Knee Osteoarthritis (Knee OA)
Conditions
Keywords
Total knee arthroplasty, Selfcare, Booklet, Rehabilitation, Knee oesteoarthritis
Brief summary
The benefit of preoperative rehabilitation treatment combining physiotherapy and targeted education for patient undergoing Total Knee replacement (TKR) is now well known. Thus, there is lack of validated booklet containing evidence based informations. Our aim is to assess the impact of an evidence based education pre-operative booklet on patient's knowledge and beliefs. The secondary objectives are to assess the impact of the booklet on patient's satisfaction on the information received, the length of stay in orthopedic surgery and the transfer rate to rehabilitation wards. To show a difference of 2 points on the knowledge score (range 0-10) between the two groups, with a = 0.05 and a power of 90%, we considered that 44 patients are needed. The evaluations will take place at baseline, the day before surgery and 6 weeks post-surgery on knowledge and beliefs scores at each visit and on a satisfaction score on the last one. Quantitative data will be compared between groups by the Kruskal-Wallis and qualitative parameters via Fisher exact test. The study protocol was approved by the local Ethic Committee.
Detailed description
The benefit of preoperative rehabilitation treatment combining physiotherapy and targeted education for patient undergoing Total Knee replacement (TKR) is now well known. Thus, there is lack of validated booklet containing evidence based informations. Our aim is to assess the impact of an evidence based education pre-operative booklet on patient's knowledge and beliefs. The secondary objectives are to assess the impact of the booklet on patient's satisfaction on the information received, the length of stay in orthopedic surgery and the transfer rate to rehabilitation wards. To show a difference of 2 points on the knowledge score (range 0-10) between the two groups, with a = 0.05 and a power of 90%, we considered that 44 patients are needed. The evaluations will take place at baseline, the day before surgery and 6 weeks post-surgery on knowledge and beliefs scores at each visit and on a satisfaction score on the last one. Quantitative data will be compared between groups by the Kruskal-Wallis and qualitative parameters via Fisher exact test. The study protocol was approved by the local Ethic Committee.
Interventions
OTHERKruskal-Wallis and qualitative parameters
Sponsors
University Hospital, Clermont-Ferrand
Sanofi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
55 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Age ranging from 55 to 75 Planned total knee arthroplasty
Exclusion criteria
* Age under 55 or above 75 Patients institutionalized Patients who have received a total knee arthroplasty of the ipsilateral knee Patient not affiliated to a social security scheme (beneficiary or assignee) Patients with chronic inflammatory rheumatism Cognitive and behavioral issues Disorders of understanding and expression of the French language TKR on complex knee
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| knowledge score | at day 1 |
Secondary
| Measure | Time frame |
|---|---|
| pain | Baseline |
| Primary disability | Baseline |
| Duration of hospitalization surgery | at day 1 |
| Transfer rate in acute care and rehabilitation, and length of stay | at week 6 |
| Patient's overall satisfaction towards the information received | at week 6 |
| Patient's confidence in its own ability to achieve rehabilitation | at day-1 |
| Patient's knowledge and beliefs about his condition | Baseline, at day-1 and week 6 |
Countries
France
Contacts
PRINCIPAL_INVESTIGATORStephane DESCAMPS
University Hospital, Clermont-Ferrand
Outcome results
None listed