Clinical trial NCT05940246: Investigating the Role of Motivational Interviewing in Swedish Patients Undergoing Knee Arthroplasty
Official title: The Empowerment Study
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Knee Osteoarthritis
Keywords: Knee arthroplasty
Patient empowerment
Motivational interviewing
Lead sponsor: Region Stockholm
Sponsor class: OTHER_GOV
First posted: 2023-07-11
Enrollment: 150
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Knee arthroplasty is a successful surgical treatment for end-stage osteoarthritis. Most patients are satisfied with the result, however, 10% of the patients have remained dissatisfied over the last decades despite the advantages of the surgical procedure. Previous studies suggest that rehabilitation needs to be individualized and that some patients request additional support.

Patient empowerment is a patient-centered strategy to increase, amongst other, patient engagement, participation, and motivation. Patient empowerment can be defined as a "process that helps people gain control over their own lives and increases their capacity to act on issues that they themselves define as important". One way of increasing patient empowerment is through motivational interviewing. Motivational interviewing is an evidence-based approach in which patients are supported to identify behavior changes toward their own individual goals.

The aim of this study is to investigate if motivational interviewing could increase satisfaction in patients undergoing knee arthroplasty. Furthermore, we want to examine role MI in this patient group with interviews of both MI-practitioners and patients as well as detailed investigations about the MI sessions.


Eligibility criteria: Inclusion Criteria:

Scheduled for primary knee arthroplasty

Exclusion Criteria:

Primary outcomes:
measure: Satisfaction with the rehabilitation
timeFrame: Assessed 6 months postoperatively
measure: Satisfaction with the rehabilitation
timeFrame: Assessed 12 months postoperatively
measure: Satisfaction with the knee
timeFrame: Assessed 6 months postoperatively
measure: Satisfaction with the knee
timeFrame: Assessed 12 months postoperatively
Secondary outcomes:
measure: Knee awareness
timeFrame: Preoperatively, 6 months postoperatively and 12 months postoperatively
measure: Self-reported pain and function
timeFrame: Preoperatively, 6 months postoperatively and 12 months postoperatively
measure: Knee function
timeFrame: Preoperatively, 6 months postoperatively and 12 months postoperatively
measure: Patient reported experience measures
timeFrame: 12 months postoperatively
measure: Knee improvement
timeFrame: 6 months postoperatively, 12 months postoperatively
Other outcomes:
measure: Depression
timeFrame: Preoperatively, 6 months postoperatively and 12 months postoperatively
measure: Health related quality of life
timeFrame: Preoperatively, 6 months postoperatively and 12 months postoperatively
measure: Expectations on the rehabilitation
timeFrame: Preoperatively
measure: Expectations on the surgical result
timeFrame: Preoperatively
measure: Recordings of MI
timeFrame: 0 to 6 months postoperatively
Locations:
city: Stockholm
country: Sweden
facility: Capio Ortopediska Huset
Study officials:
affiliation: Karolinska Institutet
name: Margareta Hedström, Professor, MD
role: PRINCIPAL_INVESTIGATOR
References: