To evaluate tailoring components in a web application for THA patients and to refine guidelines for tailored web applications for patients.Secondary objectives:- To assess how and how often THA patients use a prototype of the tailored web…
ID
Source
Brief title
Condition
- Joint disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Endpoints: Use and evaluation of the application by patients and care
providers. After each consultation, patients will be interviewed about their
experiences with the prototype. Participating care providers will also be
interviewed at least once about their general experience with the prototype
during consultations. In addition, web metrics will be recorded for each
patient to assess usage over time. Parameter: The patient subgroups are used as
parameter.
Secondary outcome
As a secondary endpoint, experiences of participating patients will be
qualitatively compared to those of a control sample (data from earlier
qualitative studies.)
Background summary
After a Total Hip Arthroplasty (THA), post-discharge contact moments with care
providers may be scarce. Online resources may offer support, but these are
based on the average patient and to optimize their supportive value they need
to be tailored to patients* varying post-surgery information needs and
capacities. In previous research, three subgroups were identified that are
similar in these characteristics. It is hypothesized that these subgroups can
be used to tailor online information resources for THA patients.
Study objective
To evaluate tailoring components in a web application for THA patients and to
refine guidelines for tailored web applications for patients.
Secondary objectives:
- To assess how and how often THA patients use a prototype of the tailored web
application (use)
- To assess the experiences of patients and care professionals with the
prototype, and their experienced impact on THA rehabilitation until week 6
post-surgery (evaluation)
- To assess what differences exist in the abovementioned aspects, between
patients from three different subgroups (that are similar in their
communication preferences, experienced health, and coping).
- To make a preliminary assessment of the impact of the prototype on patient
experience.
Study design
Qualitative observational study: Evaluation of a tailored web application for
THA patients.
Intervention
A tailored web application for THA patients. The web application informs THA
patients about recommended activity levels in the first months after surgery
using individualized thresholds based on daily step counts. The feedback given
by the application is designed in three variants that match characteristics
from three different THA patient subgroups defined in previous research.
Study burden and risks
Participating patients receive a wrist-worn step counter, and are given the
option to monitor their step counts from three weeks before surgery until six
week post-surgery. Participants can also use the web application, which
includes completing a questionnaire and filling in daily step counts. Both
tasks are not compulsory. Patients also partake in short interviews adjacent to
post-surgery hospital visits; no additional site visits are required and
patients are free to decline answering questions. The website may indicate that
the patient can do more than what feels safe to him or her; in this unlikely
event, patients are repeatedly instructed only to follow their own feeling. As
such, this risk is assessed as low. Patients may benefit from the information
from the application, and have additional opportunities to share their
experiences. The study can only be done with THA patients because they go
through the process of recovery after THA.
Reinier de Graafweg 5
Delft 2625 AD
NL
Reinier de Graafweg 5
Delft 2625 AD
NL
Listed location countries
Age
Inclusion criteria
Planned THA within three to eight weeks
Age *18
Signed informed consent
Regular use of internet and e-mail.
Exclusion criteria
Insufficient knowledge of the Dutch language
Mental disability
Design
Recruitment
Medical products/devices used
metc-ldd@lumc.nl
metc-ldd@lumc.nl
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In other registers
| Register | ID |
|---|---|
| CCMO | NL69079.098.19 |