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Related Experiment Video

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RECOVER-E - a mobile app for patients undergoing total knee or hip replacement: study protocol.

Anja Stauber1, Nadine Schüßler2, Sarah Palmdorf3

  • 1Institute of Nursing Science and Practice, Paracelsus Medical University, Strubergasse 21, 5020, Salzburg, Austria. anja.stauber@pmu.ac.at.

BMC Musculoskeletal Disorders
|February 6, 2020
PubMed
Summary

This study evaluated the RECOVER-E mobile app for total knee replacement (TKR) and total hip replacement (THR) patients. The app aims to improve recovery and self-management skills for better surgical outcomes in osteoarthritis patients.

Keywords:
EducationHipHip replacementJoint replacementKneeKnee replacementOsteoarthritisTHRTKReHealthmHealth

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Area of Science:

  • Orthopedics
  • Digital Health
  • Patient Education

Background:

  • Osteoarthritis (OA) significantly impacts physical function and joint pain.
  • Total knee replacement (TKR) and total hip replacement (THR) are common treatments for OA.
  • Patient education is crucial for self-management and successful recovery post-joint replacement.

Purpose of the Study:

  • To assess the efficacy of the RECOVER-E mobile application in improving patient outcomes after TKR and THR.
  • To determine if a mobile health (mHealth) intervention enhances self-management and recovery.
  • To investigate the impact of an evidence-based mobile app on patient-reported outcomes.

Main Methods:

  • A non-randomized, multi-center, controlled trial with 160 patients undergoing primary TKR or THR.
  • Intervention group used the RECOVER-E app alongside standard care; control group received standard care only.
  • Measurements included physical function (KOOS/HOOS ADL), pain (NRS), anxiety (HADS), and quality of life at multiple time points up to 3 months post-surgery.

Main Results:

  • Primary outcome: self-reported physical function using KOOS/HOOS ADL subscales.
  • Secondary outcomes: pain, symptoms, function in sport/recreation, quality of life, and preoperative anxiety.
  • Data collection occurred pre-surgery, during hospitalization, and at 3 months post-surgery.

Conclusions:

  • mHealth interventions like RECOVER-E are vital for patient-centered care, enhancing involvement and self-management.
  • This study is the first to examine an evidence-based mobile app's effect on patient-reported outcomes post-joint replacement.
  • Findings may support mHealth's role in facilitating recovery and advancing patient care in joint replacement surgery.