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- Title
Pre-operative self-efficacy education vs. usual care for patients undergoing joint replacement surgery: a pilot randomised controlled trial.
- Authors
Cooke, Marie; Walker, Rachel; Aitken, Leanne M.; Freeman, Andrea; Pavey, Sharlene; Cantrill, Ruth
- Abstract
Background Hip and knee replacement is a major surgical procedure performed worldwide. Despite 20 or so years of clinical research and care guidelines, the management of acute postoperative pain continues to be a concern. A growing number of self-efficacy strategies are being included in education programs for patients to enable then to have a central role in managing their illness and symptoms. Aims and Objectives The purpose of this pilot study was to evaluate the feasibility of testing an education intervention to improve self-efficacy in patients undergoing hip or knee replacement. Methods A single-blinded, parallel, pilot randomised control trial design was used. Ninety-one patients undergoing hip or knee replacement surgery were randomly assigned to an intervention or control group. Intervention group participants were given a DVD demonstrating self-efficacy activities to undertake four times before admission. Feasibility criteria related to recruitment, protocol adherence and missing data were assessed. Participants were assessed for pain, anxiety, self-efficacy and healthcare utilisation. Results In relation to recruitment, 55% of screened patients were eligible and of these 81% enrolled (n = 91). Exclusion following randomisation was 10% with missing data ranging from 0 to 20.7%. Nineteen per cent of participants were lost to follow up in the control group and 20% lost to follow up in DVD group. Protocol adherence to components of the intervention varied. Both groups were generally satisfied with pain management during hospitalisation, and there were no differences in groups on clinical outcome measures. Conclusions Preliminary evidence for the benefits of self-efficacy-based education for patients undergoing hip or knee replacement was identified. Additional findings included a need to strengthen the intervention and reducing the number of data collection points to improve the protocol, missing data and numbers lost to follow up before a larger trial is undertaken.
- Subjects
QUEENSLAND; PATIENT education; ANXIETY; CONFIDENCE intervals; STATISTICAL correlation; EVALUATION of medical care; MEDICAL care use; PATIENT satisfaction; POSTOPERATIVE care; POSTOPERATIVE pain; PSYCHOLOGICAL tests; QUESTIONNAIRES; RESEARCH evaluation; RESEARCH funding; STATISTICAL sampling; HEALTH self-care; SELF-efficacy; SURGERY; SURVEYS; TOTAL hip replacement; TOTAL knee replacement; DVD-Video discs; PILOT projects; SOCIOECONOMIC factors; PAIN measurement; RANDOMIZED controlled trials; PREOPERATIVE education; MULTITRAIT multimethod techniques; BLIND experiment; RELAXATION techniques; DATA analysis software; DESCRIPTIVE statistics
- Publication
Scandinavian Journal of Caring Sciences, 2016, Vol 30, Issue 1, p74
- ISSN
0283-9318
- Publication type
Article
- DOI
10.1111/scs.12223