Improvement of Patient Satisfaction and Clinical Outcomes Using JointCOACH
- Conditions
- Arthroplasty, Replacement, HipArthroplasty, Replacement, Knee
- Interventions
- Other: JointCOACH
- Registration Number
- NCT03499028
- Lead Sponsor
- The Cleveland Clinic
- 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 446
- 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
- Staged arthroplasty procedure within 6 months of the index procedure
- Abandoned email address of record (e.g. bounce of email from clinic)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental (JointCOACH) Group JointCOACH 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.
- Primary Outcome Measures
Name Time Method Picker Patient Experience (PPE-15) Questionnaire 30 and 90 days after index surgery 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.
- Secondary Outcome Measures
Name Time Method Number of Participants With Reoperations 30 and 90 days after index surgery It is a count of the number of reoperations related to the index procedure within 30 and 90 days after the index procedure.
Number of Subjects With Emergency Department Visits 30 and 90 days after index surgery 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.
Provider Satisfaction Survey- JointCOACH Recommendation 90 days after the last patient enrolled has had surgery. All study-related intervention is complete at this time. 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.
Number of Participants With Readmissions 30 and 90 days after index surgery 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.
Visual Analog Scale (VAS) for Patient Satisfaction 30 and 90 days after index surgery It is a satisfaction measurement tool using a scale from 0-100, where 0 = completely dissatisfied and 100 = completely satisfied.
Length of Hospital Stay 90 days after index surgery 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)
Provider Satisfaction Survey- JointCOACH Satisfaction 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. 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.
Discharge Disposition 90 days after index surgery Number of patient routinely discharged to home
Number of Outpatient Follow-Up Visits 30 and 90 days after index surgery 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.
Number of Telephone Calls 30 and 90 days after index surgery 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.
Trial Locations
- Locations (1)
Cleveland Clinic
🇺🇸Cleveland, Ohio, United States