive function.
  • Individuals who are not literate in Turkish.
  • Individuals undergoing bilateral total knee arthroplasty.
  • Individuals with a history of previous orthopedic surgery.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Batman Eğitim ve Araştırma Hastanesi

Batman, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Kinesiophobia

Condition Hierarchy (Ancestors)

Phobic DisordersAnxiety DisordersMental Disorders

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This study uses a randomized, parallel-group, controlled experimental design. Participants will be randomly assigned to an intervention group or a control group. The intervention group will receive mind mapping-based education before and after total knee arthroplasty in addition to routine care, whereas the control group will receive routine care alone. Kinesiophobia will be assessed before the intervention and after the intervention in both groups. Postoperative pain and readiness for hospital discharge will be assessed after the intervention at the time points specified in the study protocol. Outcomes will be compared between the intervention and control groups to evaluate the effect of mind mapping-based education.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr

Study Record Dates

First Submitted

October 14, 2026

First Posted

October 21, 2026

Study Start

June 1, 2026

Primary Completion (Estimated)

December 1, 2026

Study Completion (Estimated)

December 1, 2026

Last Updated

October 21, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will not share

Locations