The investigators primary objective is to determine how does participation in StreaMD affect patient reported outcomes after Total Hip Arthroplasty (THA) or Total Knee Arthroplasty (TKA)?
Osteoarthritis is a leading cause of disability in the US. By conservative estimates, about 54 million adults in the US have doctor-diagnosed arthritis. The number of people expected to have arthritis by the year 2040 is more than 78 million. Total joint arthroplasty is considered the treatment of choice for end-stage osteoarthritis. Currently, more than 1 million hip and knee replacements are performed each year in the US. By 2030, primary THR is projected to grow 171% and primary TKR is projected to grow by up to 189%, for a projected 635,000 and 1.28 million procedures, respectively. The incidence of pre-operative psychological distress in this group of patients is reported between 30% and 60% and preoperative psychological distress is associated with poorer pain and functional outcomes after surgery. Resilience, characterized by an ability to bounce back or recover from stress, is increasingly recognized as a psychometric property affecting many outcomes' domains including outcomes after TJA. Better resilience could improve patients overall satisfaction with the procedure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
18
Patients who are randomized to the intervention arm will be signed up for the automated text messaging program. Patients will receive automated text messages related to their surgery during the study period and can also ask questions through the text messages program, where automated messages will be sent based on the questions asked.
University of Utah Orthopaedic Center
Salt Lake City, Utah, United States
Patient Reported Outcome Score (PROMIS) following THA or TKA
Patient reported outcome will consist of the Patient-Reported Outcomes Measurement Information System (PROMIS)
Time frame: Follow Up Visits up to 2-Years
Patient Reported Outcome Score (HOOS Jr.) following THA or TKA
Patient reported outcome will consist of the hip disability and osteoarthritis outcome score (HOOS Jr.)
Time frame: Follow Up Visits up to 2-Years
Patient Reported Outcome Score (KOOS Jr.) following THA or TKA
Patient reported outcome will consist of the knee injury and osteoarthritis outcome score (KOOS Jr.)
Time frame: Follow Up Visits up to 2-Years
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