Arthroplasty, Replacement, Hip
Conditions
Keywords
Case management
Brief summary
Patients in fast-track programmes are required to take an active part in their treatment and rehabilitation. Spouses of older patients can often provide valued practical and emotional support, reducing stress, pain and length of stay - yet they are seldom invited to participate in a supporting role. The aim of this study is to investigate the effect of spouses' involvement in older patients fast-track treatment programs using case management as intervention. A two-group quasi-experimental design with pre-test and repeated post-test measures (protocol approved in November 2012) was used. Patients aged 65 years or older going through a fast-track programme for a total hip replacement and their spouses was recruited in dyads from one Danish orthopaedic ward for the intervention group (n=15) and for the control group (n=14). Data was collected from both groups at baseline, two weeks and three months after surgery. Outcome measures for patients include: functional status, nutrition, pain, depression and healthcare consumptions; and for spouses: caregiver satisfaction and difficulties and anxiety.
Interventions
BEHAVIORALCase management
BEHAVIORALControl group
Sponsors
Lund University
University of Aarhus
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Patients * 65 years of age or older * undergoing a total hip replacement due to arthritis * live with their spouses * speak, read and understand Danish without an interpreter * have their spouses present at the mandatory pre-information meeting in the outpatient facilities. Inclusion Criteria: Spouses * presence at the pre-information meeting
Exclusion criteria
Patients * They cannot receive home care, be placed in a nursing home or be permanent users of wheelchairs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional status/ activities of daily living measured by the Barthel-100, which is a 10-item scale | Three months |
| Caregiver satisfaction assessed using the 30-item Carer's Assessment of Satisfaction Index (CASI) | Three months |
Secondary
| Measure | Time frame |
|---|---|
| Depression using the 15-item short form binary reported measurement of the Geriatric Depression Scale (GDS-15) | Three months |
| Nutritional improvements measured using the Mini Nutritional Assessment tool (MNA-SF) | Three months |
| Anxiety assessed using the Generalized anxiety disorder (GAD-7) scale | Three months |
| Caregiver difficulties assessed through 15 items selected from the 30-item Carer's Assessment of Difficulties (CADI) | Three months |
| Pain improvements measured using the separate patient-relevant dimension of pain in the Hip Disability and Osteoarthritis Outcome Score (HOOS) | Three months |
Outcome results
None listed