Coxarthrosis & Hip osteoarthritis
Conditions
Interventions
The TRAK intervention comprises of physiotherapy exercises using the TRAK
platform. The TRAK platforms* intended use is to deploy it as a tracking and
monitoring tool for the patient, enabling them
Sponsors
Sint Maartenskliniek
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Age >= 45 year - Scheduled for surgical intervention for primary hip replacement. - Osteoarthritis as primary indication for the hip replacement. - Between 6 and 8 weeks prior to surgery. - At risk for delayed recovery, defined as having a sumscore of > 51 at the BiBo criteria [15] o The score is calculated based on the following factors: * BMI >= 25 kg/m2 = 17 points * Charnley-score: B/C = 36 points* * TUG >= 12,5 sec = 27 points * Sex: male = 1 points * Age >= 70 year = 6 points * We will include patients on their Charnley-score, this score is needed to reach the threshold of more than 51 points. The TUG will be performed at baseline, although we won*t exclude patients if they have a TUG of less than 12.5 seconds. BMI, sex and age can also be determined at baseline. - Patients possessing a tablet, smartphone, or laptop with internet access and camera. - Must have an active email account. - Signature on the informed consent form. - Commitment to undergo prescribed treatments.
Exclusion criteria
Exclusion criteria: - Patients with intellectual disabilities or cognitive impairment. - Patients not living independently - Co-morbidities that affect daily life functioning (e.g. stroke, heart and vascular disease). - Patients unable to use mobile applications, cell phones, tablets, laptops, or email and lacking support from a family member or caregiver who can utilize these technologies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective is to investigate the feasibility for both patients and care providers (physiotherapists and orthopaedic surgeons) of a digital home-based supervised physical exercise training program through the TRAK platform (TRAK intervention) before and after surgical hip replacement, which will be assessed on the domains mentioned below. The main outcome parameter of interest within the feasibility outcomes is adherence to the prescribed TRAK exercise sessions. Adherence is defined as the percentage of exercise sessions patients have started and/or completed in the program. Acceptability (How individuals involved react to the program): Patient acceptability of physiotherapy with TRAK will be assessed by the ease of use of the TRAK platform using the system usability scale (SUS), questions about the usefulness of the TRAK intervention on a 5-point Likert scale, satisfaction with the TRAK platform on a 11-point NRS scale, satisfaction of the patients with the physiotherapy activities (NRS), satisfaction of the patients with the surgery (NRS), and the intention to use TRAK on a 5-point Likert scale. Care providers* satisfaction with the TRAK platform will be measured on a 11-point NRS scale and the ease of use of the TRAK platform for the physiotherapist using the system usability scale (SUS). Demand (Use and/or need for the intervention): Patients* demand for physiotherapy with TRAK will be assessed by the number of patients approached to reach 30 included patients. Additionally, adherence to the TRAK intervention will be monitored and when and if patients want to stop the intervention. The demand for use of the TRAK platform will also be evaluated through semi-structured interviews. Care providers* demand for use of the TRAK platform will be evaluated through semi-structured interviews. Practicality (the extent to which an intervention can be delivered when resources, time, commitment, or some combination thereof are constraine | — |
Secondary
| Measure | Time frame |
|---|---|
| In the baseline questionnaire, patient demographic information (educational attainment, employment status and marital status), patient characteristics (age, sex), and comorbidities (cardiovascular disease, kidney disease, diabetes mellitus) will be collected. Care providers* characteristics including age, sex, work experience and occupation type will be questioned at the start of the interviews. Another study parameter is physical activities performed without the TRAK platform. | — |
Countries
Netherlands
Outcome results
None listed