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J Arthroplasty. 2018 Jul;33(7):2153-2158. doi: 10.1016/j.arth.2018.02.040. Epub 2018 Feb 17.

Effect of an e-Learning Tool on Expectations and Satisfaction Following Total Knee Arthroplasty: A Randomized Controlled Trial.

Author information

1
Faculty of Health Sciences, Western University, Health and Rehabilitation Sciences, Elborn College, London, Ontario, Canada.
2
Faculty of Health Sciences, Western University, School of Physical Therapy, Elborn College, London, Ontario, Canada.
3
Orthopaedic Surgery, Western University, University Hospital, London Health Sciences Centre, London, Ontario, Canada.
4
Western University, Faculty of Education, London, Ontario Canada.

Abstract

BACKGROUND:

Orthopedic surgeons recognize patient expectations of total knee arthroplasty (TKA) can be managed through education. E-learning is the application of educational technology. The objective of this study was to evaluate whether an e-learning tool could affect whether patients' expectations were met and they were satisfied 1 year following TKA.

METHODS:

Patients with osteoarthritis from the London Health Sciences Centre, Canada, were randomly assigned to either a control group (n = 207) receiving standard patient education or an intervention group (n = 209) using the e-learning tool in addition to the standard. We used a web-based system with permuted block sizes, stratified by surgeon and first or second TKA. Preoperative measures were completed following the patients' preadmission clinic visit. Postoperative patient-reported outcome measures were completed at 6 weeks, 3 months, and 1 year after TKA. One year after TKA, risk difference was used to determine between-group differences for patient satisfaction and expectations being met.

RESULTS:

One year postoperatively, the risk that expectations of patients were not met was 21.8% in the control group and 21.4% in the intervention group for an adjusted risk difference of 1.3% (95% confidence interval, -7.8% to 10.4%, P = .78). The proportion of patients satisfied with their TKA at 1 year postoperative was 78.6% in the intervention and 78.2% in the control groups.

CONCLUSION:

There was no between-group difference at 1 year between intervention and control groups for either the risk that expectations of patients were not met or the proportion of patients who were dissatisfied with their TKA.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT01732562.

KEYWORDS:

e-learning; expectations; patient education; satisfaction; total knee arthroplasty

PMID:
29555496
DOI:
10.1016/j.arth.2018.02.040
[Indexed for MEDLINE]

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