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Quantifying Patient Engagement in Total Joint Arthroplasty Using Digital Application-Based Technology.

Paul W Knapp1, Robert A Keller2, Kathryn A Mabee2

  • 1Orthopaedic Surgery, Ascension Macomb-Oakland Hospital, Madison Heights, MI.

The Journal of Arthroplasty
|May 9, 2021
PubMed
Summary
This summary is machine-generated.

Digital patient engagement tools show high compliance for total hip (THA) and total knee (TKA) arthroplasty patients. Physical therapy, health literacy, and pain management content were most valued, enhancing patient care.

Keywords:
compliancepatient satisfactionremote monitoringtelerehabilitationtotal hip replacementtotal knee replacement

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Area of Science:

  • Orthopedic Surgery
  • Digital Health
  • Patient Engagement

Background:

  • Digital patient engagement strategies aim to improve patient activation and satisfaction post-total joint arthroplasty.
  • Application-based educational tools are increasingly explored to support patients undergoing joint replacement surgery.

Purpose of the Study:

  • To assess patient engagement with digital educational tools after total hip arthroplasty (THA) and total knee arthroplasty (TKA).
  • To identify the most beneficial content categories for patients in the perioperative period of THA and TKA.

Main Methods:

  • A cohort of 207 patients undergoing THA or TKA used a digital application for perioperative education.
  • Engagement was measured by module completion or viewing; satisfaction was assessed via in-app surveys.
  • The study period was from October 2017 to January 2020.

Main Results:

  • An average compliance rate of 48% was observed across educational modules.
  • Top content categories included physical therapy/exercise videos, health literacy, and pain management.
  • Nutrition planning was the least accessed content category.

Conclusions:

  • Patients demonstrated high compliance with digital educational materials for THA and TKA.
  • Digital platforms offer a scalable and cost-effective method for patient engagement in joint replacement care.
  • These tools can effectively supplement traditional patient education methods.