Development and Measurement of the Effects of a Digital Education Solution for Patients Undergoing Total Hip or Knee Arthroplasty
NCT ID: NCT07345299
Last Updated: 2026-01-15
Study Results
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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NOT_YET_RECRUITING
NA
160 participants
INTERVENTIONAL
2026-02-15
2027-02-28
Brief Summary
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A total of 160 patients will be randomized into two groups:
Intervention group: access to CHUVeduc@home before surgery. Control group: standard preoperative preparation (group information session and consultation).
All participants will complete questionnaires through the application. No additional visits are required. The intervention lasts approximately 12 weeks.
The primary goal is to determine whether digital education increases patient knowledge, confidence, and satisfaction, and facilitates recovery and return home after surgery. Participation is voluntary and can be withdrawn at any time.
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Detailed Description
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The purpose of this study is to improve preparation for hip or knee surgery. Each year in Switzerland, a large number of individuals receive a hip or knee prosthesis to relieve pain caused by osteoarthritis. Through enhanced perioperative care programs such as the one implemented at CHUV, the length of hospital stay has decreased, making preoperative preparation increasingly important.
Current Practice:
Current practice includes participation in a group information session and a preoperative consultation. However, retaining all provided information can be challenging. To support more effective preparation, the investigators will evaluate a digital application called CHUVeduc@home, integrated within CHUV@home, which is already used during postoperative recovery.
Features of the Application:
The application provides the possibility to:
Review information at an individualized pace. Improve understanding of the surgical and recovery processes. Access quizzes and practical information sheets for training purposes.
Submit questions directly to the Telemonitoring Center team.
Study Design:
The study plans to include 160 participants. Participants will be randomly assigned to one of two groups:
A group using the application before surgery. A group following the usual preoperative preparation process.
All participants will use the application to complete study questionnaires. No additional appointments are required. The study duration is approximately 12 weeks. Participation is voluntary and can be discontinued at any time.
Expected Benefits:
The investigators anticipate that this digital approach to preoperative preparation may help participants feel more confident, better informed, and better supported during their return home after surgery.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Intervention Group: access to CHUVeduc@home before surgery
Intervention Group - Pathway with CHUVeduc@home This group follows the standard preoperative pathway, complemented by personalized digital preparation through the CHUVeduc@home application, available 2 to 6 weeks before surgery.
Digital Preoperative Education with CHUVeduc@home
The intervention consists of a personalized digital education program delivered through the CHUVeduc@home mobile application, integrated within the existing CHUV@home platform. The application is available to patients 2 to 6 weeks prior to surgery and provides:
* Educational modules covering postoperative recovery, pain management, rehabilitation, and discharge planning.
* Quizzes and knowledge tests to reinforce patient understanding.
* Practical advice sheets for concrete preparation.
* Individualized pacing and guidance tailored to patient needs.
* Notifications prompting completion of study questionnaires.
The goal of the intervention is to improve patient health literacy, reduce preoperative anxiety, increase confidence, and facilitate recovery and return home after total hip or knee arthroplasty.
Control Group - Standard Care Pathway
Control Group - Standard Care Pathway This group follows the standard clinical care pathway established at CHUV for patients undergoing total hip or knee arthroplasty.
The main steps include:
* Consultation with the surgeon
* Group information session
* Preoperative consultation
* Hospital stay for surgery
* Discharge and return home
* Telemonitoring with CHUV@home after surgery
* Postoperative follow-up visit at 6 weeks
Participants in this group also use the CHUV@home application to complete study-specific questionnaires; however, they do not receive any additional educational content prior to surgery.
Standard Care Pathway
The main steps include:
* Consultation with the surgeon
* Group information session
* Preoperative consultation
* Hospital stay for surgery
* Discharge and return home
* Telemonitoring with CHUV@home after surgery
* Postoperative follow-up visit at 6 weeks
Participants in this group also use the CHUV@home application to complete study-specific questionnaires; however, they do not receive any additional educational content prior to surgery.
Interventions
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Digital Preoperative Education with CHUVeduc@home
The intervention consists of a personalized digital education program delivered through the CHUVeduc@home mobile application, integrated within the existing CHUV@home platform. The application is available to patients 2 to 6 weeks prior to surgery and provides:
* Educational modules covering postoperative recovery, pain management, rehabilitation, and discharge planning.
* Quizzes and knowledge tests to reinforce patient understanding.
* Practical advice sheets for concrete preparation.
* Individualized pacing and guidance tailored to patient needs.
* Notifications prompting completion of study questionnaires.
The goal of the intervention is to improve patient health literacy, reduce preoperative anxiety, increase confidence, and facilitate recovery and return home after total hip or knee arthroplasty.
Standard Care Pathway
The main steps include:
* Consultation with the surgeon
* Group information session
* Preoperative consultation
* Hospital stay for surgery
* Discharge and return home
* Telemonitoring with CHUV@home after surgery
* Postoperative follow-up visit at 6 weeks
Participants in this group also use the CHUV@home application to complete study-specific questionnaires; however, they do not receive any additional educational content prior to surgery.
Eligibility Criteria
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Inclusion Criteria
* primary total hip replacement or primary total knee replacement
* a Risk Assessment and Prediction Tool (RAPT) score \>6
Exclusion Criteria
* knee/hip arthroplasty revision surgery
* inability to give informed consent or answer questionnaires knowledgeably due to language or cognitive impairment as reported in the medical record
18 Years
ALL
No
Sponsors
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Haute Ecole de Santé Vaud
OTHER
Responsible Party
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Claude Pichonnaz
Associate Professor UAS, Ph.D
Principal Investigators
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Claude Pichonnaz, Ph.D
Role: PRINCIPAL_INVESTIGATOR
Haute Ecole de Santé Vaud
Locations
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University Hospital of Lausanne CHUV
Lausanne, Canton of Vaud, Switzerland
Countries
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Central Contacts
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Facility Contacts
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References
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Agri F, Hahnloser D, Demartines N, Hubner M. Gains and limitations of a connected tracking solution in the perioperative follow-up of colorectal surgery patients. Colorectal Dis. 2020 Aug;22(8):959-966. doi: 10.1111/codi.14998. Epub 2020 Feb 27.
Roulin D, Blanc C, Demartines N, Hubner M. [Enhanced Recovery After Surgery--optimal management of the surgical patient]. Rev Med Suisse. 2014 Jun 18;10(435):1343-7. French.
Ljungqvist O, Hubner M. Enhanced recovery after surgery-ERAS-principles, practice and feasibility in the elderly. Aging Clin Exp Res. 2018 Mar;30(3):249-252. doi: 10.1007/s40520-018-0905-1. Epub 2018 Feb 16.
Stoyanov SR, Hides L, Kavanagh DJ, Wilson H. Development and Validation of the User Version of the Mobile Application Rating Scale (uMARS). JMIR Mhealth Uhealth. 2016 Jun 10;4(2):e72. doi: 10.2196/mhealth.5849.
Wainwright TW, Gill M, McDonald DA, Middleton RG, Reed M, Sahota O, Yates P, Ljungqvist O. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. Acta Orthop. 2020 Feb;91(1):3-19. doi: 10.1080/17453674.2019.1683790. Epub 2019 Oct 30.
Related Links
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SIRIS Swiss National Joint Registry, Hip and Knee 2023
CHUV@home : pour faciliter le suivi des patients à domicile 2020
Health Literacy Survey Schweiz 2019-2021
Compétences en matière de cybersanté: Office fédéral de la santé publique; 2019
Other Identifiers
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CHUVeduc@home
Identifier Type: -
Identifier Source: org_study_id
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