- Title
- The effectiveness of a mobile application-based programme for rehabilitation after total hip or knee arthroplasty: A randomised controlled trial
- Creator
- Wang, Qingling; Hunter, Sharyn; Lee, Regina Lai-Tong; Chan, Sally Wai-Chi
- Relation
- International Journal of Nursing Studies Vol. 140, Issue April 2023, no. 104455
- Publisher Link
- http://dx.doi.org/10.1016/j.ijnurstu.2023.104455
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2023
- Description
- Background: Total hip arthroplasty and total knee arthroplasty are widely performed worldwide. Patients undergoing total hip or knee arthroplasty are often discharged after a short hospital stay. Using information and communication technologies, such as mobile applications, to provide rehabilitation services remotely may be a strategy to support patients' postoperative recovery. Objective: This study aimed to evaluate the effectiveness of a rehabilitation programme delivered via a mobile application among Chinese patients after total hip or knee arthroplasty. Design: Randomised controlled trial. Setting: A teaching hospital in Shanghai, China. Participants: Eighty-six patients who received a unilateral primary total hip or knee arthroplasty. Methods: The participants were recruited in the hospital and randomised into either the experimental or control group. Once discharged from the hospital, the control group (n = 43) received usual care, and the experimental group (n = 43) received usual care plus a 6-week mobile rehabilitation programme. Outcomes were assessed three times: the day before hospital discharge and 6 and 10 weeks after discharge. Primary outcomes were the changes in scores of self-efficacy and patient-reported physical function from baseline to 6 weeks post-discharge. Secondary outcomes included changes in scores of pain, depression, anxiety, and health-related quality of life. Data were analysed using generalised estimating equations. Results: At 6 weeks after hospital discharge, the experimental group showed statistically significant improvements compared to the control in scores of self-efficacy (adjusted mean difference = 0.72, 95% CI 0.31 to 1.14, P < .001) and patient-reported physical function (adjusted mean difference = 4.57, 95% CI 1.24 to 7.90, P = .007). The between-group difference in self-efficacy probably reached clinical significance. At week-10 follow-up, the experimental group had statistically significant improvements in scores of self-efficacy (adjusted mean difference = 0.64, 95% CI 0.33 to 0.95, P < .001), health-related quality of life (adjusted mean difference = 0.06, 95% CI 0.01 to 0.10, P = .018), anxiety (adjusted mean difference = − 0.51, 95% CI − 0.91 to − 0.10, P = .015), and depression (adjusted mean difference = − 0.37, 95% CI − 0.66 to − 0.08, P = .012). The between-group difference in self-efficacy and health-related quality of life may be clinically significant. Conclusion: Mobile application-based rehabilitation demonstrated potentially positive effects on patients' self-efficacy, patient-reported physical function, health-related quality of life, and levels of anxiety and depression. Trial registration: Registered with the Australian New Zealand Clinical Trials Registry on 6 July 2021 (ACTRN12621000867897).
- Subject
- arthroplasty; anxiety; depression; health-related quality of life; joint replacement; mobile application; SDG 17; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1490294
- Identifier
- uon:52870
- Identifier
- ISSN:0020-7489
- Rights
- x
- Language
- eng
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