Accepted for/Published in: JMIR Rehabilitation and Assistive Technologies
Date Submitted: Aug 2, 2020
Date Accepted: Jan 17, 2021
My Hip Journey: a randomised control trial comparing an eHealth program to standard care for total hip arthroplasty
ABSTRACT
Background:
The role of eHealth programs to support patients through surgical pathways, including total hip arthroplasty, is rapidly growing and offers the potential to improve patient engagement, self-care, and outcomes.
Objective:
The aim of this study was to compare the addition of an eHealth program (intervention) versus standard care for pre and post-operative education on patient outcomes for primary total hip arthroplasty.
Methods:
A prospective parallel-randomised control trial with two arms, standard care and standard care plus access to the eHealth education program. Participants included those undergoing a total hip arthroplasty. Outcome measures were collected pre-admission, six-weeks, and three and six-months post-surgery. The primary outcome was the Hip Dysfunction and Osteoarthritis Outcome Score. Secondary outcomes were the EuroQol EQ-5D-5L (a 5-level 5-dimension quality of life measure) and the Self-Efficacy for Managing Chronic Disease scale. Demographic and clinical characteristics were also collected. A satisfaction survey was completed by all participants six weeks post-surgery and those in the intervention arm completed an additional survey specific to the eHealth program.
Results:
A total of 99 patients were recruited, 50 in the eHealth program (intervention) and 49 in standard care (control). Clinical improvements were demonstrated in both groups across all time-points. Per-protocol analysis demonstrated no differences between the groups for all outcome measures across all time points. Participants in the eHealth program reported the program was accessible, they felt comfortable using it and that the information was helpful.
Conclusions:
This study demonstrated that the eHealth program in addition to standard care had no additional benefit to total hip arthroplasty recovery, compared to standard care only. The study found that the e-Health program was highly valued by participants and it supported the pre-operative preparation, recovery and post-operative rehabilitation for participants. Clinical Trial: Australian New Zealand Clinical Trial Registry ACTRN12617001433392, registered on 10th October, 2017.
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