None listed
Conditions
Brief summary
Unfulfilled expectations of surgical outcomes are a major factor influencing patient-reported dissatisfaction following Total Knee Arthroplasty (TKA). In Australia, approximately 60,000 TKA procedures are performed annually, with numbers expected to increase over the next decade. Despite advancements in surgical procedures, 10-20% of patients report dissatisfaction with surgical outcomes, indicating a significant number of individuals experience sub-optimal outcomes. In the EXTOKA project, we will develop an educational program for patients focusing on formulating realistic expectations of surgical outcomes following TKA in the private healthcare sector. The success of the program will be assessed by comparing patients’ expectations before and after the program, and by comparing expectations of those who participate in the program to those who receive standard clinical care alone. Additionally, the project will determine if participation is associated with a higher level of expectation fulfilment and satisfaction with surgical outcomes. Project findings will inform efforts to improve patient health literacy associated with TKA, supporting patients to make more informed choices about their recovery journey. By setting meaningful, realistic and achievable expectations of surgical outcomes, there is potential to better target rehabilitation programs to support attaining individual patient goals, thereby connecting them to the right care at the right time.
Interventions
Stage 1: Participants will be involved in alpha testing of the novel educational program being developed and evaluated in this project. This will entail participants viewing the program being developed and providing feedback regarding the material format and content. This will involve a single viewing of the educational videos developed which should last no more than 30 minutes. Following this session participants will be asked to complete a questionnaire regarding the format, content, presenta
Stage 1: Participants will be involved in alpha testing of the novel educational program being developed and evaluated in this project. This will entail participants viewing the program being developed and providing feedback regarding the material format and content. This will involve a single viewing of the educational videos developed which should last no more than 30 minutes. Following this session participants will be asked to complete a questionnaire regarding the format, content, presentation and suitability of the videos in providing information effectively to total knee replacement candidates regarding their expectations of outcomes following surgery. They will also meet face to face and have the opportunity to discuss informally the reasons for their responses to the questionnaire and provide further information to the research team regarding suggestions for potential changes or improvements to the materials provided. The information obtained will enable the research team for fine tune the educational videos so they can be then applied and assessed in the RCT in Stage 2. Stage 2: Participants will be randomised to two study arms designed to assess the ability of the education program to impact patient expectations of surgical outcomes following total knee replacement. Arm 1: participants will be view the novel education videos, which they can view at least once and will last for up to 30 minutes, developed in Stage 1 online with access provided by a link emailed to them by the research team, in addition to any other materials they may be provided by their orthopaedic team (standard care). Arm 2: will be the control comparator group who will not be exposed to the novel education program and will be provided standard care. All participants will complete their pre-intervention study assessments 7 weeks prior to their scheduled TKA. The intervention / standard care will be provided 6 weeks prior to the TKA and post-intervention assessments undertaken 5 weeks prior to the TKA.
Sponsors
University of Newcastle
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
Stage 1: 1. Have undergone a primary total knee arthroplasty (unilateral or bilateral) within the last 2 years. 2. Have the capacity to complete a series of self-reported questionnaires (presented in English). 3. Are able to provide informed consent. Stage 2: 1. Have been identified as requiring a primary total knee arthroplasty (unilateral or bilateral) by their treating orthopaedic specialist. 2. Have the capacity to complete a series of self-reported questionnaires (presented in English). 3. Are able to provide informed consent.
Exclusion criteria
Stage 1: 1. Have undergone a recent primary total knee replacement due to acute trauma. 2. Are unable to provide informed consent. Stage 2: 1. Will be undergoing a primary total knee replacement due to acute trauma. 2. Have undergone previous knee replacement surgery. 3. Have had knee surgery within the preceding 6 months, have knee surgery scheduled within the next 6 months, or undergoing a revision for existing joint surgery. 4. Are unable to provide informed consent.
Outcome results
None listed