The goal of this observational study is to define digital remote monitoring measures for functional status (activities of daily living) in patients receiving total hip replacement. Functional status will be collected using a study iPhone and two wearable wrist monitors.
Approximately 25 participants will be enrolled in this study. The study consists of a 1-week Screening period, a 1-week Baseline period, up to 6-week assessment period (post-surgery), and an end of participation (EOP) visit. With the exception of in clinic visits at the beginning and end of study, this observational study will leverage fully remote data capture. The categories of functional status and corresponding measures captured in this study include: 1. Physical activity and mobility, with outcome measures including hourly and daily step count, gait speed, and metabolic equivalent of task. 2. Vital signs, with outcome measures including heart rate, heart rate variability and blood pressure. 3. Sleep concept, with outcome measures including sleep duration, sleep quality, sleepiness and sleep timing. 4. HRQoL captured using validated instruments and diaries via electronic patient reported outcomes (ePRO) platforms, assessing aspects of health that are meaningful to individual's hip replacement such as disease- and treatment-related symptoms and the impact their physical health may have on activities of daily living, their work life, and socializing.
Study Type
OBSERVATIONAL
Enrollment
24
Premier Medical Associates
The Villages, Florida, United States
Overall Hip Assessment - In Clinic
Harris Hip Score
Time frame: Baseline Day 1 through Day 42 End of Participation
Mobile Vital Signs via Mobile Blood Pressure Cuff
Orthostatic blood pressure
Time frame: Baseline Day 1 through Day 42 End of Participation
Daily Measurements via Wrist-worn Device
Heart rate variability, body temperature, step count, blood oxygen saturation
Time frame: Baseline Day 1 through Day 42 End of Participation
Objective Measures of Sleep via Wrist-worn Device
Sleep staging measured by a combination of heart rate variability + actigraphy + blood oxygen saturation and vital signs during sleep
Time frame: Baseline Day 1 through Day 42 End of Participation
Motor Function Assessments via Koneksa Application
Gait (20 second walk test)
Time frame: Baseline Day 1 through Day 42 End of Participation
Participant Diary via Koneksa Application
Pain level likert scale, pain medication use, walking aid use
Time frame: Baseline Day 1 through Day 42 End of Participation
Sleep Electronic Patient Reported Outcomes
Sleep Diary and Stanford Sleepiness Scale
Time frame: Baseline Day 1 through Day 42 End of Participation
Quality of Life Patient Reported Questionnaire Scores
Instrumental Activities of Daily Living Scale, PHQ-9 for Depression Score, Functional Assessment of Chronic Illness Therapy - Fatigue (PROMIS SF v1.0 Fatigue 13a) Score, Brief Pain Inventory Short Form for Pain Score
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Baseline Day 1 through Day 42 End of Participation
Additional Questionnaire via Koneksa Platform
Usability for devices and app-based study-specific assessments questionnaire, questionnaires for site clinical care team likelihood to recommend all devices used, and app-based assessments, questionnaires for understanding of tasks and assessment of meaningfulness, participant and/or caregiver likelihood to recommend, ease of use and satisfaction
Time frame: Baseline Day 1 through Day 365 End of Participation
Clinician Reported Adverse Events
Clinical event defined as event requiring medical intervention from call to doctor or emergency room services (such as fall)
Time frame: Baseline Day 1 through Day 365 End of Participation