Comparing an eHealth Program (My Hip Journey) With Standard Care for Total Hip Arthroplasty: Randomized Controlled Trial

Background The role of eHealth programs to support patients through surgical pathways, including total hip arthroplasty (THA), is rapidly growing and offers the potential improve patient engagement, self-care, outcomes. Objective aim this study compare effects an program (intervention) versus standard care for pre- postoperative education on outcomes primary THA. Methods A prospective parallel randomized controlled trial with two arms (standard plus access program) was conducted. Participants included those who underwent Outcome measures were collected preadmission, at 6 weeks, 3 months after surgery. outcome Hip Dysfunction Osteoarthritis Score. Secondary a 5-level 5-dimension quality life measure self-efficacy managing chronic disease scale. Demographic clinical characteristics also collected. satisfaction survey completed by all participants weeks surgery, in intervention arm additional specific program. Results 99 recruited: 50 49 (control). Clinical improvements demonstrated both groups across time points. Per-protocol analysis no differences between reported that accessible, they felt comfortable using it, information helpful. Conclusions This program, addition care, had benefit THA recovery compared alone. found highly valued participants, it supported preoperative preparation, recovery, rehabilitation participants. Trial Registration Australian New Zealand Registry ACTRN12617001433392; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373657