Trial reportJournal of orthopaedic surgery and research2026
Web-based education enhances self-care agency, self-efficacy, and quality of life in patients undergoing total knee arthroplasty: a randomized controlled trial.
Trial report in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06306027 (The Effect of Web-Based Education Program Applied to The Patients Undergoing Knee Arthroplasty on Self-Care Power, Self-Efficacy, and Quality of Life), which is not on this map. Not yet cited in PubMed.
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The Effect of Web-Based Education Program Applied to The Patients Undergoing Knee Arthroplasty on Self-Care Power, Self-Efficacy, and Quality of Life
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3 authors.
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Abstract
backgroundTotal knee arthroplasty plays a pivotal role in restoring patients' quality of life; however, challenges related to postoperative adaptation and self-care remain significant. Integrating technology into patient education through web-based and mobile application-supported interventions has emerged as an innovative approach to strengthen recovery and enhance patient outcomes. This study aimed to evaluate the impact of a web-based education (WBE) program on self-care power, self-efficacy, and quality of life in patients undergoing total knee arthroplasty.
methodsThis prospective, two-group clinical trial was conducted between January and October 2024 at the Orthopedics and Traumatology Clinic of a city hospital. A total of 67 patients were assigned to either the WBE group (n = 33) or the control group (n = 34). The control group received standard unstructured discharge education, whereas the WBE group received the same education plus a one-month web-based education program using a mobile application starting on the 15th day post-discharge. Data were collected via the Self-Care Agency Scale (SCAS), the Self-Efficacy Scale (SES), and the Short Form-36 Health Survey (SF-36) at 15 days and one-month post-discharge.
resultsNo significant baseline differences were observed between the WBE and control groups (p > 0.05). After the intervention, the WBE group showed significantly greater improvements in self-care agency, self-efficacy, and quality of life compared with the control group (p < 0.05). Mixed-design ANOVA demonstrated significant group×time interaction effects for all outcomes, with large effects for self-care agency (ηp²=0.703-0.827) and moderate to large effects for self-efficacy (ηp² = 0.435-0.719) and SF-36 quality-of-life subdimensions (ηp²=0.451-0.713).
conclusionWeb-designed education via mobile applications was shown to be effective in improving the self-care power and self-efficacy and increasing the quality of life of patients undergoing TKA.
trial registrationThis study was registered in the ClinicalTrials.gov database as (NCT06306027) Protocol Registration and Results System.
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