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Набор скоро начнётся NCT07731815

Web-Based Conversational Assistant After Total Knee Arthroplasty

Без фазы С лечением Osteoarthritis (OA) of the Knee

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Web-based conversational postoperative assistant.
Кому может быть актуально
Состояния в реестре: Osteoarthritis (OA) of the Knee. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Испания
Следующий шаг
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Официальное название

Evaluation of a Web-Based Conversational Postoperative Assistant on Patient Satisfaction and Exercise Adherence After Total Knee Arthroplasty: Protocol of a Pragmatic Randomized Pilot Study With 6-Week Follow-up

Обзор

Total knee arthroplasty (TKA) is one of the most frequently performed elective orthopaedic procedures. Following hospital discharge, patients must manage pain, wound care and home rehabilitation with limited professional support. This pragmatic randomised pilot trial will evaluate whether a web-based conversational postoperative assistant, used in addition to standard care, improves patient satisfaction and exercise adherence during the first 6 weeks after TKA. Forty to sixty patients undergoing primary elective TKA will be randomised 1:1 to standard care with or without access to the conversational assistant. The primary outcome is overall patient satisfaction at 6 weeks. Secondary outcomes include pain intensity, exercise adherence, unplanned healthcare contacts and postoperative complications.

Подробное описание

This single-centre pragmatic randomized pilot trial will evaluate the feasibility and preliminary effectiveness of a web-based conversational postoperative assistant following primary total knee arthroplasty (TKA). Participants will be randomized in a 1:1 ratio to receive either standard postoperative care alone or standard care plus access to the conversational assistant for 6 weeks after surgery.

The assistant provides evidence-based postoperative education, recovery guidance, answers to common patient questions, and safety-oriented recommendations. The primary outcome is overall patient satisfaction at 6 weeks. Secondary outcomes include pain intensity, exercise adherence, unplanned healthcare contacts, and postoperative complications. The study is designed to generate preliminary evidence to support the development of a larger definitive randomized controlled trial.

Вмешательства

  • Поведенческое Web-based conversational postoperative assistant
    Participants assigned to the intervention group receive access to a web-based conversational assistant for 6 weeks after primary total knee arthroplasty. The assistant provides evidence-based postoperative education, recovery guidance, answers to common patient questions, and safety-oriented recommendations. It is available on demand and complements, but does not replace, standard postoperative care.

Первичные конечные точки

  • Overall Patient Satisfaction [Срок оценки: 6 weeks after total knee arthroplasty]
Вторичные конечные точки (4)
  • Pain Intensity [Срок оценки: 2 weeks and 6 weeks after total knee arthroplasty]
  • Exercise Adherence [Срок оценки: During the first 6 weeks after total knee arthroplasty]
  • Unplanned Healthcare Contacts [Срок оценки: During the first 6 weeks after total knee arthroplasty]
  • Postoperative Complications [Срок оценки: During the first 6 weeks after total knee arthroplasty]

Критерии участия

Критерии включения

  • Age ≥18 years.
  • Primary, unilateral, elective total knee arthroplasty (TKA).
  • Discharged to home following surgery.
  • Ability to use a smartphone or tablet with internet access (patient or caregiver).
  • Written informed consent provided.

Критерии исключения

  • Revision or bilateral simultaneous TKA.
  • Major postoperative complication precluding home discharge (e.g., admission to intensive care, unplanned return to theatre, or haemodynamic instability).
  • Severe cognitive impairment precluding informed consent or device use.
  • No access to an internet-enabled device.
  • Inability or refusal to complete follow-up.
  • Participation in another interventional study at enrolment.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Открытое
Основная цель
Поддерживающая терапия

Центры проведения

Испания · 1 центр
  • Hospital Universitario Virgen de los Lirios — Alcoy

Идентификаторы

NCT: NCT07731815 · HGUVL-TKA-001

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