How Do Patients and Health Care Professionals Perceive De-implementation of Routine Follow-ups After Total Hip and Knee Arthroplasty? Protocol for a Nested Qualitative Study Within a Hybrid De-implementation Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- The participants' experiences with their follow-up regimen.
研究概览
简要总结
After undergoing total hip or total knee arthroplasty, current guidelines recommend routine follow-up with an X-ray within 3 months and again at 1 year. Follow-up at 5 years (for hip arthroplasties) or every 5 years (for knee arthroplasties) is also considered worthwhile according to the guidelines. However, these follow-up appointments require considerable time from patients, caregivers, and healthcare professionals, and it is unclear whether they are truly beneficial. It is possible that a single follow-up within 3 months is sufficient. This could potentially prevent over 100,000 unnecessary hospital visits per year, resulting in significant cost savings. If patients or healthcare providers have concerns, they can always request an additional follow-up.
The HAKA trial consists of three different work packages (WPs).The quantitative work packages 1 (WP1) and 2 (WP2) will investigate the 1-year and 10-year follow-up. The qualitative third work package (WP3) will explore and compare the patients' and health care professionals' (HCPs) experiences with, and perceptions about, RFU and COD after total hip and knee arthroplasty. The aim of the overarching HAKA-trial is to safely reduce routine follow-up appointments after total hip or knee arthroplasty and to revise current clinical guidelines accordingly.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A good command of the Dutch language
排除标准
- 未提供
结局指标
主要结局
The participants' experiences with their follow-up regimen.
时间窗: Experiences gained between the baseline clinical visit and a clinical visit one year later.
The participants' experiences will be explored using a mix of semi-structured open-ended focus group questions.
The participants' satisfaction with their follow-up regimen.
时间窗: Perceived satisfaction between the baseline clinical visit and a clinical visit one year later.
The participants' satisfaction will be explored using a mix of semi-structured open-ended focus group questions.
The health care professionals' experiences with the different follow-up regimens.
时间窗: Experiences gained between the baseline clinical visit and a clinical visit one year later.
The health care professionals' experiences will be explored using a mix of semi-structured open-ended interview questions.
The health care professionals' satisfaction with the different follow-up regimens.
时间窗: Perceived satisfaction between the baseline clinical visit and a clinical visit one year later.
The health care professionals' satisfaction will be explored using a mix of semi-structured open-ended interview questions.
The participants' and health care professionals' acceptability of the two different follow-up regimens.
时间窗: Acceptability of follow-up regimens from the baseline clinical visit to a clinical visit one year later.
The participants' and health care professionals' acceptability of the two different follow-up regimens will be explored using a mix of semi-structured open-ended focus group questions.
次要结局
未报告次要终点