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“I hope to win the lottery, but do not expect to”: Does differentiating hope from expectation change expectations for people awaiting arthroplasty surgery?

Expectation for recovery after arthroplasty: the effect of distinguishing hope from expectation in communications to patients undergoing arthroplasty

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12626000501347
Enrollment
85
Registered
2026-04-23
Start date
2026-05-04
Completion date
2026-07-31
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The study tests the hypothesis that people do not differentiate hope from expectation when completing surveys about their expectations from surgery. By randomising the order of distribution of the survey (A or B) for people attending the waitlist management clinic, we can test whether people who complete the survey which differentiates hope from expectation report lower (more realistic) expectations compared to those who complete the survey which does not have any explanation.

Interventions

Group B completes the same survey as Group A (usual care) about patient expectations from surgery at the first appointment to the waitlist management program, and the survey includes the following explanation differentiating hope from expectation - "This survey is asking about what you expect from your surgery based on what you have been told and what you have observed. It is NOT asking about what you are hoping for. Hope and expectations are different as illustrated by the following - You may h

Group B completes the same survey as Group A (usual care) about patient expectations from surgery at the first appointment to the waitlist management program, and the survey includes the following explanation differentiating hope from expectation - "This survey is asking about what you expect from your surgery based on what you have been told and what you have observed. It is NOT asking about what you are hoping for. Hope and expectations are different as illustrated by the following - You may hope to win the lottery, but you do not expect to. " Administration staff will hand out the survey in person, only once. The survey will take 1-2 minutes to complete.

Sponsors

South West Sydney Local Health District
Lead SponsorGovernment body

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

People who are undergoing primary (first-time) total knee arthroplasty (TKA) or total hip arthroplasty (THA) (on the index joint) and who can speak English.

Exclusion criteria

Those who are undergoing revision surgery or those unable to comprehend the survey in English.

Outcome results

None listed

Source: ANZCTR · Data processed: Sep 19, 2026