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Supporting patients to prepare for total knee replacement : evidence-, theory- and person-based development of a ‘Virtual Knee School’ digital intervention
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Anderson, Anna M., McHugh, Gretl A., Comer, Christine, Joseph, Judith, Smith, Toby O., Yardley, Lucy and Redmond, Anthony C. (2023) Supporting patients to prepare for total knee replacement : evidence-, theory- and person-based development of a ‘Virtual Knee School’ digital intervention. Health Expectations, 26 (6). pp. 2549-2570. doi:10.1111/hex.13855 ISSN 1369-6513.
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Official URL: https://doi.org/10.1111/hex.13855
Abstract
Introduction
Digital delivery of pre-operative total knee replacement (TKR) education and prehabilitation could improve patient outcomes pre- and post-operatively. Rigorously developing digital interventions is vital to help ensure they achieve their intended outcomes whilst mitigating their potential drawbacks.
Objective
To develop a pre-operative TKR education and prehabilitation digital intervention, the ‘Virtual Knee School’ (VKS).
Methods
The VKS was developed using an evidence-, theory- and person-based approach. This involved a mixed methods design with four phases. The first three focused on planning the VKS. The final phase involved creating a VKS prototype and iteratively refining it through concurrent think-aloud interviews with nine patients who were awaiting/had undergone TKR. Meta-inferences were generated by integrating findings from all the phases. ISRCTN registration of the overall project was obtained on 24 April 2020 (ISRCTN11759773).
Results
Most participants found the VKS prototype acceptable overall and considered it a valuable resource. Conversely, a minority of participants felt the prototype's digital format or content did not meet their individual needs. Participants' feedback was used to refine the prototype's information architecture, design and content. Two meta-inferences were generated and recommend:
1. Comprehensive pre-operative TKR education and prehabilitation support should be rapidly accessible in digital and non-digital formats.
2. Pre-operative TKR digital interventions should employ computer- and self-tailoring to account for patients' individual needs and preferences.
Conclusions
Integrating evidence, theory and stakeholders' perspectives enabled the development of a promising VKS digital intervention for patients awaiting TKR. The findings suggest future research evaluating the VKS is warranted and provide recommendations for optimising pre-operative TKR care.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > R Medicine (General) R Medicine > RD Surgery |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
Library of Congress Subject Headings (LCSH): | Total knee replacement -- Patients, Preoperative education | ||||||||
Journal or Publication Title: | Health Expectations | ||||||||
Publisher: | Wiley | ||||||||
ISSN: | 1369-6513 | ||||||||
Official Date: | December 2023 | ||||||||
Dates: |
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Volume: | 26 | ||||||||
Number: | 6 | ||||||||
Page Range: | pp. 2549-2570 | ||||||||
DOI: | 10.1111/hex.13855 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Copyright Holders: | © 2023 The Authors. Health Expectations published by John Wiley & Sons Ltd. | ||||||||
Date of first compliant deposit: | 11 August 2023 | ||||||||
Date of first compliant Open Access: | 23 August 2023 | ||||||||
RIOXX Funder/Project Grant: |
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