A Psycholgical Intervention Delivered by Automated Mobile Phone Messaging Stabilized Hip and Knee Function During the COVID-19 Pandemic: A Randomized Controlled Trial

Chris A. Anthony; Edward Rojas; Natalie Glass; Valerie Keffala; Nicholas Noiseux; Jacob Elkins; Timothy S. Brown; Nicholas A. Bedard

doi:10.1016/j.arth.2021.12.006

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A Psycholgical Intervention Delivered by Automated Mobile Phone Messaging Stabilized Hip and Knee Function During the COVID-19 Pandemic: A Randomized Controlled Trial

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A Psycholgical Intervention Delivered by Automated Mobile Phone Messaging Stabilized Hip and Knee Function During the COVID-19 Pandemic: A Randomized Controlled Trial

Chris A. Anthony, Edward Rojas, Natalie Glass, Valerie Keffala, Nicholas Noiseux, Jacob Elkins, Timothy S. Brown and Nicholas A. Bedard

The Journal of arthroplasty, Vol.37(3), pp.431-437.e3

03/2022

DOI: 10.1016/j.arth.2021.12.006

PMCID: PMC8665663

PMID: 34906660

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Abstract

We conducted a randomized controlled trial to evaluate the effectiveness of acceptance and commitment therapy (ACT) delivered via a mobile phone messaging robot to patients who had their total hip arthroplasty or total knee arthroplasty procedures postponed due to the COVID-19 pandemic. Ninety patients scheduled for total hip arthroplasty or total knee arthroplasty who experienced surgical delay due to the COVID-19 pandemic were randomized to the ACT group, receiving 14 days of twice daily automated mobile phone messages, or the control group, who received no messages. Minimal clinically important differences (MCIDs) in preintervention and postintervention patient-reported outcome measures were utilized to evaluate the intervention. Thirty-eight percent of ACT group participants improved and achieved MCID on the Patient-Reported Outcome Measure Information System Physical Health compared to 17.5% in the control group (P = .038; number needed to treat [NNT] 5). For the joint-specific Hip Disability and Osteoarthritis Outcome Score Joint Replacement and Knee Disability and Osteoarthritis Outcome Score Joint Replacement (KOOS JR), 24% of the ACT group achieved MCID compared to 2.5% in the control group (P = .004; NNT 5). An improvement in the KOOS JR was found in 29% of the ACT group compared to 4.2% in the control group (P = .028; NNT 5). Fourteen percent of the ACT group participants experienced a clinical important decline in the KOOS JR compared to 41.7% in the control group (P = .027; NNT 4). A psychological intervention delivered via a text messaging robot improved physical function and prevented decline in patient-reported outcome measures in patients who experienced an unexpected surgical delay during the COVID-19 pandemic. 1.

COVID-19

hip arthritis

telemedicine

text messaging

Thailand

TKA

Details

Title: Subtitle: A Psycholgical Intervention Delivered by Automated Mobile Phone Messaging Stabilized Hip and Knee Function During the COVID-19 Pandemic: A Randomized Controlled Trial
Creators: Chris A. Anthony - University of Pennsylvania
Edward Rojas - University of Iowa
Natalie Glass - University of Iowa
Valerie Keffala - University of Iowa
Nicholas Noiseux - University of Iowa
Jacob Elkins - University of Iowa
Timothy S. Brown - University of Iowa
Nicholas A. Bedard - University of Iowa
Resource Type: Journal article
Publication Details: The Journal of arthroplasty, Vol.37(3), pp.431-437.e3
DOI: 10.1016/j.arth.2021.12.006
PMID: 34906660
PMCID: PMC8665663
NLM abbreviation: J Arthroplasty
ISSN: 0883-5403
eISSN: 1532-8406
Publisher: Elsevier Inc
Language: English
Date published: 03/2022
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation; Psychological and Quantitative Foundations
Record Identifier: 9984304686402771

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