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"The Effect of AI-Assisted Mobilization Education on Kinesiophobia and Readiness for Hospital Discharge in Patients Undergoing Total Knee Arthroplasty''

2026년 7월 4일 업데이트: Berru Erseçkin, Kocaeli University

The aim of this study is to investigate the effect of artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty on their level of kinesiophobia and readiness for hospital discharge.

The research questions are as follows:

Does artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty affect their level of kinesiophobia? Does artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty affect their readiness for hospital discharge? Study Procedure In the control group, participants will receive the standard care routinely provided in the orthopedic clinic, without viewing the artificial intelligence-assisted mobilization education video. In the intervention group, participants will receive an artificial intelligence-assisted video-based mobilization education program developed to prepare them for their first postoperative mobilization.

Intervention Group:

After hospital admission, participants will complete a Personal Information Form. On postoperative day 1, before the first mobilization, the Tampa Scale for Kinesiophobia will be administered. Following completion of the baseline assessment, participants will receive the artificial intelligence-assisted video-based mobilization education delivered by a nurse. Immediately after the education, the Tampa Scale for Kinesiophobia will be administered again. Four hours before hospital discharge, participants will complete the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the nurse will complete the Readiness for Hospital Discharge Scale for Adult Patients-Nurse Assessment Short Form.

Control Group:

After hospital admission, participants will complete a Personal Information Form. On postoperative day 1, before the first mobilization, the Tampa Scale for Kinesiophobia will be administered. Following the baseline assessment, participants will receive the routine verbal mobilization education provided by the nurse. Immediately after the education, the Tampa Scale for Kinesiophobia will be administered again. Four hours before hospital discharge, participants will complete the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the nurse will complete the Readiness for Hospital Discharge Scale for Adult Patients-Nurse Assessment Short Form.

At the final stage of the study, all preoperative and postoperative data collected from the participants will be compiled, recorded, and analyzed.

Inclusion Criteria:

Patients will be included in the study if they meet the following criteria:

Age 18 years or older Undergoing total knee arthroplasty for the first time Able to read and write in Turkish No impairments that would prevent watching, hearing, or understanding the educational video No diagnosed psychiatric disorders and not using psychiatric medications that may affect the accuracy of responses No additional conditions affecting mobility other than knee arthroplasty No administration of narcotic analgesics within 30-60 minutes prior to mobilization Having access to a mobile phone capable of viewing the educational video during both the preoperative and postoperative periods.

The population of the study will consist of all patients undergoing total knee arthroplasty in the Orthopedics Clinic of a state hospital. The sample will include patients who meet the study eligibility criteria and agree to participate in the study. A total of 72 patients will participate in the study, with 36 patients assigned to the control group and 36 patients assigned to the intervention group. Written and verbal informed consent will be obtained from all patients prior to participation in the study.

Data will be analyzed using SPSS version 25.0 (Statistical Package for the Social Sciences).

연구 개요

상태

모병

정황

개입 / 치료

상세 설명

Total knee arthroplasty (TKA) is one of the most effective surgical treatments for patients with advanced knee osteoarthritis. Early postoperative mobilization is essential for reducing complications, improving functional recovery, increasing patient independence, and facilitating a safe hospital discharge. However, many patients experience kinesiophobia after surgery, which may negatively affect their participation in rehabilitation and delay recovery. Innovative educational approaches, including artificial intelligence (AI)-assisted education, may improve patients' understanding of postoperative mobilization and increase their confidence in performing recommended activities.

The purpose of this study is to evaluate the effect of AI-assisted mobilization education on kinesiophobia and readiness for hospital discharge in patients undergoing total knee arthroplasty.

This is a non-randomized controlled interventional study involving 72 adult patients scheduled to undergo primary total knee arthroplasty. Participants will be allocated to either the intervention group (n=36) or the control group (n=36). The control group will receive the routine perioperative education and standard nursing care provided by the orthopedic clinic. In addition to routine care, the intervention group will receive AI-assisted mobilization education designed to support postoperative recovery and encourage early mobilization.

