Improvement of Patient Satisfaction and Overall Outcomes Using HealthLoop

Not Applicable

Completed

Conditions: Arthroplasty, Replacement, Knee
Arthroplasty, Replacement, Hip

Interventions: Device: HealthLoop mobile application

Registration Number: NCT03481595

Lead Sponsor: The Cleveland Clinic

Brief Summary: The purpose of this study is to assess the usefulness and results of orthopedic patients having access to a cell phone App called HealthLoop to utilize during the postoperative time period, compared to patients who have the usual postoperative management. The researchers want to investigate whether there any differences in outcomes and satisfaction in patients and providers.

Detailed Description: The purpose of this study is to assess the usefulness and results of orthopedic patients having access to a cell phone App called HealthLoop to utilize during the postoperative time period, compared to patients who have the usual postoperative management. The researchers want to investigate whether there any differences in outcomes and satisfaction in patients and providers.

HealthLoop is a mobile-device application (cell phone App) that allows physicians to monitor for signs and symptoms of potential adverse events, and communicate with patients during the postoperative recovery process. The platform enables doctors to identify patients at risk of decline in the follow up period. Patients are engaged through mobile and web-based surveys, reminders, and information personalized to the patient's specific condition or treatment plan. Alerts are sent to physicians about patients who are at risk of treatment failures, complications, or hospital readmissions. Physicians are informed if patients are trending toward an adverse outcome based on the patient's responses.

Patients who choose to participate in this Research Study will be randomly assigned (like a flip of a coin) to one of two groups. Group A will receive standard, routine medical care. Group B will be asked to use the HealthLoop application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients will not be able to choose which group they will be in.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 294

Inclusion Criteria

Primary total hip arthroplasty or total knee arthroplasty patient
Personal or surrogate consent to participate
Patient has internet access or mobile access with a valid email address at the time of enrollment

Exclusion Criteria

Staged arthroplasty procedure within 6 months of the index procedure
Abandoned email address of record
Less than 14 days until date of surgery

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group B	HealthLoop mobile application	Group B will be asked to use the HealthLoop mobile application on their mobile device during the post-operative period in addition to standard, routine medical care. Patients randomized to use the Health Loop app will be able to communicate with their Doctor and clinical care team directly through the app. Patients will also participate in mobile and web-based surveys, receive reminders related to their healthcare, and receive information personalized to their treatment plan.

Primary Outcome Measures

Name	Time	Method
Percentage of Participants Reporting a Problem Across al PPE-15 Domains	90 days after index surgery	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 Discharged to Home	90 days after index surgery	Was the patient routinely discharged to home? Reported as yes or no.
Number Participants Who Visited the Emergency Department	90 days after index surgery	A count of the number of emergency department visits related to the index procedure within 90 days after the index procedure.
Number Participants With 0, 1, 2, or 3+ Outpatient Visits	90 days after index surgery	A count of the number of outpatient follow-up visits with the surgical team related to the index procedure within 90 days after the index procedure.
Number of Participants Who Made 0, 1, 2, or 3+ Telephone Calls to the Surgical Team	90 days after index surgery	A count of the number of telephone calls with the surgical team related to the index procedure within 90 days after the index procedure.
Number of Participants Who Had a Reoperation	90 days after index surgery	A count of the number of reoperations related to the index procedure within 90 days after the index procedure.
Length of Hospital Stay	90 days after index surgery	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.
Number Participants Who Were Readmitted to the Hospital	90 days after index surgery	A count of the number of hospital readmissions related to the index procedure within 90 days after the index procedure.
Visual Analog Scale (VAS) for Patient Satisfaction	90 days after index surgery	Satisfaction measurement tool measured on a scale from 0-100 mm. Where 0 = not satisfied and 100 = entirely satisfied.