An eHealth Program for Patients Undergoing a Total Hip Arthroplasty: Protocol for a Randomized Controlled Trial

Rosemary Saunders, Karla Seaman, Catherine Ashford, Trudy Sullivan, Judith McDowall, Lisa Whitehead, Beverley Ewens, Kathryn Pedler, Karen Gullick

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Total hip arthroplasty is an effective surgical procedure commonly used worldwide for patients suffering the disabling effects of osteoarthritis when medical therapy is unsuccessful. Traditionally pre-and postoperative information for patients undergoing a hip arthroplasty has been provided by paper-based methods. Electronic health (eHealth) programs to support individualized patient education on preoperative preparation, in-patient care, and home rehabilitation have the potential to increase patient engagement, enhance patient recovery, and reduce potential postoperative complications.

Objective: The aim of this study is to compare the addition of an eHealth program versus standard care for pre-and postoperative education on patient outcomes for primary total hip arthroplasty.

Methods: One hundred patients undergoing a primary elective total hip arthroplasty will be recruited from a metropolitan hospital in Western Australia to participate in a 6-month parallel randomized control trial. Participants will be randomized to either the standard care group (n=50) and will be given the education booklet and enrolled to attend a 1-hour education session, or the intervention group (n=50), and will receive the same as the standard care plus access to an eHealth program titled "My Hip Journey." The eHealth program encourages the patient to log in daily, from 2 weeks prior to surgery to 30 days postsurgery. The information on the platform will be aligned with the patient's individual surgical journey and will include exercises to be completed each day for the duration of the program. The primary outcome measure is the Hip Dysfunction and Osteoarthritis Outcome Score, version LK 2.0. Secondary outcome measures include the EuroQoL EQ-5D-5L, a 5-level 5-dimension quality of life measure, and the Self-Efficacy for Managing Chronic Disease Scale. Data will be collected at pre-admission (presurgery) and at 6 weeks, 3 months, and 6 months postsurgery. A patient satisfaction survey will be completed 6 weeks postsurgery and Web-based analytics will be collected 6 months postsurgery. A cost-effectiveness analysis, using the intention-to-treat principle, will be conducted from the hospital's perspective.

Results: Enrollment in the study commenced in January 2018 with recruitment due for completion towards the end of the year. The first results are expected to be submitted for publication in 2019.

Conclusions: The outcomes and cost of using an eHealth program to support a patient's recovery from a hip arthroplasty will be compared with standard care in this study. If the eHealth program is found to be effective, further implementation across clinical practice could lead to improvement in patient outcomes and other surgical areas could be incorporated.

Original languageEnglish
Article number137
Number of pages7
JournalJMIR Research Protocols
Volume7
Issue number6
DOIs
Publication statusPublished - Jun 2018
Externally publishedYes

Cite this

Saunders, R., Seaman, K., Ashford, C., Sullivan, T., McDowall, J., Whitehead, L., ... Gullick, K. (2018). An eHealth Program for Patients Undergoing a Total Hip Arthroplasty: Protocol for a Randomized Controlled Trial. JMIR Research Protocols, 7(6), [137]. https://doi.org/10.2196/resprot.9654
Saunders, Rosemary ; Seaman, Karla ; Ashford, Catherine ; Sullivan, Trudy ; McDowall, Judith ; Whitehead, Lisa ; Ewens, Beverley ; Pedler, Kathryn ; Gullick, Karen. / An eHealth Program for Patients Undergoing a Total Hip Arthroplasty : Protocol for a Randomized Controlled Trial. In: JMIR Research Protocols. 2018 ; Vol. 7, No. 6.
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Saunders, R, Seaman, K, Ashford, C, Sullivan, T, McDowall, J, Whitehead, L, Ewens, B, Pedler, K & Gullick, K 2018, 'An eHealth Program for Patients Undergoing a Total Hip Arthroplasty: Protocol for a Randomized Controlled Trial' JMIR Research Protocols, vol. 7, no. 6, 137. https://doi.org/10.2196/resprot.9654

An eHealth Program for Patients Undergoing a Total Hip Arthroplasty : Protocol for a Randomized Controlled Trial. / Saunders, Rosemary; Seaman, Karla; Ashford, Catherine; Sullivan, Trudy; McDowall, Judith; Whitehead, Lisa; Ewens, Beverley; Pedler, Kathryn; Gullick, Karen.

