About this trial
Background: Mobile health (mHealth) - the use of medical applications in healthcare settings - include tools that can support self-management after surgery and thereby contribute to early postoperative recovery. Providing patients with timely and interactive information through mHealth is hypothesized to positively influence recovery after reverse shoulder arthroplasty (RSA).
Aim: The aim of this study is to determine the effectiveness of interactive and personalized information and rehabilitation protocol with a mobile application compared to generic information and generic rehabilitation protocol (standard care) on postoperative recovery in patients undergoing primary RSA.
Methods and analysis: A multicentre randomised controlled trial will be conducted in two Dutch hospitals. In total 170 patients undergoing elective, primary RSA will be included. Participants will be randomly allocated to one of the two groups on a 1:1 ratio. The intervention group will receive interactive postoperative information on a daily basis. The control group will receive standard care. The primary outcome is defined as functional recovery measured using the Oxford Shoulder Score (OSS) at 6 weeks. Secondary outcomes are: pain, physical functioning, quality of life, length of stay, complications, treatment satisfaction and app use. The between group difference will be analysed using linear mixed-effects regression.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
adults undergoing elective reverse shoulder arthroplasty
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
interactive mHealth application for patients undergoing RSA
Other interventionPatients will receive interactive information via an mHealth application tailored to their needs and progress during the rehabilitation period after RSA.
Treatment groups
Trial outcomes
Primary outcomes
Postoperative shoulder functioning
Shoulder functioning measured with the Oxford Shoulder Score
Secondary outcomes
Shoulder pain
Shoulder pain measured using the Numeric Rating Scale
Shoulder disability
shoulder disability measured using the Disability of the Arm, Shoulder and Hand
Range of Motion of the Shoulder
Range of Motion of the Shoulder measured with the goniometer
Satisfaction with the Application
Satisfaction with the Application measured with a five-point likert scale
Sponsors and contacts
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VieCuri Medical Centre
Lead sponsor
St. Anna Ziekenhuis, Geldrop, Netherlands
Collaborator