Jansson, M., Liedes, H., Vuorinen, A.-L., Harjumaa, M., Similä, H., Koivisto, J., Puhto, A.-P., Vesty, G., He, H.-G., & Pikkarainen, M. (2023). Short-term effects of a digital patient journey solution on patient-reported outcomes and health care utilization in arthroplasty: a pragmatic randomized controlled trial. Finnish Journal of EHealth and EWelfare, 15(3), 305–321. https://doi.org/10.23996/fjhw.124750
Short-term effects of a digital patient journey solution on patient-reported outcomes and health care utilization in arthroplasty : a pragmatic randomized controlled trial
|Author:||Jansson, Miia1,2; Liedes, Hilkka3; Vuorinen, Anna-Leena4;|
1Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland
2Oulu University Hospital, Oulu, Finland
3VTT Technical Research Centre of Finland Ltd, Oulu, Finland
4VTT Technical Research Centre of Finland Ltd, Tampere, Finland
5Faculty of Information Technology and Communica- tion Sciences, Tampere University, Tampere, Finland
6OYS Centre for Musculoskeletal Surgery, Oulu Uni- versity Hospital, Oulu, Finland
7School of Accounting, RMIT University, Melbourne, Australia
8Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
9Department for Rehabilitation Science and Health Technology & Department of Product Design, Oslomet, Oslo Metropolitan University, Norway
10Martti Ahtisaari Institute, University of Oulu, Finland
|Online Access:||PDF Full Text (PDF, 0.4 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe20231013140042
Finnish Social and Health Informatics Association,
|Publish Date:|| 2023-10-13
Mobile health solutions for patient support have been proposed as promising and safe alternatives to usual care in adults undergoing primary total hip and knee arthroplasty. Studies of such applications, however, have produced conflicting results and only moderate- to low-quality evidence.
This study aims to evaluate the short-term effects of a digital patient journey solution on patient-reported outcomes and health care utilization in patients undergoing total hip and knee arthroplasty using a pragmatic randomized controlled trial design. Randomly allocated patients in the control arm (n = 35, 64 ± 9 years) received usual care, while patients in the intervention arm (n = 34, 62 ± 11 years) received the digital patient journey solution in addition to usual care.
The primary outcome was health-related quality of life as measured by the EuroQol EQ-5D-5L scale. Secondary outcomes included functional recovery, pain, self-efficacy, patient experience, adherence to fast-track protocol, and health care utilization. Participants were followed from a preoperative surgical visit until a postoperative follow-up visit at 6–12 weeks.
The health-related quality of life, functional recovery, pain, patient experience, adherence to the fast-track protocol, and health care utilization did not differ between the arms. During the study, however, the self-efficacy to use digital health services (p=0.027) increased in the intervention arm.
The use of the digital patient journey solution was not superior to usual care in terms of patient-reported outcomes and health care utilization. However, the solution improved the self-efficacy of patients to use digital health services, which may lead to greater demand for similar digital offerings as patient become more familiar with mobile health solutions.
Finnish Journal of eHealth and eWelfare
|Pages:||305 - 321|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3141 Health care science
This study was financially supported by Business Finland, for which we are sincerely grateful.
© 2023 Finnish Journal of eHealth and eWelfare. Published under a CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).