Preoperative Video-Based Education in Total Hip Arthroplasty

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-15

Study Completion Date

2024-07-30

Brief Summary

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This single-center, prospective, randomized controlled trial aims to evaluate the effect of preoperative video-based mobilization education on postoperative fear of movement (kinesiophobia), pain during first mobilization, and early mobilization characteristics in patients undergoing total hip arthroplasty. Ninety-six participants were randomized to receive either routine verbal education plus video-based education or routine verbal education alone. Postoperative outcomes were assessed using the Tampa Scale of Kinesiophobia (TSK), Numerical Pain Rating Scale (NPRS), and standardized mobilization observation forms.

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Detailed Description

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Total hip arthroplasty (THA) is a common orthopedic procedure in which early postoperative mobilization plays a key role in preventing complications, reducing pain, and accelerating functional recovery. However, fear of movement (kinesiophobia), insufficient preoperative preparation, and uncertainty regarding mobility expectations may negatively affect patients' early rehabilitation performance. Providing structured, standardized education before surgery has been shown to improve postoperative participation and enhance patient confidence, yet the most effective format of such education remains unclear.

This randomized controlled trial was designed to evaluate the impact of a preoperative video-based mobilization education program on postoperative kinesiophobia, pain during the first mobilization, and early mobilization characteristics among patients undergoing primary THA. A total of 96 participants were randomly assigned to an intervention group or a control group using a simple randomization method. Both groups received routine preoperative verbal education, while the intervention group additionally viewed a structured mobilization training video developed by a multidisciplinary team of orthopedic surgeons, physiatrists, physiotherapists, and orthopedic nurses.

The educational video included demonstrations of bed exercises, safe ambulation techniques with assistive devices, chair transfer mechanics, toilet use, stair negotiation, and postoperative precautions. All postoperative outcomes were measured on the first postoperative day following each patient's initial mobilization session. Kinesiophobia was assessed using the Tampa Scale of Kinesiophobia (TSK); pain intensity was measured using the Numerical Pain Rating Scale (NPRS) immediately before and after the first mobilization; and mobilization characteristics (duration, number of steps, activity level, and level of assistance required) were recorded using a standardized observation form.

The aim of the study was to determine whether video-based preoperative education provides measurable benefits compared with routine verbal instruction alone. By focusing on both psychological (kinesiophobia) and physical (pain and mobilization performance) outcomes, this trial seeks to contribute new evidence to the field of musculoskeletal rehabilitation and to support more effective perioperative education strategies in THA care. No adverse events related to the intervention were reported.

Conditions

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Total Hip Arthroplasty (THA) Kinesiophobia Postoperative Pain Early Mobilization Hip Osteoarthritis Musculoskeletal Rehabilitation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study uses a parallel assignment design in which participants are randomly allocated to either an intervention group receiving preoperative video-based mobilization education or a control group receiving standard verbal education. Both groups are followed concurrently, and no crossover occurs between groups. Outcomes are assessed on the first postoperative day.

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Due to the nature of the intervention (video-based education), neither participants nor care providers could be blinded. Outcome assessment was conducted by a researcher who was not involved in randomization; however, full blinding was not feasible.

Study Groups

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Intervention Group

Participants in this arm receive routine preoperative verbal education plus a structured video-based mobilization training. The video includes demonstrations of bed exercises, mobilization with assistive devices, chair transfer techniques, toilet use, stair negotiation, and postoperative precautions.

Group Type EXPERIMENTAL

Video-Based Mobilization Education

Intervention Type BEHAVIORAL

A structured preoperative video-based mobilization training including demonstrations of bed exercises, mobilization with assistive devices, chair transfer, toilet use, stair negotiation, and postoperative precautions.

Control Group

Participants in this arm receive only routine preoperative verbal education provided by ward nurses. No video-based training is given.

Group Type ACTIVE_COMPARATOR

Standard Verbal Education

Intervention Type BEHAVIORAL

Routine preoperative verbal instruction provided by ward nurses.

Interventions

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Video-Based Mobilization Education

A structured preoperative video-based mobilization training including demonstrations of bed exercises, mobilization with assistive devices, chair transfer, toilet use, stair negotiation, and postoperative precautions.

Intervention Type BEHAVIORAL

Standard Verbal Education

Routine preoperative verbal instruction provided by ward nurses.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Age 18 years or older

Able to communicate verbally

Scheduled for primary total hip arthroplasty

No major neurological disease

No major psychiatric disease

Able to participate in postoperative mobilization

Provided written informed consent

Exclusion Criteria

Scheduled for revision total hip arthroplasty

Comorbidities that prevent safe mobilization (e.g., severe cardiopulmonary limitations, severe balance disorders)

Severe cognitive impairment affecting comprehension or cooperation

Any condition preventing participation in the mobilization protocol

Declining to provide informed consent

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No