Improvement of Patient Satisfaction and Clinical Outcomes Using JointCOACH

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

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.

Study Overview

• Status: Completed
• Conditions: Arthroplasty, Replacement, Knee; Arthroplasty, Replacement, Hip
• Intervention / Treatment: Other: JointCOACH

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Actual): 446
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Ohio
    • Cleveland, Ohio, United States, 44195
      • Cleveland Clinic

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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)

Study Plan

How is the study designed?

Design Details

• Primary Purpose: OTHER
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: NONE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
NO_INTERVENTION: Standard of Care Group; The Standard of Care Group will receive standard, routine medical care and will communicate with their surgeon and clinical care team through conventional methods such as phone.
EXPERIMENTAL: Experimental (JointCOACH) Group; The Experimental Group will receive standard, routine medical care and utilize a web-based communication platform called JointCOACH to communicate with their care team via computer or smartphone throughout their episode of care. They will also receive information personalized to their treatment plan and will be asked to complete online questionnaires.	Other: JointCOACH; Patients randomized to this group will utilize JointCOACH to communicate with their surgical team, receive information

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Picker Patient Experience (PPE-15) Questionnaire	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.	30 and 90 days after index surgery

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analog Scale (VAS) for Patient Satisfaction	It is a satisfaction measurement tool using a scale from 0-100, where 0 = completely dissatisfied and 100 = completely satisfied.	30 and 90 days after index surgery
Length of Hospital Stay	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)	90 days after index surgery
Discharge Disposition	Number of patient routinely discharged to home	90 days after index surgery
Number of Participants With Readmissions	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.	30 and 90 days after index surgery
Number of Participants With Reoperations	It is a count of the number of reoperations related to the index procedure within 30 and 90 days after the index procedure.	30 and 90 days after index surgery
Number of Subjects With Emergency Department Visits	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.	30 and 90 days after index surgery
Number of Outpatient Follow-Up Visits	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.	30 and 90 days after index surgery
Number of Telephone Calls	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.	30 and 90 days after index surgery
Provider Satisfaction Survey- JointCOACH Satisfaction	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.	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.
Provider Satisfaction Survey- JointCOACH Recommendation	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.	90 days after the last patient enrolled has had surgery. All study-related intervention is complete at this time.

Collaborators and Investigators

• Sponsor: The Cleveland Clinic
• Collaborators: Stryker Orthopaedics

Publications and helpful links

General Publications

• Visperas AT, Greene KA, Krebs VE, Klika AK, Piuzzi NS, Higuera-Rueda CA. A Web-Based Interactive Patient-Provider Software Platform Does Not Increase Patient Satisfaction or Decrease Hospital Resource Utilization in Total Knee and Hip Arthroplasty Patients in a Single Large Hospital System. J Arthroplasty. 2021 Jul;36(7):2290-2296.e1. doi: 10.1016/j.arth.2021.01.037. Epub 2021 Jan 21.

Study record dates

Study Major Dates

• Study Start (ACTUAL): May 1, 2018
• Primary Completion (ACTUAL): June 30, 2020
• Study Completion (ACTUAL): June 30, 2020

Study Registration Dates

• First Submitted: April 9, 2018
• First Submitted That Met QC Criteria: April 9, 2018
• First Posted (ACTUAL): April 17, 2018

Study Record Updates

• Last Update Posted (ACTUAL): April 20, 2021
• Last Update Submitted That Met QC Criteria: April 19, 2021
• Last Verified: April 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: 18-063

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No