An Exploration Into the Young Patients' (< 50 Years) Expectations Following Primary Total Hip Arthroplasty: What Outcomes Are Important to Them? A Qualitative Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 10
- 试验地点
- 1
- 主要终点
- Are the current Outcome Measures identifying the priorities and required outcomes of the younger patient (< 50) undergoing a THR?
研究概览
简要总结
This study seeks to explore between 6-7 patient participants' (18-50 years old inclusive) own expectations and hopes leading up to a THA, then to examine their own views on their recovery and rehabilitation post-operatively. A qualitative, longitudinal approach will be utilised for this research with a generic qualitative method analysing the verbal data taken during interviews with participants. A combination of semi-structured and narrative interview techniques will investigate the patients' individual expected outcomes and priorities for their recovery.
The study approach seeks to explore the patients' own views of a successful outcome of THA, it hopes to discover any potential themes of needs and priorities in the younger patient, and compare these to the standard way of measuring these outcomes by using PROMS. The outcome will contribute to determining what more can be done to improve the care currently in place for this increasing group of patients.
详细描述
To be confident that healthcare providers are providing the very best patient care in the instance of the younger patient it is essential to ask them their own interpretation of needs and priorities, and how they feel they can be met. There currently is an urgent need for further studies into the area of total hip arthroplasty in young patients, especially qualitative research defining the outcomes important to them after surgery. The considerably larger, older patient population undergoing this surgery often influence the way post-operative outcomes are measured (Larsson et al 2019, Mannion et al 2009, Wright and Young 1997, Wright et al 2000).
The study aims to discover and explore the following questions:
Are the priorities of the younger patient (< 50) being addressed and fulfilled when undergoing a THR? Are the current Outcome Measures identifying the priorities and required outcomes of the younger patient (< 50) undergoing a THR? The study will use a qualitative approach and method. Interviews will be conducted either face to face, via telephone or video calls dependent on participant preference. Semi-structured and narrative methods will be combined to encourage the participant to talk freely in regard to their own views and opinions on their surgery. Participants will also be asked to complete the Hip Disability and Osteoarthritis Hip Score (HOOS) at baseline (pre surgery), 6 weeks post-surgery and 6 months post-surgery time points to examine if this outcome measure illustrates a similar state to that which they described during their interviews.
With the participants' consent, these interviews will be recorded and transcribed by the Chief Investigator.
Participants will be assigned a study number on recruitment. All data will be anonymised and labelled with the appropriate participant's study number.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 50 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients 18-50 years of age inclusive.
- •Scheduled to undergo a primary THR in the index hip in the next 12-18 months. (Patients will still be eligible despite previously having a THR in the opposing hip)
- •Able to provide informed consent.
- •Ability to understand and communicate in English.
排除标准
- •Under 18 years of age
- •Over 50 years of age
- •Undergoing a revision of THR in the index hip.
- •Unable to provide informed consent or participate in study interviews.
- •Unable or unwilling to complete follow up interviews.
结局指标
主要结局
Are the current Outcome Measures identifying the priorities and required outcomes of the younger patient (< 50) undergoing a THR?
时间窗: 12-18 months
The data recorded in the interview will be compared with the Patient Reported Outcome Measures reported at the same time, to compare the two findings.
Are the priorities of the younger patient (< 50) being addressed and fulfilled when undergoing a THR?
时间窗: 12-18 months
The priorities and goals of the participant will be explored through the study interviews, these findings will be compared with the outcomes recorded when caring for these patients.
次要结局
未报告次要终点
