Impact of a remote lifestyle coaching program on the length of hospital stay and complications in patients undergoing knee and hip arthroplasty surgery

Impact of a remote lifestyle change program on length of stay and complications in patients undergoing elective knee and hip arthroplasty

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN12049495

Enrollment

200

Registered

2022-11-14

Start date

2022-06-29

Completion date

Unknown

Last updated

2023-03-27

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

Conditions

Behavioural intervention for patients undergoing primary lower limb arthroplasty Musculoskeletal Diseases

Interventions

This clinical trial will randomise 200 patients to either the intervention arm (use of the app) or control (usual care.) A randomisation code will be computer generated, in permuted blocks of 10 patie

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Adults aged 18 years old and over listed for elective knee and hip arthroplasty 2. Date of the surgery is (or is expected to be) a minimum of 6 weeks from the date of onboarding for the control and intervention arms 3. Access to a smartphone with Apple IOS or Android operating systems and willingness to install the Sapien Health application 4. Sufficient confidence in written and spoken English to provide informed consent and utilise the Sapien Health application

Exclusion criteria

Exclusion criteria: 1. Individuals undergoing emergency surgery 2. Pregnant or breastfeeding individuals.

Design outcomes

Primary

Measure	Time frame
Intervention success measured using the Patient Activation Measure (PAM) scoring at programme entry and pre-operatively (before surgery) and up to 30 days post-surgery	—

Secondary

Measure	Time frame
1. Postoperative complications within 30-days of surgery (pulmonary and cardiac) measured using medical records electronic and paper 30 days post-surgery 2. Readmission to the hospital within 30 days after surgery measured using an electronic database called CareFlow that sends notifications regarding research patient admissions at any time from randomisation 3. Length of stay measured using medical records and the hospital database that records admission and discharge data 4. The proportion of cancellations of surgeries measured using data collected from randomised patients and recorded on the trial database. Collected by the trial team and analysed by Sapien Health. 5. Health behaviour change measured using questionnaires provided by Sapien and recorded on REDCap. Sapien health to then analyse.	—

Measure

Time frame

1. Postoperative complications within 30-days of surgery (pulmonary and cardiac) measured using medical records electronic and paper 30 days post-surgery 2. Readmission to the hospital within 30 days after surgery measured using an electronic database called CareFlow that sends notifications regarding research patient admissions at any time from randomisation 3. Length of stay measured using medical records and the hospital database that records admission and discharge data 4. The proportion of cancellations of surgeries measured using data collected from randomised patients and recorded on the trial database. Collected by the trial team and analysed by Sapien Health. 5. Health behaviour change measured using questionnaires provided by Sapien and recorded on REDCap. Sapien health to then analyse.

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Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026