Adam Cohen, Moushumi Sur, Carla Falco, Gurpreet Dhaliwal, Geeta Singhal, Satid Thammasitboon
Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning
Diagnosis (Berlin, Germany)
osteoarthritis oa one common disabilities elderly conservative management fails total joint arthroplasty tja treatment choice endstage oa since quality durability implants steadily improved pre postsurgical processes moved focus research hence ehealth approaches offer opportunity provide available continuity care regarding individualized pre peri postsurgical stages ehealth expected improve patient engagement selfcare outcomes across surgical pathway aim study evaluate effectiveness ehealth application alley adjuvant intervention tja app provides comprehensive information empower patient hip knee oa prepare accompany tja surgery primary hypothesis pre postoperative adjuvant use ehealth application alley intervention group ig leads improved functional outcome prospective randomized controlled multicenter trial including n 200 patients diagnosed hip n 200 patients knee oa n 200 scheduled tja patients groups randomly assigned one two study arms patients intervention group receive access functions alley app app presents informative eg information osteoarthritis organizational eg information medical rehabilitation emotionalempowerment eg information relationship mood pain content patients evaluate condition functional level means standardized digitally questionnaires patients control group receive functions app assessments performed baseline 10 days 1 months 3 months 6 months 12 months tja primary outcome change baseline measured hip osteoarthritis outcome score knee injury osteoarthritis outcome score 3 months tja statistical analysis ttest independent variables effect size cohens performed separately patients tka tha overall study aims improve understanding benefits ehealth applications treatment elderly patients knee hip arthroplasty approach novel since health care companion combined digital information platform enabling direct continuous feedback patients therapeutic treatment team study investigate effectiveness everyday conditions feasible control whether patients ig read educational information app respectively control group consume additional information sources however increases external validity study significant effects app demonstrated german clinical trials register drks00025608 registered 21 june 2021