Clinical trial NCT03499028: Improvement of Patient Satisfaction and Clinical Outcomes Using JointCOACH
Official title: Improvement of Patient Satisfaction and Clinical Outcomes Using JointCOACH to Manage the Episode of Care for THA and TKA Bundles
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee
Lead sponsor: The Cleveland Clinic
Sponsor class: OTHER
Collaborators: name: Stryker Orthopaedics
First posted: 2018-04-17
Enrollment: 446
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: 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: 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.

Eligibility criteria: 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)

Primary outcomes:
measure: Picker Patient Experience (PPE-15) Questionnaire
timeFrame: 30 and 90 days after index surgery
Secondary outcomes:
measure: Visual Analog Scale (VAS) for Patient Satisfaction
timeFrame: 30 and 90 days after index surgery
measure: Length of Hospital Stay
timeFrame: 90 days after index surgery
measure: Discharge Disposition
timeFrame: 90 days after index surgery
measure: Number of Participants With Readmissions
timeFrame: 30 and 90 days after index surgery
measure: Number of Participants With Reoperations
timeFrame: 30 and 90 days after index surgery
measure: Number of Subjects With Emergency Department Visits
timeFrame: 30 and 90 days after index surgery
measure: Number of Outpatient Follow-Up Visits
timeFrame: 30 and 90 days after index surgery
measure: Number of Telephone Calls
timeFrame: 30 and 90 days after index surgery
measure: Provider Satisfaction Survey- JointCOACH Satisfaction
timeFrame: 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.
measure: Provider Satisfaction Survey- JointCOACH Recommendation
timeFrame: 90 days after the last patient enrolled has had surgery. All study-related intervention is complete at this time.
Other outcomes:
Locations:
city: Cleveland
country: United States
facility: Cleveland Clinic
state: Ohio
Study officials:
affiliation: The Cleveland Clinic
name: Carlos A Higuera, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Visperas AT, Greene KA, Krebs VE, Klika AK, Piuzzi NS, Higuera-Rueda CA. A Web-Based Interactive Patient-Provider Software Platform Does Not Increase Patient Satisfaction or Decrease Hospital Resource Utilization in Total Knee and Hip Arthroplasty Patients in a Single Large Hospital System. J Arthroplasty. 2021 Jul;36(7):2290-2296.e1. doi: 10.1016/j.arth.2021.01.037. Epub 2021 Jan 21.