A self-efficacy-enhancing intervention for Chinese patients after total hip arthroplasty: study protocol for a randomized controlled trial with 6-month follow-up

Bo Deng; Yumei Chen; Ya Meng; Yiheng Zhang; Xingxian Tan; Xiaohong Zhou; Meifen Zhang

doi:10.1186/s13018-021-02689-8

A self-efficacy-enhancing intervention for Chinese patients after total hip arthroplasty: study protocol for a randomized controlled trial with 6-month follow-up

J Orthop Surg Res. 2022 Jan 4;17(1):1. doi: 10.1186/s13018-021-02689-8.

Authors

Bo Deng^#¹, Yumei Chen^#², Ya Meng³, Yiheng Zhang³, Xingxian Tan⁴, Xiaohong Zhou⁴, Meifen Zhang⁵

Affiliations

¹ Nursing Department, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
² Nursing Department, Foshan Hospital of Traditional Chinese Medicine, Foshan, Guangdong, China.
³ School of Nursing, Sun Yat-sen University, 74, Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, China.
⁴ Department of Orthopedics, Foshan Hospital of Traditional Chinese Medicine, Foshan, Guangdong, China.
⁵ School of Nursing, Sun Yat-sen University, 74, Zhongshan 2nd Rd, Guangzhou, 510080, Guangdong, China. zhmfen@mail.sysu.edu.cn.

^# Contributed equally.

Abstract

Background: Total hip arthroplasty (THA) is a common and effective surgical method for advanced hip arthritis. Rehabilitation exercises are important to improve joint function after THA and are usually conducted in a home-based program. Poor patient adherence limits improvements in pain and function, affecting quality of life. The increasing use of THA in the aging Chinese population underscores the need to develop strategies that maximize functional outcomes. The purpose of this pilot study is to develop and assess the feasibility of a self-efficacy-enhancing intervention (SEEI) to improve exercise adherence in patients undergoing THA.

Methods: This single-blinded, parallel, randomized control trial will recruit 150 patients after THA and randomly assign them to an intervention or control group using computer-generated block randomization. The control group will receive usual care using evidence-based guidelines. The intervention group will receive the 6-month SEEI comprising personalized exercise guidance and self-efficacy education delivered using one face-to-face education session and four telephone consultations, supplemented by written materials. Participants are encouraged to build confidence in their own abilities, set rehabilitation goals, and self-monitor their physical exercise.

Results: Assessments will be conducted at baseline and 1, 3, and 6 months postsurgery. The outcome indicators are exercise adherence, physical function, anxiety and depression, self-efficacy of rehabilitation, joint function, and quality of life.

Conclusions: This study will test a theory-based intervention program to improve self-efficacy in rehabilitation, which may significantly impact out-of-hospital rehabilitation. The results will provide evidence to inform the postoperative recovery of patients undergoing THA or similar procedures.

Trial registration: Chinese Clinical Trials Registry, ChiCTR2000029422 , registered on 31 January 2020.

Keywords: Exercise adherence; Rehabilitation; Self-efficacy; Total hip arthroplasty.

Publication types

Clinical Trial Protocol

MeSH terms

Arthroplasty, Replacement, Hip* / psychology
Arthroplasty, Replacement, Hip* / rehabilitation
China
Exercise Therapy*
Humans
Pilot Projects
Postoperative Period
Quality of Life
Randomized Controlled Trials as Topic
Self Efficacy
Treatment Outcome

Abstract

Publication types

MeSH terms

Grants and funding