Improvement of Patient Satisfaction and Clinical Outcomes Using JointCOACH

Arthroplasty, Replacement, Knee Clinical Trial

Official title:

Improvement of Patient Satisfaction and Clinical Outcomes Using JointCOACH to Manage the Episode of Care for THA and TKA Bundles

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03499028
• Other study ID #: 18-063
• Status: Completed
• Phase: N/A
• Start date: May 1, 2018
• Est. completion date: June 30, 2020

Study information

• Verified date: April 2021
• Source: The Cleveland Clinic
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

JointCOACH is a web-based communication platform that enables joint replacement patients to communicate with their care team via computer or smartphone throughout their episode of care, from the time that surgery is scheduled until at least 90 days postoperatively.

Description:

Patients will receive the following information at key intervals: 1) instructions about how to prepare for surgery, 2) information about the procedure, 3) information about medications and pain control, 4) information about postoperative recovery and rehabilitation. In addition, several surveys will be distributed using JointCOACH to keep patients involved in their own recovery and to keep the surgical team informed of their progress. The proposed research will help determine if JointCOACH can improve patient satisfaction and clinical outcomes.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 446
• Est. completion date: June 30, 2020
• Est. primary completion date: June 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Undergoing primary total hip or primary total knee arthroplasty
• Willing to sign an IRB approved informed consent form
• Have internet access or mobile access with a valid email address at the time of enrollment
• Above the age of 18 years

Exclusion Criteria:

• Staged arthroplasty procedure within 6 months of the index procedure
• Abandoned email address of record (e.g. bounce of email from clinic)

Related Conditions & MeSH terms

• Arthroplasty, Replacement, Hip
• Arthroplasty, Replacement, Knee

Intervention

Other:
• JointCOACH
Patients randomized to this group will utilize JointCOACH to communicate with their surgical team, receive information

Locations

Country	Name	City	State
United States	Cleveland Clinic	Cleveland	Ohio

Sponsors (2)

Lead Sponsor	Collaborator
The Cleveland Clinic	Stryker Orthopaedics

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Picker Patient Experience (PPE-15) Questionnaire	It is a 15-item patient experience questionnaire. Each response will be categorized as a problem or non-problem and reported as the percent of respondents reporting a problem, averaged across all PPE-15 domains.	30 and 90 days after index surgery
Secondary	Visual Analog Scale (VAS) for Patient Satisfaction	It is a satisfaction measurement tool using a scale from 0-100, where 0 = completely dissatisfied and 100 = completely satisfied.	30 and 90 days after index surgery
Secondary	Length of Hospital Stay	It is a count of the number of days the patient was admitted to the hospital after the index procedure prior to being discharged (measured in days)	90 days after index surgery
Secondary	Discharge Disposition	Number of patient routinely discharged to home	90 days after index surgery
Secondary	Number of Participants With Readmissions	It is a count of the number patients with hospital readmissions related to the index procedure within 30 and 90 days after the index procedure.	30 and 90 days after index surgery
Secondary	Number of Participants With Reoperations	It is a count of the number of reoperations related to the index procedure within 30 and 90 days after the index procedure.	30 and 90 days after index surgery
Secondary	Number of Subjects With Emergency Department Visits	It is a count of the number of subjects with emergency department visits related to the index procedure within 30 and 90 days after the index procedure.	30 and 90 days after index surgery
Secondary	Number of Outpatient Follow-Up Visits	It is a count of the number of outpatient follow-up visits with the surgical team related to the index procedure within 30 and 90 days after the index procedure.	30 and 90 days after index surgery
Secondary	Number of Telephone Calls	It is a count of the number of telephone calls with the surgical team related to the index procedure within 30 and 90 days after the index procedure.	30 and 90 days after index surgery
Secondary	Provider Satisfaction Survey- JointCOACH Satisfaction	It is a 2 question survey regarding provider experience using JointCOACH measured using a 5-point Likert scale, where 1 = very dissatisfied and 5 = very satisfied.	90 days after the last patient enrolled has had surgery. approximately 22 months after the first patient enrolled. All study-related intervention is complete at this time.
Secondary	Provider Satisfaction Survey- JointCOACH Recommendation	It is a 2 question survey regarding provider experience using JointCOACH measured using a 5-point Likert scale, where 1 = very dissatisfied and 5 = very satisfied.	90 days after the last patient enrolled has had surgery. All study-related intervention is complete at this time.