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ID
Source
Brief title
Health condition
CMC1 arthritis
Sponsors and support
Intervention
Outcome measures
Primary outcome
compliance
To study the difference between the intervention and control group regarding number of performed exercises we will use an unpaired t-test. All missing data will be reported
Secondary outcome
PROMS
To analyse the difference of qDASH and EQ-5D scores between the two groups we will use an unpaired t-test. When less than 10 of 11 questions of the qDASH or none of the EQ-5D are answered this questionnaire will be reported as missing data
Background summary
CMC1 osteoarthritis is the second most common site of osteoarthritis in the hand, with a broad impact on quality of life and mental health. A valid and widely used treatment option is trapeziectomy. In order to prevent pain and decreased hand function after surgery, extensive rehabilitation therapy is required. Unfortunately, a lot of patients fail to comply to the rehabilitation therapy due to a lack of motivation, resulting in delayed rehabilitation and healing process. As a result additional health related costs are faced by both patient and society. Research has shown that motivated people perform better in rehabilitation programs than less motivated people. It is therefore hypothesized that using the concept of “possible selves” compels patients to look ahead and enhance intrinsic motivation for rehabilitation. This double blinded randomized controlled trial will study the effect of “possible selves” on the compliance with rehabilitation therapy.
Study objective
The effect on compliance with rehabilitation therapy after trapeziectomy, in patients assessing their possible selves before starting rehabilitation therapy, by evaluating PROMS and compliance.
Hypothesis: that patients assessing their possible selves will be more compliant and have better PROMS at the end of rehabilitation therapy.
Study design
All participating patients will be asked to answer the qDASH and EQ-5D before and, at 6, 9 and 12 weeks, after trapeziectomy
Intervention
One group will be asked to assess their possible selves in advance of the rehabilitation therapy
Inclusion criteria
All patients with CMC1 arthritis undergoing trapeziectomy in the Reinier de Graaf Group, between april 2019 and December 2020 will be analysed for eligibility. All patients are required, to comprehend written and spoken Dutch or English and, are willing to give informed consent.
Exclusion criteria
Exclusion criteria are, mental retardation and dementia. Patients will be excluded if they are not able to participate in the proposed rehabilitation program.
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
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Other (possibly less up-to-date) registrations in this register
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In other registers
| Register | ID |
|---|---|
| NTR-new | NL7689 |
| Other | METC ZWH : METC16-034 |