髋关节指导康复计划（HIPPER）作为髋关节置换术前教育的电子健康方法：可行性随机对照试验

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-06-18 DOI:10.1016/j.ijotn.2025.101210

Somayyeh Mohammadi , Marie D. Westby , Amy Schneeberg , Wendy Watson , Aditya Dhariwal , Ethan Simpson , William C. Miller

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引用次数: 0

摘要

目的评估本研究方案的保真度以及为全髋关节置换术患者设计的联合开发的电子健康计划的保真度。方法采用单中心、评估器屏蔽、可行性随机对照试验（RCT）。51名年龄在50岁及以上的髋关节骨关节炎患者参加了这项研究，他们计划接受全髋关节置换术。我们将参与者随机分为实验组和对照组。实验组使用了一种叫做髋部指导康复计划（HIPPER）的电子健康康复计划。对照组接受常规护理（即参加教育网络研讨会）。可行性指标涉及过程、资源、管理和治疗，主要临床结果测量是医院焦虑抑郁量表（HADS）。结果14项可行性指标达到8项。各项管理指标均达到。参与者同意和数据完成策略需要修改，因为38% （n = 36）的参与者拒绝参与，33% （n = 17）的参与者数据不完整。两组之间的临床结果（焦虑、疼痛、日常生活活动和自我效能）没有统计学上的显著差异。大多数HIPPER参与者认为电子健康计划是“可以接受的”。结论本研究方案是可行的。结果显示对研究方案进行了微小的修改，以提高参与者的参与度、保留率和数据完成率。此外，为了增加感知效益，可以修改HIPPER的内容。改良版的HIPPER可以为接受全髋关节置换术的患者提供方便的术前护理。该计划还可以通过提高患者的准备程度来改善手术结果。临床试验注册。gov ID: NCT02969512。2016年11月21日注册。

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The hip instructional prehabilitation program for enhanced recovery (HIPPER) as an eHealth approach to presurgical hip replacement Education: Feasibility randomized controlled trial

Objective

To assess the fidelity of our study protocol and the fidelity of a co-developed eHealth program designed for people having total hip replacement.

Method

A single-center, assessor-masked, feasibility randomized controlled trial (RCT) was used. Fifty-one participants aged 50 and older with hip osteoarthritis who were scheduled to receive a total hip replacement participated in this study. We randomized participants into an experiment or a control group. The experiment group used an eHealth prehabilitation program called the Hip Instructional Prehabilitation Program for Enhanced Recovery (HIPPER). The control group received the usual care (i.e., attended an educational webinar). Feasibility indicators addressed process, resources, management, and treatment, and the primary clinical outcome measure was the Hospital Anxiety Depression Scale (HADS).

Results

Eight out of 14 feasibility indicators were achieved. All management indicators were achieved. Participant consent and data completion strategies need revision, as 38 % (n = 36) refused participation and 33 % (n = 17) had incomplete data. There were no statistically significant differences between groups for the clinical outcomes (anxiety, pain, activities of daily living, and self-efficacy). Most HIPPER participants rated the eHealth program as “acceptable.”

Conclusion

Results show evidence for the feasibility of the study protocol. The results reveal minor modifications to the study protocol to improve participant engagement, retention rate, and data completion. Moreover, to increase the perceived benefits, the content of the HIPPER can be modified. A refined version of HIPPER can provide accessible pre-operative care to patients undergoing total hip replacement. This program can also improve surgery outcomes by increasing patients’ readiness.

Trial registration

ClinicalTrials.gov ID: NCT02969512. Registered on November 21, 2016.

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来源期刊

International Journal of Orthopaedic and Trauma Nursing NURSING-

CiteScore

2.60

自引率

14.30%

发文量