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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
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.
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.
