None listed
Conditions
Brief summary
Patients undergoing elective hip or knee replacement experience different levels of pain and anxiety before and after their surgery. Providing education to patients on strategies to help them manage the pain and anxiety they experience could help improve patients’ physical and psychological outcomes after surgery. This study hopes to test whether education provided to patients before surgery can assist in their management of pain and anxiety while undergoing hip or knee replacement. Patients who agree to participate in this study, will be randomly assigned to either receive a DVD with self-efficacy information and activities to take home combined with the usual pre-operative education (the ‘self-efficacy education intervention group’ [A]) OR receive the usual pre-operative education and care (without the DVD) only (the ‘routine care group [B]). Participants who are allocated to receive the DVD are asked to view this and perform the activities (ie., relaxation, breathing and imagery exercises) within 72 hours and then on three other occasions until their booked surgery. A research assistant (registered nurse) will call the ‘self-efficacy education intervention group’ [A] participants on the telephone after 72 hours and then again before admission to support their participation. All participants will be assessed for levels of pain, anxiety, self-efficacy at the first three time points (T0-2). Participants will also be asked to respond to a survey about their satisfaction with care in relation to pain management on the day of their discharge/day 4 post-operatively (T3). Ten to fourteen days following discharge (T4), patients will be contacted via telephone at a suitable time to rate their pain, anxiety and self-efficacy as well as their utilisation of health services and resources. Finally 6 weeks after surgery (T5), patients will be telephoned at a suitable time to rate their pain, anxiety, utilisation of health services and resources and utilisation of relaxation method(s). Apart from the day of surgery, all other time points (T0, T2-5) will record the use and frequency of pain medications via direct patient feedback or from the end-of-bed medication sheets. The time taken to complete the assessments at 6 time points will be approximately 10 – 15 minutes. The assessments will be in paper form, and participants will be required to respond to a series of questions.
Interventions
The study will use a single-blinded, repeated measures, parallel, RCT testing feasibility outcomes. Participants will be randomly assigned to either the self-efficacy education intervention [A] or routine care [B] group. Sequential sampling of all eligible patients from two surgical (orthopaedics) units will take place at The Queen Elizabeth II Jubilee (QEII) and Robina hospitals, both located in South East Queensland. The intervention involves pre-operative self-efficacy based education session
The study will use a single-blinded, repeated measures, parallel, RCT testing feasibility outcomes. Participants will be randomly assigned to either the self-efficacy education intervention [A] or routine care [B] group. Sequential sampling of all eligible patients from two surgical (orthopaedics) units will take place at The Queen Elizabeth II Jubilee (QEII) and Robina hospitals, both located in South East Queensland. The intervention involves pre-operative self-efficacy based education sessions of around 20 – 30 minutes delivered via a DVD. Based on the work of Marks and Allegrante (2005), the self-efficacy activities identified in the DVD include goal-setting and relaxation exercises (such as mindfulness and deep breathing exercises, listening to music and guided imagry), for participants to practice prior to and following surgery. Participants in the intervention group will receive the DVD at the booked pre-operative session at both research sites to take home with them. They will be asked to review this DVD within 72 hours and then on three other occasions prior to their admission for surgery. A research assistant (registered nurse) will call the participants at 72 hours and then again before admission to support participation. Participants in both groups will receive routine in-hospital pre- and post-operative care provided by both the Queensland Health hospitals. Post-operatively this will include all care provided by healthcare professionals in terms of nursing, wound care, physiotherapy and pain management.
Sponsors
Griffith University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
> 18 years, medically assessed at QEII/Robina, booked admission for hip/knee replacement, informed consent, able to watch a DVD
Exclusion criteria
Cannot read or write English, cognitive or mental impairment which prevents them from completing self-report surveys
Outcome results
None listed