Anderson, A.M. orcid.org/0000-0002-4048-6880, McHugh, G.A., Comer, C. et al. (4 more authors) (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. ISSN 1369-6513
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.
Patient or Public Contribution
Patient and Public Involvement (PPI) was central throughout the project. For example, PPI representatives contributed to the project planning, were valued members of the Project Advisory Group, had key roles in developing the VKS prototype and helped disseminate the project findings.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2023 The Authors. Health Expectations published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium,provided the original work is properly cited. |
Keywords: | digital intervention, intervention development, mixed methods, prehabilitation, pre‐operative education, total knee replacement |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Primary Care (Leeds) |
Funding Information: | Funder Grant number NIHR National Inst Health Research ICA-CDRF-2018-04-ST2-006 |
Depositing User: | Symplectic Publications |
Date Deposited: | 09 Oct 2023 13:01 |
Last Modified: | 19 Nov 2024 13:49 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/hex.13855 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:202380 |