Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| St. Anna Ziekenhuis, Geldrop, Netherlands | OTHER |
Not provided
Not provided
Not provided
Not provided
Less is known about pain and opiate use at home directly after total knee replacement (TKR). Regarding side effects, low opiate use is desired. An e-health application, PainCoach app, was developed to guide patients in pain control and opiate use.
The aim of this study was to investigate the effect of the PainCoach app on pain and opiate use in TKR patients in the first two weeks at home after surgery. The hypothesis was that the use of this app would decrease pain and opiate use.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PainCoach-app group | Experimental | In the PainCoach-app group, in addition to receiving the aforementioned usual care, the PainCoach app was downloaded on each patient's smartphone or tablet. Patients could use this app whenever they wanted until day 14 after surgery. They were not subjected to any different treatment compared to the control group, i.e. advice on pain management was delivered in an extra and different way, but the pain medication itself was exactly the same for both groups. |
|
| Control group | No Intervention | The control group received usual care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PainCoach app | Behavioral | In response to the patient's input of the pain experienced (no pain, bearable pain, unbearable pain, or untenable pain), the app gave advice on pain medication use, exercises/rest and when to call the clinic from day 1 until day 14 after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in pain at rest in the first two weeks at home after TKR | Pain at rest was daily measured with VAS from 0 (no pain) to 100 (worst imaginable pain) | 14 measurement points: daily from day 1 to 14 after surgery |
| Change in pain during activity in the first two weeks at home after TKR | Measured with VAS from 0 (no pain) to 100 (worst imaginable pain) | 14 measurement points: daily from day 1 to 14 after surgery |
| Change in pain at night in the first two weeks at home after TKR | Measured with VAS from 0 (no pain) to 100 (worst imaginable pain) | 14 measurement points: daily from day 1 to 14 after surgery |
| Change in opiate use in the first two weeks at home after TKR | Oxycodon (5 mg per tablet) use was recorded in quantities per 24 hours | 14 measurement points: daily from day 1 to 14 after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Pain at rest | Measured with VAS from 0 (no pain) to 100 (worst imaginable pain) | 1 month after surgery |
| Pain during activity | Measured with VAS from 0 (no pain) to 100 (worst imaginable pain) |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| J.M. Brinkman, MD, PhD | Kliniek ViaSana | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kliniek ViaSana | Mill | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32167483 | Derived | Pronk Y, Peters MCWM, Sheombar A, Brinkman JM. Effectiveness of a Mobile eHealth App in Guiding Patients in Pain Control and Opiate Use After Total Knee Replacement: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2020 Mar 13;8(3):e16415. doi: 10.2196/16415. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
Patients were randomised to the PainCoach-app group or control group. Both groups received usual care. In the PainCoach-app group, in addition to receiving the aforementioned usual care, patients could use the PainCoach app whenever they wanted. In response to the patient's input of the pain experienced, the app gave advice on pain medication use, exercises/rest and when to call the clinic. This advice was the same as patients also received during usual care.
Not provided
Not provided
Not provided
| 1 month after surgery |
| Pain at night | Measured with VAS from 0 (no pain) to 100 (worst imaginable pain) | 1 month after surgery |
| Change in other pain medication use in the first two weeks at home after TKR | i.e. NSAID (Diclofenac), acetaminophen and/or Gabapentin were recorded in quantities per 24 hours | 14 measurement points: daily from day 1 to 14 after surgery |
| Change in pain acceptance at rest, during activity and at night in the first two weeks at home after TKR | Measured with a happy smiley (acceptable pain) and a sad smiley (unacceptable pain) | 14 measurement points: daily from day 1 to 14, and at 1 month after surgery |
| Change in experiences with the executed recommended physiotherapy exercises in the first two weeks at home after TKR | Measured on a 3-item scale; did too much, exactly enough, or could have done more exercises | 14 measurement points: daily from day 1 to 14 after surgery |
| Function | Measured with the Knee injury and Osteoarthritis Outcome Score - Physical Function Short-form (KOOS-PS) with a total score from 0 (no difficulty) to 100 (extreme difficulty) | 1 month after surgery |
| Function and pain | Measured with the Oxford Knee Score (OKS) with a total score from 0 (most severe symptoms) to 48 (least severe symptoms) | 1 month after surgery |
| Quality of life | Measured with the EuroQol-5D 3 level version (EQ-5D-3L) consisting of two scores: EQ Visual Analogue Scale (EQ VAS) score from 0 (worst imaginable health state) to 100 (best imaginable health state), and EQ-5D descriptive system (EQ-5D index). | 1 month after surgery |
| PainCoach app's perceived effectiveness | Usability, added value, and likelihood of being recommended to others was recorded on a 5-item scale ranging from totally agree to totally disagree | Day 14 after surgery |
| Active PainCoach app use | Measured with recording the actual amount of app use and defining active use as at least 12 times in total | From day 1 to 14 after surgery |