Preparing for an orthopedic consultation using an eHealth tool: a randomized controlled trial in patients with hip and knee osteoarthritis
BMC Medical Informatics and Decision Making, vol. 20, pp. 92
Abstract
BACKGROUND: To evaluate the effect of a stand-alone mobile and web-based educational intervention (eHealth tool) compared to usual preparation of a first orthopedic consultation of patients with hip or knee osteoarthritis (OA) on patients' satisfaction. METHODS: A two-armed randomized controlled trial involving 286 patients with (suspicion of) hip or knee OA, randomly allocated to either receiving an educational eHealth tool to prepare their upcoming consultation (n = 144) or usual care (n = 142). Satisfaction with the consultation on three subscales (range 1-4) of the Consumer Quality Index (CQI - primary outcome) and knowledge (assessed using 22 statements on OA, range 0-22), treatment beliefs (assessed by the Treatment beliefs in OsteoArthritis questionnaire, range 1-5), assessment of patient's involvement in consultation by the surgeon (assessed on a 5-point Likert scale) and patient satisfaction with the outcome of the consultation (numeric rating scale), were assessed. RESULTS: No differences between groups were observed on the 3 subscales of the CQI (group difference (95% CI): communication 0.009 (- 0.10, 0.12), conduct - 0.02 (- 0.12, 0.07) and information provision 0.02 (- 0.18, 0.21)). Between group differences (95% CI) were in favor of the intervention group for knowledge (1.4 (0.6, 2.2)), negative beliefs regarding physical activities (- 0.19 (- 0.37, - 0.002) and pain medication (- 0.30 (- 0.49, - 0.01)). We found no differences on other secondary outcomes. CONCLUSIONS: An educational eHealth tool to prepare a first orthopedic consultation for hip or knee OA does not result in higher patient satisfaction with the consultation, but it does influence cognitions about osteoarthritis. TRIAL REGISTRATION: Dutch Trial Register (trial number NTR6262). Registered 30 January 2017.
Authors 7
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Aniek A. O. M. Claassen corresponding
Sint Maartenskliniek · Sint Maartenskliniek
Affiliation as printed
Department of Rheumatology, Sint Maartenskliniek, PO Box 9011, Nijmegen, GM, 6500, The Netherlands. a.claassen@maartenskliniek.nl
Department of Rheumatology, Sint Maartenskliniek, PO Box 9011, Nijmegen, GM, 6500, The Netherlands
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Radboud University Medical Center
Affiliation as printed
Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands
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Affiliation as printed
Department of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen, The Netherlands
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Affiliation as printed
Sint Maartenskliniek Research, Sint Maartenskliniek, Nijmegen, The Netherlands
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Radboud University Medical Center · Sint Maartenskliniek · Sint Maartenskliniek
Affiliation as printed
Department of Rheumatology, Radboud University Medical Center, Nijmegen, The Netherlands
Department of Rheumatology, Sint Maartenskliniek, PO Box 9011, Nijmegen, GM, 6500, The Netherlands
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Leiden University Medical Center
Affiliation as printed
Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands
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Radboud University Medical Center · Sint Maartenskliniek · Sint Maartenskliniek
Affiliation as printed
Department of Rheumatology, Radboud University Medical Center, Nijmegen, The Netherlands
Department of Rheumatology, Sint Maartenskliniek, PO Box 9011, Nijmegen, GM, 6500, The Netherlands
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