Groningen orthopaedic exit strategy: Validation of a support program after total hip or knee arthroplasty

Inge van den Akker-Scheek*, Wiebren Zijlstra, Johan W. Groothoff, Jim R. van Horn, Sjoerd K. Bulstra, Martin Stevens

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

15 Citations (Scopus)

Abstract

Objective: Validation of the program theory of the Groningen orthopaedic exit strategy (GOES), a theory-driven program aiming to improve the rehabilitation of total hip and knee arthroplasty patients after shortened hospital stay. First part of the program theory is the action theory, hypothesising that the GOES treatment positively influences the mediating variables (self-efficacy, social support, pain-coping). The second part, the conceptual theory, hypothesis a positive relationship between these variables and the outcome variables (ADL functioning, physical activity behaviour, quality of life).

Methods: Patients were randomly assigned to the GOES or control groups. Questionnaires were used to assess mediating and outcome variables in 103 patients (50 GOES, 53 controls) pre-operatively, and 6 and 26 weeks post-operatively.

Results: No difference was seen between the two groups in terms of changes between pre-operative and post-operative mediating variables (action theory). Moderate-to-large correlations explaining reasonable amount of variance (22%, 25%, 56%) were found between the mediating and outcome variables (conceptual theory).

Conclusion: The conceptual theory is supported; however, as the treatment did not influence the mediating variables (action theory), it has no added value in its current form.

Practice implications: The treatment needs to be adjusted; it is discussed that individualised treatment could be more effective. (c) 2006 Elsevier Ireland Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)171-179
Number of pages9
JournalPatient Education and Counseling
Volume65
Issue number2
DOIs
Publication statusPublished - Feb-2007

Keywords

  • total hip arthroplasty
  • total knee arthroplasty
  • validation
  • support program
  • rehabilitation outcome
  • OSTEOPOROSIS PREVENTION
  • SOCIAL SUPPORT
  • SELF-EFFICACY
  • REHABILITATION
  • SURGERY
  • OSTEOARTHRITIS
  • COMMUNITY
  • DISCHARGE
  • IMPACT
  • INTERVENTIONS

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