Preparing for an orthopedic consultation using an eHealth tool: a randomized controlled trial in patients with hip and knee osteoarthritis

Claassen, A.A.O.M.; Schers, H.J.; Busch, V.J.J.F.; Heesterbeek, P.J.C.; Hoogen, F.H.J. van den; Vlieland, T.P.M.V.; Ende, C.H.M. van den (2020)

Article / Letter to editor

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.

• Hip and knee osteoarthritis
• eHealth
• Consultation
• Preparation
• Education

• All authors: Claassen, A.A.O.M.; Schers, H.J.; Busch, V.J.J.F.; Heesterbeek, P.J.C.; Hoogen, F.H.J. van den; Vlieland, T.P.M.V.; Ende, C.H.M. van den
• Date: 2020-05-15
• Journal: BMC Medical Informatics and Decision Making
• Volume: 20
• Issue: 1
• DOI: doi:10.1186/s12911-020-01130-0
• Link: https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-0...