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OpenTrials
Completed

NCT Number: NCT03499028

Improvement of Patient Satisfaction and Clinical Outcomes Using JointCOACH

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.

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Key information

Conditions

Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Cleveland Clinic

Cleveland, Ohio, 44195, United States

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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)

Treatment and study plan

JointCOACH

Other

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

Primary outcomes

  1. Picker Patient Experience (PPE-15) Questionnaire

    Time frame: 30 and 90 days after index surgery

    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.

Secondary outcomes

  1. Visual Analog Scale (VAS) for Patient Satisfaction

    Time frame: 30 and 90 days after index surgery

    It is a satisfaction measurement tool using a scale from 0-100, where 0 = completely dissatisfied and 100 = completely satisfied.

  2. Length of Hospital Stay

    Time frame: 90 days after index surgery

    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)

  3. Discharge Disposition

    Time frame: 90 days after index surgery

    Number of patient routinely discharged to home

  4. Number of Participants With Readmissions

    Time frame: 30 and 90 days after index surgery

    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.

  5. Number of Participants With Reoperations

    Time frame: 30 and 90 days after index surgery

    It is a count of the number of reoperations related to the index procedure within 30 and 90 days after the index procedure.

  6. Number of Subjects With Emergency Department Visits

    Time frame: 30 and 90 days after index surgery

    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.

  7. Number of Outpatient Follow-Up Visits

    Time frame: 30 and 90 days after index surgery

    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.

  8. Number of Telephone Calls

    Time frame: 30 and 90 days after index surgery

    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.

  9. Provider Satisfaction Survey- JointCOACH Satisfaction

    Time frame: 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.

    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.

  10. Provider Satisfaction Survey- JointCOACH Recommendation

    Time frame: 90 days after the last patient enrolled has had surgery. All study-related intervention is complete at this time.

    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.

Sponsors and collaborators

Lead sponsor

The Cleveland Clinic

Other

Collaborators

  • Stryker Orthopaedics

Registry information

Official study title

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

Important dates

Study start
2018
Primary completion
2020
Study completion
2020
First posted
Apr 17, 2018
Registry last updated
Apr 20, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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