Patient Education After Total Hip Arthoplasty

May 21, 2026 updated by: Sinem Yenil, PT, PhD, Pamukkale University

The Effect of Patient Education on Function, Quality of Life, and Activities of Daily Living After Total Hip Arthroplasty

Postoperative education is crucial for improving physical function, daily activity participation, and quality of life after total hip arthroplasty (THA). The aim of our study was to examine the effects of patient education on function, quality of life, and activities of daily living after THA. Patients who underwent primary THA were randomized into three groups: online education, brochure, and control. Pain (VAS), function (WOMAC), quality of life (WHOQOL-BREF), and daily living activities (IADL) were evaluated online before education and four weeks after discharge.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

39

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Participants aged 30 years or older
  • Who were undergoing primary THA surgery,
  • Able to understand and speak Turkish
  • Had access to and could use the internet and a smartphone.

Exclusion Criteria:

  • Who were undergoing revision THA surgery
  • Had previous major surgery on the operated limb,
  • Had comorbidities such as rheumatoid arthritis or cancer, motor disorders affecting ADL performance
  • Diagnosed psychiatric disorder, uncorrected hearing or vision impairment
  • Inability to participate in the online education program

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Control
Active Comparator: Brochure
Other: Brochure
Brochure group received an informational brochure with the same content.
Experimental: Online education
Other: Online Education
Online education group received an online education session prepared by the researchers, covering dislocation precautions, potential complications, and home exercise programs.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The Turkish version of the Western Ontario McMaster University Osteoarthritis Index
Time Frame: postoperative first day, postoperative 4th week
The Turkish version of the Western Ontario McMaster University Osteoarthritis Index (WOMAC), was used. The index includes 24 items divided into three subscales: pain (5 items, maximum score 20), stiffness (2 items, maximum score 8), and physical function (17 items, maximum score 68). Higher scores indicate greater pain and stiffness and poorer physical function.
postoperative first day, postoperative 4th week
World Health Organization Quality of Life-Bref
Time Frame: postoperative first day, postoperative 4th week
The World Health Organization Quality of Life-Bref (WHOQOL-BREF) is used for general perceived quality of life. The WHOQOL-BREF consists of 26 items assessing general perceived quality of life across physical, psychological, social, environmental, and national environment domains. Each domain is scored separately on a scale up to 20 or 100, with higher scores reflecting better quality of life.
postoperative first day, postoperative 4th week
Perceived pain intensity
Time Frame: postoperative first day, postoperative 4th week
Pain intensity was assessed using the Visual Analog Scale (VAS). The VAS was used to evaluate pain at rest, during sleep/night, and while walking. The scale consists of a 10-cm horizontal line, with 0 indicating "no pain" and 10 representing "the worst pain imaginable." Participants were asked to mark point that best described their pain, and the distance from the 0 point was measured in centimeters.
postoperative first day, postoperative 4th week
Activities of Daily Living
Time Frame: postoperative first day, postoperative 4th week
The Lawton-Brody Instrumental Activities of Daily Living (IADL) scale assesses individuals' ability to perform instrumental daily activities. Scores range from 0-8 (dependent), 9-16 (partially dependent), and 17-24 (independent).
postoperative first day, postoperative 4th week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Pamukkale University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 22, 2024

Primary Completion (Actual)

December 10, 2024

Study Completion (Actual)

February 14, 2025

Study Registration Dates

First Submitted

January 11, 2026

First Submitted That Met QC Criteria

May 21, 2026

First Posted (Actual)

May 22, 2026

Study Record Updates

Last Update Posted (Actual)

May 22, 2026

Last Update Submitted That Met QC Criteria

May 21, 2026

Last Verified

October 1, 2025

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • E-60116787-020-526536

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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