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Related Experiment Video

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Using a Co-Designed Digital Self-Management Program to Prepare Patients for Hip or Knee Replacement Surgery:

Elizabeth Horton1, Hayley Wright1, Andy Turner1

  • 1Centre for Intelligent Healthcare, Coventry University, Priory Street, Coventry, CV1 5FB, United Kingdom.

JMIR Rehabilitation and Assistive Technologies
|January 7, 2026
PubMed
Summary

The digital HOPE program helped hip and knee replacement patients feel better prepared for surgery. Further trials are needed to confirm its effectiveness and cost-efficiency for improving patient outcomes.

Keywords:
digital platformhip and knee arthroplastymusculoskeletalpeer supportprehabilitationself-management

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Area of Science:

  • Orthopedics
  • Digital Health
  • Patient Self-Management

Background:

  • Aging populations increase demand for hip and knee replacements.
  • Long surgical waiting lists pose challenges for patients and healthcare systems.
  • Effective patient preparation is crucial for surgical outcomes.

Purpose of the Study:

  • To develop and test a digital self-management intervention called HOPE (Help Overcome Problems Effectively).
  • To enhance patient preparedness for hip and knee replacement surgery.
  • To evaluate the intervention's impact on patient-reported outcomes and potential cost savings.

Main Methods:

  • Pragmatic, pre-post with follow-up, single-arm study design.
  • An 8-week digital intervention delivered via the HOPE 4 The Community (H4C) platform.
  • Data collected at baseline, 8 weeks, and 6-month follow-up, including patient-reported outcomes and cost data.

Main Results:

  • 92% of participants who had surgery felt better prepared post-HOPE program.
  • Significant improvements observed in self-efficacy, pain, health status, and mental well-being.
  • Early cost analysis suggested potential savings; system usability rated above average.

Conclusions:

  • The HOPE program shows promise in improving surgical preparedness among patients awaiting hip and knee replacement.
  • Further large-scale trials are necessary to establish efficacy and cost-effectiveness.
  • Digital interventions can play a role in optimizing patient journeys for joint replacement surgery.