University of Oulu

Jansson, M., Vuorinen, A., Harjumaa, M., Similä, H., Koivisto, J., Puhto, A., Vesty, G., & Pikkarainen, M. (2020). The digital patient journey solution for patients undergoing elective hip and knee arthroplasty: Protocol for a pragmatic randomized controlled trial. Journal of Advanced Nursing, 76(6), 1436–1448.

The digital patient journey solution for patients undergoing elective hip and knee arthroplasty : protocol for a pragmatic randomized controlled trial

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Author: Jansson, Miia1,2; Vuorinen, Anna‐Leena3; Harjumaa, Marja4;
Organizations: 1Research Group of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland
2Oulu University Hospital, Oulu, Finland
3VTT Technical Research Centre of Finland, Tampere, Finland
4VTT Technical Research Centre of Finland, Oulu, Finland
5Faculty of Information Technology and Communication Sciences, Tampere University, Tampere, Finland
6Division of Operative Care, Department of Orthopaedic and Trauma Surgery, Oulu University Hospital, Oulu, Finland
7School of Accounting, RMIT University, Melbourne, Australia
8Martti Ahtisaari Institute, Oulu Business School, Oulu University, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.8 MB)
Persistent link:
Language: English
Published: John Wiley & Sons, 2020
Publish Date: 2020-05-27


Aim: To describe a randomized controlled trial (RCT) protocol that will evaluate the effectiveness of a digital patient journey (DPJ) solution in improving the outcomes of patients undergoing total hip and knee arthroplasty.

Background: There is an urgent need for novel technologies to ensure sustainability, improve patient experience, and empower patients in their own care by providing information, support, and control.

Design: A pragmatic RCT with two parallel arms.

Methods: The participants randomized assigned to the intervention arm (N = 33) will receive access to the DPJ solution. The participants in the control arm (N = 33) will receive conventional care, which is provided face to face by using paper‐based methods. The group allocations will be blinded from the study nurse during the recruitment and baseline measures, as well as from the outcome assessors. Patients with total hip arthroplasty will be followed up for 8–12 weeks, whereas patients with total knee arthroplasty will be followed up for 6–8 weeks. The primary outcome is health‐related quality of life, measured by the EuroQol EQ‐5D‐5L scale. Secondary outcomes include functional recovery, pain, patient experience, and self‐efficacy. The first results are expected to be submitted for publication in 2020.

Impact: This study will provide information on the health effects and cost benefits of using the DPJ solution to support a patient’s preparation for surgery and postdischarge surgical care. If the DPJ solution is found to be effective, its implementation into clinical practice could lead to further improvements in patient outcomes. If the DPJ solution is found to be cost effective for the hospital, it could be used to improve hospital resource efficiency.

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Series: Journal of advanced nursing
ISSN: 0309-2402
ISSN-E: 1365-2648
ISSN-L: 0309-2402
Volume: 76
Issue: 6
Pages: 1436 - 1448
DOI: 10.1111/jan.14343
Type of Publication: A1 Journal article – refereed
Field of Science: 3121 General medicine, internal medicine and other clinical medicine
Funding: This study was financially supported by Business Finland – the support is gratefully acknowledged.
Copyright information: © 2020 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.