Mobile Educations Effect on Pain Outcomes

Mayo Clinic

Status: Completed

Conditions: Pain, Postoperative; Total Joint Arthroplasty

Treatments: Other: Mobile Education Delivery; Other: Standard Verbal and Written Education

Study type: Interventional

Funder types: Other

Identifiers

NCT03301610

17-004771

Details and patient eligibility

About

The purpose of this study is to explore the clinical impact of pain management education using a mobile web-based education delivery system compared to standard education delivery. This study seeks to understand the difference between two different education delivery methodologies and the effect on the postoperative pain experience, including participation in treatment plan, knowledge, pain outcomes, and opioid requirements in patients undergoing major hip (THA) and knee (TKA) arthroplasty. It is hypothesized that a real-time, interactive, mobile education system will demonstrate improved pain associated outcomes and higher patient participation when compared to the current standard education delivery method.

Enrollment: 133 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion:

• Adult patients
• over the age of 18 years
• undergoing surgical intervention and inpatient care for one of the following procedures:
• total hip arthroplasty (THA) (primary, bilateral, and revision)
• total knee arthroplasty (TKA) (primary, bilateral, unicompartmental, and revision)
• Fluent in the English language

Exclusion:

• Undergoing more complex hip and knee procedures such as:
• implant resections with or without spacer placement
• liner exchange
• THA or unipolar hip arthroplasty related to repair of hip fracture.
• Preexisting physical or cognitive limitations that would hinder their ability to use the mobile application

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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133 participants in 2 patient groups, including a placebo group

Mobile Education Delivery

Experimental group

Description:

The participants in the study arm will receive comprehensive pain management education delivered using mobile iPads at the point of care. The mobile based education modules will be inclusive of the use of the pain rating scale and assessment of pain; communication with healthcare providers; daily expectations for pain and pain management; pharmacologic and non-pharmacologic treatment options; medication side effects and safety; and discharge instructions including safe handling of opioids, disposal, tapering, and when to call the provider. It will also include an interactive pain and discomfort menu, knowledge based questions, and medication tracking log.

Treatment:

Other: Mobile Education Delivery

Standard verbal and written education

Placebo Comparator group

Description:

The control group will receive the current standard of care which consists of verbal instruction and pain management educational pamphlets. At a minimum, the patients will receive two educational pamphlets titled Your Pain and Discomfort Management Menu and Communicating About Your Pain. Verbal instruction is nurse dependent. At a minimum the nurse will provide the two pamphlets to the patient and follow-up with the patient to address any questions.

Treatment:

Other: Standard Verbal and Written Education