Improvement of Patient Satisfaction and Clinical Outcomes Using JointCOACH

Study Overview
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Brief Summary
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JointCOACH is a web-based communication platform that enables joint replacement patients to communicate with their care team via computer or smartphone throughout their episode of care, from the time that surgery is scheduled until at least 90 days postoperatively.

Detailed Description
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Patients will receive the following information at key intervals: 1) instructions about how to prepare for surgery, 2) information about the procedure, 3) information about medications and pain control, 4) information about postoperative recovery and rehabilitation. In addition, several surveys will be distributed using JointCOACH to keep patients involved in their own recovery and to keep the surgical team informed of their progress. The proposed research will help determine if JointCOACH can improve patient satisfaction and clinical outcomes.

Official Title
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Improvement of Patient Satisfaction and Clinical Outcomes Using JointCOACH to Manage the Episode of Care for THA and TKA Bundles

Conditions
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Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee

Intervention / Treatment
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* Other: JointCOACH


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Undergoing primary total hip or primary total knee arthroplasty Willing to sign an IRB approved informed consent form Have internet access or mobile access with a valid email address at the time of enrollment Above the age of 18 years Exclusion Criteria: Staged arthroplasty procedure within 6 months of the index procedure Abandoned email address of record (e.g. bounce of email from clinic)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Standard of Care Group<br>The Standard of Care Group will receive standard, routine medical care and will communicate with their surgeon and clinical care team through conventional methods such as phone. | |
| Experimental: Experimental (JointCOACH) Group<br>The Experimental Group will receive standard, routine medical care and utilize a web-based communication platform called JointCOACH to communicate with their care team via computer or smartphone throughout their episode of care. They will also receive information personalized to their treatment plan and will be asked to complete online questionnaires. | Other: JointCOACH<br>* Patients randomized to this group will utilize JointCOACH to communicate with their surgical team, receive information<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Picker Patient Experience (PPE-15) Questionnaire | It is a 15-item patient experience questionnaire. Each response will be categorized as a problem or non-problem and reported as the percent of respondents reporting a problem, averaged across all PPE-15 domains. | 30 and 90 days after index surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analog Scale (VAS) for Patient Satisfaction | It is a satisfaction measurement tool using a scale from 0-100, where 0 = completely dissatisfied and 100 = completely satisfied. | 30 and 90 days after index surgery | 
| Length of Hospital Stay | It is a count of the number of days the patient was admitted to the hospital after the index procedure prior to being discharged (measured in days) | 90 days after index surgery | 
| Discharge Disposition | Number of patient routinely discharged to home | 90 days after index surgery | 
| Number of Participants With Readmissions | It is a count of the number patients with hospital readmissions related to the index procedure within 30 and 90 days after the index procedure. | 30 and 90 days after index surgery | 
| Number of Participants With Reoperations | It is a count of the number of reoperations related to the index procedure within 30 and 90 days after the index procedure. | 30 and 90 days after index surgery | 
| Number of Subjects With Emergency Department Visits | It is a count of the number of subjects with emergency department visits related to the index procedure within 30 and 90 days after the index procedure. | 30 and 90 days after index surgery | 
| Number of Outpatient Follow-Up Visits | It is a count of the number of outpatient follow-up visits with the surgical team related to the index procedure within 30 and 90 days after the index procedure. | 30 and 90 days after index surgery | 
| Number of Telephone Calls | It is a count of the number of telephone calls with the surgical team related to the index procedure within 30 and 90 days after the index procedure. | 30 and 90 days after index surgery | 
| Provider Satisfaction Survey- JointCOACH Satisfaction | It is a 2 question survey regarding provider experience using JointCOACH measured using a 5-point Likert scale, where 1 = very dissatisfied and 5 = very satisfied. | 90 days after the last patient enrolled has had surgery. approximately 22 months after the first patient enrolled. All study-related intervention is complete at this time. | 
| Provider Satisfaction Survey- JointCOACH Recommendation | It is a 2 question survey regarding provider experience using JointCOACH measured using a 5-point Likert scale, where 1 = very dissatisfied and 5 = very satisfied. | 90 days after the last patient enrolled has had surgery. All study-related intervention is complete at this time. |