The effectiveness of a mobile application-based programme for rehabilitation after total hip or knee arthroplasty: A randomised controlled trial

Total hip arthroplasty and total knee arthroplasty are widely performed worldwide. Patients undergoing total hip or knee arthroplasty are often discharged after a short hospital stay. Using information and communication technologies, such as mobile applications, to provide rehabilitation services re...

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Bibliographic Details
Published in:International journal of nursing studies 2023-04, Vol.140, p.104455-104455, Article 104455
Main Authors: Wang, Qingling, Hunter, Sharyn, Lee, Regina Lai-Tong, Chan, Sally Wai-Chi
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Anxiety
Arthroplasty
Arthroplasty, Replacement, Hip - rehabilitation
Arthroplasty, Replacement, Knee - rehabilitation
China
Depression
Female
Health-related quality of life
Humans
Joint replacement
Male
Middle Aged
Mobile application
Mobile Applications
Patient Discharge
Patient-reported physical function
Program Evaluation
Rehabilitation - methods
Self-efficacy
Telerehabilitation
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Summary:Total hip arthroplasty and total knee arthroplasty are widely performed worldwide. Patients undergoing total hip or knee arthroplasty are often discharged after a short hospital stay. Using information and communication technologies, such as mobile applications, to provide rehabilitation services remotely may be a strategy to support patients' postoperative recovery. This study aimed to evaluate the effectiveness of a rehabilitation programme delivered via a mobile application among Chinese patients after total hip or knee arthroplasty. Randomised controlled trial. A teaching hospital in Shanghai, China. Eighty-six patients who received a unilateral primary total hip or knee arthroplasty. The participants were recruited in the hospital and randomised into either the experimental or control group. Once discharged from the hospital, the control group (n = 43) received usual care, and the experimental group (n = 43) received usual care plus a 6-week mobile rehabilitation programme. Outcomes were assessed three times: the day before hospital discharge and 6 and 10 weeks after discharge. Primary outcomes were the changes in scores of self-efficacy and patient-reported physical function from baseline to 6 weeks post-discharge. Secondary outcomes included changes in scores of pain, depression, anxiety, and health-related quality of life. Data were analysed using generalised estimating equations. At 6 weeks after hospital discharge, the experimental group showed statistically significant improvements compared to the control in scores of self-efficacy (adjusted mean difference = 0.72, 95% CI 0.31 to 1.14, P 
ISSN:0020-7489
1873-491X
DOI:10.1016/j.ijnurstu.2023.104455