Evidence map›Paper›PMID 33656449›Full record

ArticleJMIR rehabilitation and assistive technologies2021

Comparing an eHealth Program (My Hip Journey) With Standard Care for Total Hip Arthroplasty: Randomized Controlled Trial.

Rosemary Saunders, Karla Seaman, Laura Emery, Max Bulsara, Catherine Ashford, Judith McDowall, Karen Gullick, Beverley Ewens, Trudy Sullivan, Charlotte Foskett and 1 more

Open access · goldAbstract read
In one paragraph

Article in JMIR rehabilitation and assistive technologies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Telemedicine Technologies Selection for the Posthospital Patient Care Process after Total Hip Arthroplasty.International journal of environmental research and public health · 2022
    Review
  5. Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Rosemary SaundersSchool of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia.ORCID https://orcid.org/0000-0001-6213-4694
Karla SeamanSchool of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia.ORCID https://orcid.org/0000-0003-4611-9616
Laura EmerySchool of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia.ORCID https://orcid.org/0000-0002-3015-5463
Max BulsaraInstitute for Health Research, The University of Notre Dame, Fremantle, Australia.ORCID https://orcid.org/0000-0002-8033-6123
Catherine AshfordHollywood Private Hospital, Perth, Australia.ORCID https://orcid.org/0000-0002-5179-5478
Judith McDowallHollywood Private Hospital, Perth, Australia.ORCID https://orcid.org/0000-0002-3606-1011
Karen GullickHollywood Private Hospital, Perth, Australia.ORCID https://orcid.org/0000-0001-9503-442X
Beverley EwensSchool of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia.ORCID https://orcid.org/0000-0003-2008-7214
Trudy SullivanDepartment of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.ORCID https://orcid.org/0000-0001-8452-2591
Charlotte FoskettHollywood Private Hospital, Perth, Australia.ORCID https://orcid.org/0000-0002-3269-0849
Lisa WhiteheadSchool of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia.ORCID https://orcid.org/0000-0002-6395-0279
Edith Cowan University · AUHollywood Private Hospital · AUThe University of Notre Dame Australia · AUUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of eHealth programs to support patients through surgical pathways, including total hip arthroplasty (THA), is rapidly growing and offers the potential to improve patient engagement, self-care, and outcomes.

objectiveThe aim of this study is to compare the effects of an eHealth program (intervention) versus standard care for pre- and postoperative education on patient outcomes for primary THA.

methodsA prospective parallel randomized controlled trial with two arms (standard care and standard care plus access to the eHealth education program) was conducted. Participants included those who underwent THA. Outcome measures were collected preadmission, at 6 weeks, and at 3 and 6 months after surgery. The primary outcome was the Hip Dysfunction and Osteoarthritis Outcome Score. Secondary outcomes were a 5-level 5-dimension quality of life measure and the self-efficacy for managing chronic disease scale. Demographic and clinical characteristics were also collected. A satisfaction survey was completed by all participants 6 weeks after surgery, and those in the intervention arm completed an additional survey specific to the eHealth program.

resultsA total of 99 patients were recruited: 50 in the eHealth program (intervention) and 49 in standard care (control). Clinical improvements were demonstrated in both groups across all time points. Per-protocol analysis demonstrated no differences between the groups for all outcome measures across all time points. Participants in the eHealth program reported that the program was accessible, that they felt comfortable using it, and that the information was helpful.

conclusionsThis study demonstrated that the eHealth program, in addition to standard care, had no additional benefit to THA recovery compared with standard care alone. The study found that the eHealth program was highly valued by participants, and it supported the preoperative preparation, recovery, and postoperative rehabilitation of participants.

trial registrationAustralian New Zealand Clinical Trial Registry ACTRN12617001433392; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373657.

Indexed as

economic evaluationeducationeHealth programhip arthroplastyrehabilitation

Identifiers

PMID33656449
PMCPMC8082385
OpenAlexW3133737256

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.