Digital Patient Journey Solution for Patients Undergoing Elective Hip and Knee Arthroplasty Dueto Primary Osteoarthritis
Primary Elective Hip Arthroplasty (THA), Primary Elective Total Knee Arthroplasty (TKA)
About this trial
This is an interventional supportive care trial for Primary Elective Hip Arthroplasty (THA)
Eligibility Criteria
Inclusion Criteria:
- 18 years or older
- Undergoing primary elective total hip or knee arthroplasty
- Diagnosis of primary osteoarthritis of hip or knee (M16.0, M16.1, M17.0, M17.1)
- Ability to speak, read and understand Finnish
- Access to a web-based device
Exclusion Criteria:
- Undergoing a total hip or knee arthroplasty revision
- A bilateral total hip or knee arthroplasty
- Total hip or knee arthroplasty following a rheumatoid arthritis
- Inability to walk with use of walking aids
- Unable to see or hear that impede the use of the digital patient journey solution
Sites / Locations
- Oulu University Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Digital Patient Journey Solution
Conventional care group
Patients in the intervention arm are provided with a digital patient journey solution used on a mobile device. The application is intended to be used during the whole care path. The patient can familiarize him-/herself to the phases of care through visual timeline representation of the care path, get information on how to prepare for a surgery, receive reminders, fill in questionnaire forms, communicate with the care personnel via messaging functionality and video calls, and search information from frequently asked questions. The application contains information about the preparation, forms for anamnesis, anesthesia and treatment follow-up, information videos and pictures, and timely and individually-tailored reminders, e.g., on when to stop eating and drinking before the surgery. In addition, the application provides instructions on how to arrive to the treatment unit and comprehensive guidance for wound care and rehabilitation at home after the operation.
Conventional care consists of specialist assessment in conjunction with pre-operative surgical visits and patient education. Patients in the conventional care group are provided with pre- and postoperative information face-to-face by paper-based method. Patients will be admitted and mobilised on the day of the surgery, and discharged one to three days after surgery. The follow-up visit, conducted by a physiotherapist, is conducted after 6 to 8 weeks post-discharge for patients with TKA and after 8 to 12 weeks for patients with THA.