Mobile Educations Effect on Pain Outcomes
- Conditions
- Total Joint ArthroplastyPain, Postoperative
- Interventions
- Other: Mobile Education DeliveryOther: Standard Verbal and Written Education
- Registration Number
- NCT03301610
- Lead Sponsor
- Mayo Clinic
- Brief Summary
The purpose of this study is to explore the clinical impact of pain management education using a mobile web-based education delivery system compared to standard education delivery. This study seeks to understand the difference between two different education delivery methodologies and the effect on the postoperative pain experience, including participation in treatment plan, knowledge, pain outcomes, and opioid requirements in patients undergoing major hip (THA) and knee (TKA) arthroplasty. It is hypothesized that a real-time, interactive, mobile education system will demonstrate improved pain associated outcomes and higher patient participation when compared to the current standard education delivery method.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 133
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Mobile Education Delivery Mobile Education Delivery The participants in the study arm will receive comprehensive pain management education delivered using mobile iPads at the point of care. The mobile based education modules will be inclusive of the use of the pain rating scale and assessment of pain; communication with healthcare providers; daily expectations for pain and pain management; pharmacologic and non-pharmacologic treatment options; medication side effects and safety; and discharge instructions including safe handling of opioids, disposal, tapering, and when to call the provider. It will also include an interactive pain and discomfort menu, knowledge based questions, and medication tracking log. Standard verbal and written education Standard Verbal and Written Education The control group will receive the current standard of care which consists of verbal instruction and pain management educational pamphlets. At a minimum, the patients will receive two educational pamphlets titled Your Pain and Discomfort Management Menu and Communicating About Your Pain. Verbal instruction is nurse dependent. At a minimum the nurse will provide the two pamphlets to the patient and follow-up with the patient to address any questions.
- Primary Outcome Measures
Name Time Method Difference in self-reported pain scores Post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery) Scores are measured using a 10 point (Lickert) pain rating scale. The scale ranges from 0 to 10 with the lower score indicating less pain and the higher score indicating greater pain.
- Secondary Outcome Measures
Name Time Method Difference in self-reported participation in pain management Post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery) Scores are measured using a 10 point Lickert scale measuring patients perception of participation in pain management/treatment decisions. The scale ranges from 0 to 10 with the lower score indicating less perceived participation and the higher score indicating greater perceived participation.
Difference in post-operative opioid requirements Post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery) Total opioid requirements, converted to morphine milligram equivalents
Difference in usefulness of education Post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery) Scores are measured using a 10 point Lickert rating scale. The scale ranges from 0 to 10 with the lower score indicating lower perceived usefulness and the higher score indicating greater perceived usefulness.
Change in pain management knowledge Pre-intervention (between 1 and 5 days before surgical procedure) and post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery) Scores are measured using a modified Patient Pain Questionnaire; 9 knowledge based questions use a ten-point (0-10) ordinal scale to assess patients' agreement or disagreement with specific statements. All items have been formatted so that zero indicates the most positive outcome and a ten indicates the most negative outcome.
Difference in use of non-pharmacologic pain modalities Post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery) Results are tabulated for a descriptive selection list for patients to report what interventions were used.
Trial Locations
- Locations (1)
Mayo Clinic in Rochester
🇺🇸Rochester, Minnesota, United States