Evaluation of the Effect of Using WeChat Applet to Intervene in the Home Functional Exercise of Patients After Anterior Cruciate Ligament Reconstruction Based on the Health Belief Model

Based on the home rehabilitation exercise of patients undergoing ACL reconstruction, the existing WeChat applet of sports medicine of the Third Hospital of Beijing Medical University is optimized to be used as a health education tool to guide patients undergoing home rehabilitation exercise after ACL reconstruction.

Study Overview

• Status: Completed
• Conditions: Anterior Cruciate Ligament Injury
• Intervention / Treatment: Behavioral: WeChat Mini Program

Detailed Description

With the development of national fitness and sports, the incidence of ACL injury is increasing year by year. ACL reconstruction is the best way to treat ACL injuries, and the success rate of the operation is high, but patients still need to recover after surgery, otherwise, it will be difficult to fully restore knee joint function. However, my country's rehabilitation medical resources are obviously insufficient. After discharge from the hospital, ACL reconstruction patients usually go home and exercise at home according to the rehabilitation plan formulated by the surgeon or rehabilitation physician. However, compliance is still poor, and rehabilitation is relatively difficult to achieve the expected results, which affects the lives of patients quality. The WeChat official account and its affiliated mini-programs have been widely used in different health fields as a means of health communication. The health belief model is a guiding theory commonly used in the field of health education to guide patients to make behavior changes. This study intends to use the functional advantages of the WeChat applet to explore the optimization of the existing Peking University Third Hospital Sports Medicine WeChat applet based on the health belief model and to use the postoperative rehabilitation of patients undergoing ACL injury reconstruction as a pilot to evaluate the optimized The WeChat Mini Program can improve the intervention effect of patients' home functional exercise compliance after ACL injury reconstruction, to provide effective health education for more extensive sports medicine-related home functional exercises, improve their rehabilitation effects and quality of life, and better To ensure the efficacy of surgery.

• Study Type: Interventional
• Enrollment (Actual): 120
• Phase: Not Applicable

Contacts and Locations

Study Locations

• China
  • Beijing
    • Beijing, Beijing, China, 100191
      • Peking University Third Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 45 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Between 18 years old (including 18 years old) and 45 years old;
2. Patients who underwent simple ACL reconstruction for the first time, combined with cartilage trimming and partial meniscus resection, and had the same postoperative rehabilitation plan;
3. Those who have basic literacy and communication skills;
4. Those who have a smartphone, can use WeChat or can learn to use WeChat;

Exclusion Criteria:

1. Have a history of joint infection, joint tuberculosis or osteomyelitis, or have undergone surgery in the lower limbs within 6 months;
2. Combined with severe heart, brain, kidney, and other organ dysfunction;
3. Patients with other severe knee joint disease injuries;
4. The patient is accompanied by mental illness or cognitive impairment, unable to study and participate in rehabilitation training;
5. Those who have participated in other similar rehabilitation function training programs, or transferred to other medical institutions for rehabilitation after being discharged from the hospital;
6. Those who have not signed the informed consent.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Patients who are given regular home functional exercises and discharged from the hospital; Discharge guidance using regular home function exercises, that is, existing regular missions and paper-based brochures
Active Comparator: Patients who are guided by conventional discharge guidance and the optimized WeChat official account; Use regular discharge guidance and optimized WeChat public account guidance	Behavioral: WeChat Mini Program; Through the WeChat applet, it provides services such as visit content configuration, self-image configuration, self-image measurement configuration, and visit reminders.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes in range of motion of knee joint	Changes in range of motion of the knee between two time points	2 weeks, 6 weeks and 12 weeks after surgery

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual pain score during knee motion angle exercise	Visual pain score during knee motion angle exercise were measured at 2,6 and 12 weeks.	2 weeks, 6 weeks and 12 weeks after surgery
SF-12 quality of life scale	SF-12 means the 12-items Short Form Health Survey.Patients' scores were measured at 2,6 and 12 weeks ,and the higher the score ,the better the quality of life.	2 weeks, 6 weeks and 12 weeks after surgery

Collaborators and Investigators

• Sponsor: Peking University Third Hospital
• Collaborators: Peking University

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2019
• Primary Completion (Actual): July 1, 2019
• Study Completion (Actual): December 1, 2019

Study Registration Dates

• First Submitted: June 25, 2021
• First Submitted That Met QC Criteria: July 4, 2021
• First Posted (Actual): July 12, 2021

Study Record Updates

• Last Update Posted (Actual): July 12, 2021
• Last Update Submitted That Met QC Criteria: July 4, 2021
• Last Verified: June 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Leg Injuries; Knee Injuries; Anterior Cruciate Ligament Injuries
• Other Study ID Numbers: M2019069

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

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