. 2017 Oct 12;18(1):413.

doi: 10.1186/s12891-017-1769-9.

A qualitative study of patient education needs for hip and knee replacement

Deborah Kennedy^{1

2

3}, Amy Wainwright^{4

5}, Lucy Pereira⁴, Susan Robarts⁴, Patricia Dickson^{4

6}, Jennifer Christian⁷, Fiona Webster⁸

Affiliations

¹ Sunnybrook Holland Orthopaedic and Arthritic Centre, 43 Wellesley Street East, Toronto, ON, M4Y 1H1, Canada. Deborah.kennedy@sunnybrook.ca.
² School of Rehabilitation Science, McMaster University, 1400 Main St. W, Hamilton, ON, L8S 1C7, Canada. Deborah.kennedy@sunnybrook.ca.
³ Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada. Deborah.kennedy@sunnybrook.ca.
⁴ Sunnybrook Holland Orthopaedic and Arthritic Centre, 43 Wellesley Street East, Toronto, ON, M4Y 1H1, Canada.
⁵ Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
⁶ Department of Occupational Science and Occupational Therapy, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
⁷ Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON, M5S 2S1, Canada.
⁸ Institute of Health Policy Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 3M7, Canada.

PMID: 29025397
PMCID: PMC5639777
DOI: 10.1186/s12891-017-1769-9

A qualitative study of patient education needs for hip and knee replacement

Deborah Kennedy et al. BMC Musculoskelet Disord. 2017.

. 2017 Oct 12;18(1):413.

doi: 10.1186/s12891-017-1769-9.

Authors

Deborah Kennedy^{1

2

3}, Amy Wainwright^{4

5}, Lucy Pereira⁴, Susan Robarts⁴, Patricia Dickson^{4

6}, Jennifer Christian⁷, Fiona Webster⁸

Affiliations

¹ Sunnybrook Holland Orthopaedic and Arthritic Centre, 43 Wellesley Street East, Toronto, ON, M4Y 1H1, Canada. Deborah.kennedy@sunnybrook.ca.
² School of Rehabilitation Science, McMaster University, 1400 Main St. W, Hamilton, ON, L8S 1C7, Canada. Deborah.kennedy@sunnybrook.ca.
³ Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada. Deborah.kennedy@sunnybrook.ca.
⁴ Sunnybrook Holland Orthopaedic and Arthritic Centre, 43 Wellesley Street East, Toronto, ON, M4Y 1H1, Canada.
⁵ Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
⁶ Department of Occupational Science and Occupational Therapy, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
⁷ Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON, M5S 2S1, Canada.
⁸ Institute of Health Policy Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 3M7, Canada.

PMID: 29025397
PMCID: PMC5639777
DOI: 10.1186/s12891-017-1769-9

Abstract

Background: Quality health information is key to patient engagement, self-management and an enhanced healthcare experience. There is strong evidence to support involving patients and their families in the development and evaluation of health-related educational material. These factors were the impetus for our high volume joint replacement centre to undertake a qualitative study to elicit patient experiences to inform the development of effective strategies and education along the care continuum for hip and knee replacement.

Methods: Purposively selected patients from postoperative follow-up clinics were recruited to participate in a focus group or telephone interview. We developed a semi-structured interview guide that addressed four specific aspects of the patient's experience with educational material: pre-surgery, hospital stay, recovery period and future recommendations. The focus groups and interviews continued to the point of saturation and were audio-recorded and transcribed verbatim. Interview transcripts were coded and then inductively organized into larger categories using thematic analysis.

Results: Six focus groups and seven telephone interviews were conducted, totalling 32 participants. One of the key themes that emerged was a need for more education concerning pain management post-operatively; specifically, patients wanted more information on expected levels of pain, pain medication usage, management of side effects and guidelines for weaning off the medication. There was surprising variability in patients' descriptions of their pre-surgery, surgery and recovery experiences. These corresponded to an equally diverse range of preferences for educational content, delivery and timing. Many patients reported using the web while others preferred traditional formats for information delivery. There was some interest in receiving education using mobile technology.

Conclusions: Our findings validate the importance of multi-modal patient education tailored to individual preferences and experiences, which may differ according to such characteristics as gender and age. The gap in pain management information is a critical finding for healthcare providers working with patients undergoing joint replacement. Developing pain management education in different formats that addresses frequently asked questions will enhance patient engagement and, their overall experience and recovery.

Keywords: Education; Hip and knee replacement; Pain management; Patient engagement; Person-centred care.

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Conflict of interest statement

Ethics approval and consent to participate

Ethics approval was obtained from the Sunnybrook Health Sciences Centre Research Ethics Board (REB); REB project identification number 508–2013.

Consent for publication

Consent for publication was contained in the original consent form to participate in the study.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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A qualitative study of patient education needs for hip and knee replacement

Affiliations

A qualitative study of patient education needs for hip and knee replacement

Authors

Affiliations

Abstract

Conflict of interest statement

Ethics approval and consent to participate

Consent for publication

Competing interests

Publisher’s Note

References

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Miscellaneous