Ignite Creation Date:
2024-05-06 @ 3:50 PM
Last Modification Date:
2024-10-26 @ 1:58 PM
Study NCT ID:
NCT04774562
Status:
COMPLETED
Last Update Posted:
2021-03-01
First Post:
2021-02-20
Brief Title:
The Effect of Video-Assisted Discharge Education After Total Hip Replacement Surgery
Sponsor:
Ozum Cetinkaya Eren
Organization:
Alanya Alaaddin Keykubat University
Study Overview
Official Title:
The Effect of Video-Assisted Discharge Education After Total Hip Replacement Surgery on Activities of Daily Living Functionality and Patient Satisfaction A Randomized Controlled Study
Status:
COMPLETED
Status Verified Date:
2021-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Abstract Objective The aim of this study was to investigate the effect of a video-assisted discharge education program on activities of daily living functionality and patient satisfaction after total hip replacement THR surgery
Methods This study included 31 participants who were randomly divided in the physiotherapy PT group n18 and the video-assisted discharge education VADE group n13 Both groups received a physiotherapy program VADE group was additionally received VADE program In both groups all education programs were given face to face Data were collecting using visual analog scale VAS Harris Hip Score HHS Nottingham Extended Activities of Daily Living Scale NEADL Tampa Scale of Kinesiophobia TSK and Patient Satisfaction Questionnaire at 1st week and 3rd month
Practice Implications The current study has contributed to the development of video-assisted health technologies
Methods This study included 31 participants who were randomly divided in the physiotherapy PT group n18 and the video-assisted discharge education VADE group n13 Both groups received a physiotherapy program VADE group was additionally received VADE program In both groups all education programs were given face to face Data were collecting using visual analog scale VAS Harris Hip Score HHS Nottingham Extended Activities of Daily Living Scale NEADL Tampa Scale of Kinesiophobia TSK and Patient Satisfaction Questionnaire at 1st week and 3rd month
Practice Implications The current study has contributed to the development of video-assisted health technologies
Detailed Description:
Total Hip Replacement THR is a common surgical procedure performed in patients who do not respond to long-term conservative treatment to reduce high pain sensation and movement limitation in the joint Li and Xu 2018 Physiotherapy and rehabilitation routinely applied to regain functional independence in daily living restore pain and joint range of motion eliminate muscle weakness regulate walking pattern prevent falls loosening revision surgery and dislocations in the prosthesis increase participation in activities of daily living ADL quality of life QoL and patient satisfaction levels after THR Louw et al 2013 Galea et al 2008 It was determined in Kennedy et al 2017 that patients have education expectations on recognition of the surgical team general information about the disease and prosthesis rehabilitation pain management home care activities complications medications ADL after THR surgery At the present time with the help of demographic changes in the society and patients changes in healthcare provision and technological approaches discharge education became more effective with video assistance Abu Abed et al 2014 The aim of our study was to investigate the effect of a video-assisted discharge education program on activities of daily living functionality and patient satisfaction after total hip replacement surgery
Methods
The study was approved by the Non-invasive Clinical Researches Ethics Committee 60116787-02058408 on 04092018 The participants included in the study were informed about the study and informed consent form was signed by all participants Our study was performed between September 2018 and June 2019
Of the 36 participants who met the inclusion criteria 5 were excluded from the study for missing follow-ups or not wanting to participate in the study The 31 participants included in the study were randomized using systematic sampling According to last number of file numbers odd numbers included in the physiotherapy PT group n18 and even numbers included in the video-assisted discharge education VADE group n13 The first meeting with participants was made in the hospital room within the first 5 days after THR surgery in both groups Participants and their relatives were given physiotherapy and video-assisted discharge education by the same physiotherapist without being told which group they were in
The physiotherapy program given to the PT group included breathing exercises positioning hip range of motion and strengthening exercises and information about walking and ambulation The whole program was taught verbally and practically to participants and their relatives Information was given about the exercises to be added at the end of the first week and in the 4th week A physiotherapy booklet prepared with the same content was given to the participants The booklet was examined by the patient and relatives and the questions they asked were answered by the same physiotherapist The participants were informed that they should continue the exercises for 12 weeks
VADE group received video-assisted discharge education in addition to the physiotherapy program given to the PT group on the same day by the same physiotherapist The VADE program included information about THR preventive rehabilitation approaches transfer activities using stairs self-care activities home settings by modifying the treatment and discharge protocols of Lucas 2008 VADE was prepared as a presentation of written information and videos which is shown this information by a professional model Video shoots were done by a physiotherapist experienced in the field of physiotherapy and rehabilitation after THR surgery The presentation was stopped when participants have questions or have points were not understood and the necessary explanations were shown verbally and practically Along with the physiotherapy booklet the participants were given an educational booklet containing written and visual information prepared in the same content as VADE The booklet was examined by the patient and relatives during VADE and the questions they asked were answered by the same physiotherapist
Patient interviews were completed in approximately 30 minutes in the PT group and approximately 45 minutes in the VADE group A healthy person was used to prevent damage to the hip joints of those who had undergone surgery in photographs and videos in the VADE and booklets In the booklets easily understandable sentences were used by participants and their relatives Booklets were prepared in Arial font and 11-point size All participants were called by phone every 15 days for 12 weeks and their participation in the exercises and ADL was followed
