The purpose of this study is to explore the clinical impact of pain management education using a mobile web-based education delivery system compared to standard education delivery. This study seeks to understand the difference between two different education delivery methodologies and the effect on the postoperative pain experience, including participation in treatment plan, knowledge, pain outcomes, and opioid requirements in patients undergoing major hip (THA) and knee (TKA) arthroplasty. It is hypothesized that a real-time, interactive, mobile education system will demonstrate improved pain associated outcomes and higher patient participation when compared to the current standard education delivery method.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
133
Patients will be provided with an iPad on admission to the post-surgical unit and will remain with the patient until discharge. The patient, independently or with the nurse, may use the program at any point during the inpatient care experience. The RN will use the iPad to engage patients in their pain management.
Patients will be provided with two pamphlets on pain management on admission to the post-surgical unit. Nurses will follow-up with verbal instruction based on patient need. This will continue through hospital stay. Additional printed education materials are available through the department of patient education and verbal instruction may be tailored based on nursing assessment and patient need.
Mayo Clinic in Rochester
Rochester, Minnesota, United States
Difference in self-reported pain scores
Scores are measured using a 10 point (Lickert) pain rating scale. The scale ranges from 0 to 10 with the lower score indicating less pain and the higher score indicating greater pain.
Time frame: Post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery)
Change in pain management knowledge
Scores are measured using a modified Patient Pain Questionnaire; 9 knowledge based questions use a ten-point (0-10) ordinal scale to assess patients' agreement or disagreement with specific statements. All items have been formatted so that zero indicates the most positive outcome and a ten indicates the most negative outcome.
Time frame: Pre-intervention (between 1 and 5 days before surgical procedure) and post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery)
Difference in self-reported participation in pain management
Scores are measured using a 10 point Lickert scale measuring patients perception of participation in pain management/treatment decisions. The scale ranges from 0 to 10 with the lower score indicating less perceived participation and the higher score indicating greater perceived participation.
Time frame: Post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery)
Difference in post-operative opioid requirements
Total opioid requirements, converted to morphine milligram equivalents
Time frame: Post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery)
Difference in usefulness of education
Scores are measured using a 10 point Lickert rating scale. The scale ranges from 0 to 10 with the lower score indicating lower perceived usefulness and the higher score indicating greater perceived usefulness.
Time frame: Post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery)
Difference in use of non-pharmacologic pain modalities
Results are tabulated for a descriptive selection list for patients to report what interventions were used.
Time frame: Post-intervention, at the time of discharge from the hospital (between 1 and 5 days post-surgery)
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