Investigating the Role of Motivational Interviewing in Swedish Patients Undergoing Knee Arthroplasty
- Conditions
- Knee Osteoarthritis
- Interventions
- Behavioral: Motivational Interviewing
- Registration Number
- NCT05940246
- Lead Sponsor
- Region Stockholm
- Brief Summary
Knee arthroplasty is a successful surgical treatment for end-stage osteoarthritis. Most patients are satisfied with the result, however, 10% of the patients have remained dissatisfied over the last decades despite the advantages of the surgical procedure. Previous studies suggest that rehabilitation needs to be individualized and that some patients request additional support.
Patient empowerment is a patient-centered strategy to increase, amongst other, patient engagement, participation, and motivation. Patient empowerment can be defined as a "process that helps people gain control over their own lives and increases their capacity to act on issues that they themselves define as important". One way of increasing patient empowerment is through motivational interviewing. Motivational interviewing is an evidence-based approach in which patients are supported to identify behavior changes toward their own individual goals.
The aim of this study is to investigate if motivational interviewing could increase satisfaction in patients undergoing knee arthroplasty. Furthermore, we want to examine role MI in this patient group with interviews of both MI-practitioners and patients as well as detailed investigations about the MI sessions.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 150
Scheduled for primary knee arthroplasty
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Motivational interviewing Motivational Interviewing Motivational Interviewing over the phone 1 time before surgery and 6 times (3-5 weeks interval) the first 6 months after surgery. Patients can contact a physical therapist in the first 6 months after surgery for additional questions and extra support.
- Primary Outcome Measures
Name Time Method Satisfaction with the knee Assessed 12 months postoperatively Patient reported outcome. Question: "How would you define your level of satisfaction with your operated knee?" Answer options: (1) Very satisfied, (2) Satisfied, (3) Neither, (4) Dissatisfied and (5) Very dissatisfied
Satisfaction with the rehabilitation Assessed 12 months postoperatively Patient reported outcome. Question: "How would you define your level of satisfaction with the rehabilitation?" Answer options: (1) Very satisfied, (2) Satisfied, (3) Neither, (4) Dissatisfied and (5) Very dissatisfied
- Secondary Outcome Measures
Name Time Method Knee awareness Preoperatively, 6 months postoperatively and 12 months postoperatively Assessed by the Forgotten Joint Score-12 (FJS)
Self-reported pain and function Preoperatively, 6 months postoperatively and 12 months postoperatively Assessed by the Knee Injury and Osteoarthritis Outcome Score (KOOS)
Patient reported experience measures 12 months postoperatively Three questions own patients own experiences
1. "Did you receive the support you expected after your knee surgery?" Answer options: (1) Yes, more support than expected, (2) Yes, as much support as expected, (3) No, less support than expected and (4) No, considerably less support than expected
2. "Did you participate in and had influence over the rehabilitation as you expected?" Answer options: (1) Yes, to very high degree, (2) Yes, to a high degree, (3) No, less than expected and (4) No, more than I wished for
3. "Were you treated with dignity and respect in the contacts concerning your knee surgery from after the surgery until today" Answer options: (1) Yes, to a very high degree, (2) Yes, to a high degree, (3) No, to a low degree and (4) No, not at allKnee function Preoperatively, 6 months postoperatively and 12 months postoperatively Assessed by the "5 times sit to stand"-test. Patients receive written instructions and perform the test themselves at home.
Knee improvement 6 months postoperatively, 12 months postoperatively Patient reported outcome. "Has your knee improved from the surgery?" Answer options: (1) Yes, the knee improved a lot from the surgery, (2) Yes, the knee improved a little bit from the surgery, (3) The surgery made no difference on the knee, (4) No, the knee is a little worse after surgery and (5) No, the knee is a lot worse after surgery
Trial Locations
- Locations (1)
Capio Ortopediska Huset
🇸🇪Stockholm, Sweden