期刊
DISABILITY AND REHABILITATION
卷 44, 期 13, 页码 3054-3061出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/09638288.2020.1851782
关键词
Knee osteoarthritis; total knee replacement; patient education; decision making; orthopaedic surgery
资金
- Academic Medical Organization of Southwestern Ontario (AMOSO) Innovation Grant (Ministry of Health and Long-Term Care (MOHLTC), Academic Health Science Centre Alternative Funding Plan (AHSC AFP))
- Academic Medical Organization of Southwestern Ontario (AMOSO) Innovation Grant (Ontario Medical Association (OMA), Academic Health Science Centre Alternative Funding Plan (AHSC AFP))
This study aimed to evaluate the use of educational whiteboard videos for non-operative management and decision making in knee osteoarthritis (OA) patients. The results showed that these videos improved patients' confidence and clarity in making the decision to undergo total knee replacement (TKR) and addressed knowledge gaps in OA management. However, barriers to education uptake were still identified.
Purpose To optimize non-operative management and decision making surrounding TKR we created educational whiteboard videos for patients with knee OA. The purpose of this study was to pilot our educational videos with end-users (patients) to determine patients' experiences and perspectives regarding the content and clarity of videos and to better understand their potential impact on patient's health behaviour. Materials and methods: This was a mixed methods evaluation, using a qualitative descriptive approach, of patients attending their first consultation with an arthroplasty surgeon for TKR. We conducted in-depth semi-structured interviews with patients. Three members of the research team coded data independently, implementing a thematic analysis. Results: Thirteen participants were included. Participants indicated that the videos enhanced their confidence and clarity surrounding their decision to undergo TKR. The videos also addressed several knowledge gaps in their understanding of OA management. Barriers to uptake of the education were identified including limited access to PTs and the challenge of weight loss. Conclusions: The current educational intervention was valued by patients with knee OA. Implementation of these videos may have important implications for patients, providers, and our health care system.
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