In: JMIR Research Protocols, Vol. 7, No. 6, 137, 06.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - An eHealth Program for Patients Undergoing a Total Hip Arthroplasty

T2 - Protocol for a Randomized Controlled Trial

AU - Saunders, Rosemary

AU - Seaman, Karla

AU - Ashford, Catherine

AU - Sullivan, Trudy

AU - McDowall, Judith

AU - Whitehead, Lisa

AU - Ewens, Beverley

AU - Pedler, Kathryn

AU - Gullick, Karen

PY - 2018/6

Y1 - 2018/6

N2 - Background: Total hip arthroplasty is an effective surgical procedure commonly used worldwide for patients suffering the disabling effects of osteoarthritis when medical therapy is unsuccessful. Traditionally pre-and postoperative information for patients undergoing a hip arthroplasty has been provided by paper-based methods. Electronic health (eHealth) programs to support individualized patient education on preoperative preparation, in-patient care, and home rehabilitation have the potential to increase patient engagement, enhance patient recovery, and reduce potential postoperative complications.Objective: The aim of this study is to compare the addition of an eHealth program versus standard care for pre-and postoperative education on patient outcomes for primary total hip arthroplasty.Methods: One hundred patients undergoing a primary elective total hip arthroplasty will be recruited from a metropolitan hospital in Western Australia to participate in a 6-month parallel randomized control trial. Participants will be randomized to either the standard care group (n=50) and will be given the education booklet and enrolled to attend a 1-hour education session, or the intervention group (n=50), and will receive the same as the standard care plus access to an eHealth program titled "My Hip Journey." The eHealth program encourages the patient to log in daily, from 2 weeks prior to surgery to 30 days postsurgery. The information on the platform will be aligned with the patient's individual surgical journey and will include exercises to be completed each day for the duration of the program. The primary outcome measure is the Hip Dysfunction and Osteoarthritis Outcome Score, version LK 2.0. Secondary outcome measures include the EuroQoL EQ-5D-5L, a 5-level 5-dimension quality of life measure, and the Self-Efficacy for Managing Chronic Disease Scale. Data will be collected at pre-admission (presurgery) and at 6 weeks, 3 months, and 6 months postsurgery. A patient satisfaction survey will be completed 6 weeks postsurgery and Web-based analytics will be collected 6 months postsurgery. A cost-effectiveness analysis, using the intention-to-treat principle, will be conducted from the hospital's perspective.Results: Enrollment in the study commenced in January 2018 with recruitment due for completion towards the end of the year. The first results are expected to be submitted for publication in 2019.Conclusions: The outcomes and cost of using an eHealth program to support a patient's recovery from a hip arthroplasty will be compared with standard care in this study. If the eHealth program is found to be effective, further implementation across clinical practice could lead to improvement in patient outcomes and other surgical areas could be incorporated.

AB - Background: Total hip arthroplasty is an effective surgical procedure commonly used worldwide for patients suffering the disabling effects of osteoarthritis when medical therapy is unsuccessful. Traditionally pre-and postoperative information for patients undergoing a hip arthroplasty has been provided by paper-based methods. Electronic health (eHealth) programs to support individualized patient education on preoperative preparation, in-patient care, and home rehabilitation have the potential to increase patient engagement, enhance patient recovery, and reduce potential postoperative complications.Objective: The aim of this study is to compare the addition of an eHealth program versus standard care for pre-and postoperative education on patient outcomes for primary total hip arthroplasty.Methods: One hundred patients undergoing a primary elective total hip arthroplasty will be recruited from a metropolitan hospital in Western Australia to participate in a 6-month parallel randomized control trial. Participants will be randomized to either the standard care group (n=50) and will be given the education booklet and enrolled to attend a 1-hour education session, or the intervention group (n=50), and will receive the same as the standard care plus access to an eHealth program titled "My Hip Journey." The eHealth program encourages the patient to log in daily, from 2 weeks prior to surgery to 30 days postsurgery. The information on the platform will be aligned with the patient's individual surgical journey and will include exercises to be completed each day for the duration of the program. The primary outcome measure is the Hip Dysfunction and Osteoarthritis Outcome Score, version LK 2.0. Secondary outcome measures include the EuroQoL EQ-5D-5L, a 5-level 5-dimension quality of life measure, and the Self-Efficacy for Managing Chronic Disease Scale. Data will be collected at pre-admission (presurgery) and at 6 weeks, 3 months, and 6 months postsurgery. A patient satisfaction survey will be completed 6 weeks postsurgery and Web-based analytics will be collected 6 months postsurgery. A cost-effectiveness analysis, using the intention-to-treat principle, will be conducted from the hospital's perspective.Results: Enrollment in the study commenced in January 2018 with recruitment due for completion towards the end of the year. The first results are expected to be submitted for publication in 2019.Conclusions: The outcomes and cost of using an eHealth program to support a patient's recovery from a hip arthroplasty will be compared with standard care in this study. If the eHealth program is found to be effective, further implementation across clinical practice could lead to improvement in patient outcomes and other surgical areas could be incorporated.

KW - hip replacement

KW - education

KW - Web-based platform

KW - eHealth program

KW - rehabilitation

KW - economic evaluation

KW - TOTAL KNEE ARTHROPLASTY

KW - LENGTH-OF-STAY

KW - PREOPERATIVE EDUCATION

KW - REPLACEMENT

KW - DISABILITY

U2 - 10.2196/resprot.9654

DO - 10.2196/resprot.9654

M3 - Article

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JO - JMIR Research Protocols

JF - JMIR Research Protocols

SN - 1929-0748

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M1 - 137

ER -