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

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-02-15

Study Completion Date

2027-02-28

Brief Summary

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This study aims to evaluate the effectiveness of a digital patient education solution, CHUVeduc@home, in improving preoperative preparation for patients undergoing total hip or knee arthroplasty. In Switzerland, many patients receive joint replacements each year to relieve osteoarthritis-related pain. With shorter hospital stays, adequate preparation before surgery has become increasingly important.

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 Participation is voluntary and can be withdrawn at any time.

Detailed Description

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Study Purpose:

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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Arthroplasty Replacement, Knee Arthroplasty, Replacement, Hip

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Clinical Trial
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

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.

Group Type EXPERIMENTAL

Digital Preoperative Education with CHUVeduc@home

Intervention Type BEHAVIORAL

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.

Group Type ACTIVE_COMPARATOR

Standard Care Pathway

Intervention Type BEHAVIORAL

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.

Intervention Type BEHAVIORAL

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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* male and female patients admitted to the CHUV musculoskeletal department during the study period
* primary total hip replacement or primary total knee replacement
* a Risk Assessment and Prediction Tool (RAPT) score \>6

Exclusion Criteria

* a RAPT score \<6,
* 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Haute Ecole de Santé Vaud

OTHER

Sponsor Role lead

Responsible Party

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Claude Pichonnaz

Associate Professor UAS, Ph.D

Responsibility Role PRINCIPAL_INVESTIGATOR

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

Site Status

Countries

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Switzerland

Central Contacts

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Claude Pichonnaz, Ph.D

Role: CONTACT

+41213168126

Claude Lessert, PT MSc

Role: CONTACT

+41787746839

Facility Contacts

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Julien Wegrzyn, Professor

Role: primary

+4121 314 03 44

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.

Reference Type BACKGROUND
PMID: 32012423 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 25051597 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 29453605 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 27287964 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 31663402 (View on PubMed)

Related Links

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Other Identifiers

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CHUVeduc@home

Identifier Type: -

Identifier Source: org_study_id

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