Assessments were performed within the first 5 days after the THR surgery Descriptive Information Pain Patient Satisfaction Questionnaire in the hospital room after physiotherapy and VADE programs and at the 3rd-month control Pain Harris Hip Score HHS Tampa Scale of Kinesiophobia TSK Nottingham Extended Activities of Daily Living Scale NEADL Patient Satisfaction Questionnaire in orthopedics and traumatology clinic
Statistical Analysis
In the statistical analysis of data obtained in this study Windows-based SPSS IBM SPSS Statistics Version 240 Armonk NY USA package program was used It was calculated that the number of patients included in our study was 89 power and 95 confidence for each group Continuous variables were expressed as a mean standard deviation or as a median minimum-maximum values and categorical variables as a number and percent Analytical Kolmogorov-SmirnovShapiro-Wilks test and visual Histogram and probability graphs methods were used to test the conformity of data for normal distribution When the parametric test assumptions were provided Independent Sample T-Test was used to compare independent group differences when the parametric test assumptions were not provided Mann Whitney-U test was used to compare independent group differences In the dependent group analyzes when the parametric test assumptions were provided Paired Sample T-Test was used when the parametric test assumptions were not provided Wilcoxon Test was used Chi-Square Analysis and Fisher Exact Test were used compare differences between categorical variables
Methods
The study was approved by the Non-invasive Clinical Researches Ethics Committee 60116787-02058408 on 04092018 The participants included in the study were informed about the study and informed consent form was signed by all participants Our study was performed between September 2018 and June 2019
Of the 36 participants who met the inclusion criteria 5 were excluded from the study for missing follow-ups or not wanting to participate in the study The 31 participants included in the study were randomized using systematic sampling According to last number of file numbers odd numbers included in the physiotherapy PT group n18 and even numbers included in the video-assisted discharge education VADE group n13 The first meeting with participants was made in the hospital room within the first 5 days after THR surgery in both groups Participants and their relatives were given physiotherapy and video-assisted discharge education by the same physiotherapist without being told which group they were in
The physiotherapy program given to the PT group included breathing exercises positioning hip range of motion and strengthening exercises and information about walking and ambulation The whole program was taught verbally and practically to participants and their relatives Information was given about the exercises to be added at the end of the first week and in the 4th week A physiotherapy booklet prepared with the same content was given to the participants The booklet was examined by the patient and relatives and the questions they asked were answered by the same physiotherapist The participants were informed that they should continue the exercises for 12 weeks
VADE group received video-assisted discharge education in addition to the physiotherapy program given to the PT group on the same day by the same physiotherapist The VADE program included information about THR preventive rehabilitation approaches transfer activities using stairs self-care activities home settings by modifying the treatment and discharge protocols of Lucas 2008 VADE was prepared as a presentation of written information and videos which is shown this information by a professional model Video shoots were done by a physiotherapist experienced in the field of physiotherapy and rehabilitation after THR surgery The presentation was stopped when participants have questions or have points were not understood and the necessary explanations were shown verbally and practically Along with the physiotherapy booklet the participants were given an educational booklet containing written and visual information prepared in the same content as VADE The booklet was examined by the patient and relatives during VADE and the questions they asked were answered by the same physiotherapist
Patient interviews were completed in approximately 30 minutes in the PT group and approximately 45 minutes in the VADE group A healthy person was used to prevent damage to the hip joints of those who had undergone surgery in photographs and videos in the VADE and booklets In the booklets easily understandable sentences were used by participants and their relatives Booklets were prepared in Arial font and 11-point size All participants were called by phone every 15 days for 12 weeks and their participation in the exercises and ADL was followed
Assessments were performed within the first 5 days after the THR surgery Descriptive Information Pain Patient Satisfaction Questionnaire in the hospital room after physiotherapy and VADE programs and at the 3rd-month control Pain Harris Hip Score HHS Tampa Scale of Kinesiophobia TSK Nottingham Extended Activities of Daily Living Scale NEADL Patient Satisfaction Questionnaire in orthopedics and traumatology clinic
Statistical Analysis
In the statistical analysis of data obtained in this study Windows-based SPSS IBM SPSS Statistics Version 240 Armonk NY USA package program was used It was calculated that the number of patients included in our study was 89 power and 95 confidence for each group Continuous variables were expressed as a mean standard deviation or as a median minimum-maximum values and categorical variables as a number and percent Analytical Kolmogorov-SmirnovShapiro-Wilks test and visual Histogram and probability graphs methods were used to test the conformity of data for normal distribution When the parametric test assumptions were provided Independent Sample T-Test was used to compare independent group differences when the parametric test assumptions were not provided Mann Whitney-U test was used to compare independent group differences In the dependent group analyzes when the parametric test assumptions were provided Paired Sample T-Test was used when the parametric test assumptions were not provided Wilcoxon Test was used Chi-Square Analysis and Fisher Exact Test were used compare differences between categorical variables
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None