Data will be collected using a Patient Information Form, the Tampa Scale for Kinesiophobia, the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the Readiness for Hospital Discharge Scale-Nurse Assessment Form for Adult Patients. Assessments will be performed on the first postoperative day and approximately four hours before hospital discharge.

The primary objective of the study is to determine whether AI-assisted mobilization education reduces kinesiophobia and improves patients' readiness for hospital discharge compared with routine care. The findings are expected to contribute to the development of evidence-based educational interventions that enhance postoperative recovery and discharge preparation for patients undergoing total knee arthroplasty.

연구 유형

중재적

등록 (추정된)

72

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 연락처

연구 장소

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 성인
  • 고령자

건강한 자원 봉사자를 받아들입니다

아니

설명

Inclusion Criteria:

  • Willing to participate in the study voluntarily,
  • Aged 18 years or older,
  • Undergoing primary total knee arthroplasty for the first time,
  • Able to read and write in Turkish,
  • Having no visual, hearing, or cognitive impairment that would prevent watching, hearing, or understanding the educational video,
  • Having no psychiatric disorder or use of psychiatric medication that could interfere with providing accurate responses to the study questionnaires, Having no other condition, apart from the indication for total knee arthroplasty, that affects mobility,
  • Not having received narcotic analgesia within 30-60 minutes before mobilization,
  • Having access to a mobile phone on which the educat

Exclusion Criteria:

  • Patients who are immobile or have restricted mobility,
  • Patients undergoing revision surgery or those who have undergone concomitant orthopedic surgery or orthopedic surgery within the previous month,
  • Patients with impaired consciousness,
  • Patients who decline to participate in the study,
  • Patients with visual, hearing, or cognitive impairment,
  • Patients who develop a postoperative complication resulting in restricted mobility,
  • Patients with any condition that limits mobilization (e.g., amputation, paralysis, etc.)

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 지지 요법
  • 할당: 무작위화되지 않음
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
간섭 없음: 1.Control Group - Standard Mobilization Education
실험적: Intervention Group - AI-Assisted Video-Based Mobilization Education
Participants in the intervention group will receive an artificial intelligence-assisted video-based mobilization education program designed to prepare them for postoperative mobilization after total knee arthroplasty. The educational video will be delivered by a nurse on postoperative day 1 prior to the first mobilization. The content of the video includes information and guidance on safe mobilization techniques following surgery. Kinesiophobia levels will be assessed using the Tampa Scale for Kinesiophobia before and immediately after the intervention. In addition, readiness for hospital discharge will be evaluated prior to discharge using the Readiness for Hospital Discharge Scale.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Effect of AI-Assisted Mobilization Education on Kinesiophobia Change in Kinesiophobia
기간: Postoperative day1, immediately before and after mobilization education.
Kinesiophobia will be assessed using the Tampa Scale for Kinesiophobia (TSK). The TSK is a validated questionnaire used to measure fear of movement and reinjury. Higher scores indicate greater levels of kinesiophobia.
Postoperative day1, immediately before and after mobilization education.

2차 결과 측정

결과 측정
측정값 설명
기간
Effect of AI-Assisted Mobilization Education on Readiness for Hospital Discharge Readiness for Hospital Discharge
기간: Within 4 hours before hospital discharge.
The effect of AI-assisted mobilization education on readiness for hospital discharge will be evaluated using the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form.
Within 4 hours before hospital discharge.
Effect of AI-Assisted Mobilization Education on Readiness for hospital Discharge Readiness for hospital Discharge
기간: Within 4 hours before hospital discharge
The effect of AI-Assisted Mobilization Education on Readiness for hospital Discharge will be evaluated using the Readiness for Hospital Discharge Scale-Nurse Self- Assesment Form
Within 4 hours before hospital discharge

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2026년 5월 5일

기본 완료 (추정된)

2026년 10월 1일

연구 완료 (추정된)

2026년 10월 30일

연구 등록 날짜

최초 제출

2026년 6월 29일

QC 기준을 충족하는 최초 제출

2026년 7월 4일

처음 게시됨 (실제)

2026년 7월 10일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 7월 10일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 7월 4일

마지막으로 확인됨

2026년 7월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • 2025/24/38

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