None listed
Conditions
Brief summary
A private hospital in Western Australia introduced a pilot Enhanced Recovery Program (ERP) for THR in 2012 based on an orthopaedic recovery program established in United Kingdom (Wainwright & Middleton, 2010). The ERP for THR included a range of strategies to support the pre-admission, peri-operative, post-operative and post-discharge patient care. After an extensive evaluation of the pilot program the ERP was introduced as part of standard care in 2013 and has continued as standard care. The education components of the ERP include information book, hospital based pre-operative education session and post-operative phone follow-up. Patient feedback of the ERP was positive but for patients living in rural locations it was difficult to attend the pre-operative education session. The private hospital recognised a virtual platform as a solution to provide information for all patients undergoing a THR and also provide a patient clinician interface in the post-discharge period. The private hospital commissioned the development of a virtual program for THR and plan to implement a pilot study to compare the effects of the virtual program versus the standard program for patients undergoing primary THR replacement on patient outcomes. The aim of this study is to compare a virtual program versus standard program as part of care for primary total hip replacement (THR) on patient outcomes.
Interventions
The virtual program developed for total hip replacements has been designed to inform patients, support persons and relatives what to expect pre-operatively, while in hospital, post operatively and after discharge. Participants access the virtual program via a web link through the ‘My Hip Journey – Go Well Health’. It was designed to give access to information without the patient having to come to the hospital and at a time that suits them 24/7 and it is anticipated that participants use the program on a daily basis commencing two week prior to surgery through until 30 days post-surgery, however they have access to the program up to 12 months post-surgery. The program provides a suite of educational resources including fact sheets, videos, exercise videos and email reminders. The resources change as the patient progress through the program with focus on personal wellbeing and the importance of this in the pre-operative and post-operative periods some example include eating a well-balanced diet, continuing to exercise without increasing pain, medication management and bowel management. Each day the patient home screen when they login is their My Program window lists the videos, information and exercises that have been allocated for them to view/complete that day. Exercises are listed with number of sets and repetitions that the patient is required to do. Participants have access to the health professional team via the program email for 4 weeks post discharge, and can also invite their regular health care providers and/or support person to be part of the team. The health professional team can personalised the participants program and exercises by adding in number of sets and reps for each exercise. Intervention fidelity will be assess using the website site analytics. After a participants watches a video or reads information they rate the information, the program marks it as read and provides information on how long the participant spent on that piece of information. Additionally, the exercise videos are marked completed by the participant once done. Automatically generated emails with the program are sent to the participants on a regular basis to inform participants of the information available on the platform. The professional care team have access to the platform and can view the website analytics for each participant.
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion criteria: A participant will be eligible to participate if they are undergoing a primary elective THR, can provided informed consent and have a minimum of a 3 week lead up time prior to surgery.
Exclusion criteria
Exclusion criteria: A participant will be exclude from the study they are having a revision of the THR is booked in for a bilateral THR or are having a THR following a fractured neck of femur or resurfacing hip, has had a previous THR, unable to converse in written or spoken English, has no access to a web based device or a risk assessment and prediction score less than 6