A Randomized Controlled Trial of Nurse-Led Telehealth Versus In-Person Consultations in Detecting Complications and Improving Recovery After Total Knee Replacement

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Brief Summary The goal of this clinical trial is to learn if nurse-led telehealth consultations can help detect complications and support recovery after total knee replacement surgery. The study will compare telehealth nursing consultations to traditional in-person nursing visits. The main questions it aims to answer are: * Can nurse-led telehealth detect post-surgery complications as well as or better than in-person consultations? * Does telehealth nursing support better or equivalent recovery outcomes and patient satisfaction compared to in-person care? Participants will: * Be adults who had their first total knee replacement surgery. * Receive follow-up care either through telehealth consultations using the HA Go mobile app or through traditional face-to-face nurse visits in the outpatient clinic. * Attend scheduled consultations and provide information about their recovery and any complications they experience. * Complete surveys about their satisfaction with the care they receive. This study will help determine if telehealth nursing consultations can provide safe, effective, and convenient follow-up care for patients after knee replacement surgery, potentially improving access and reducing travel burdens.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Adults aged 18 years or older

• Undergoing their first total knee replacement surgery

• Within 4 weeks after surgery

• Medically stable for discharge and suitable for home-based follow-up care

• Have access to a smartphone and internet (for telehealth participants)

• Able to communicate effectively in Cantonese

• Provide informed consent to participate in the study

Locations
Other Locations
Hong Kong Special Administrative Region
Tseung Kwan O Hospital
RECRUITING
Hong Kong
Contact Information
Primary
King Sum Wong, ANC, RN, BSN, MScHSM
wks008@ha.org.hk
+852 6385 5831
Time Frame
Start Date: 2025-09-10
Estimated Completion Date: 2026-06-30
Participants
Target number of participants: 98
Treatments
Experimental: Nurse-Led Telehealth Consultation
Participants receive postoperative nursing follow-up via virtual consultations using the HA Go mobile app, a secure, hospital-approved telehealth platform. Nurses monitor recovery, assess for complications, provide education, and manage minor issues remotely. Consultations are scheduled 2 weeks post-surgery, with additional sessions as clinically indicated, lasting approximately 20-30 minutes each. Support is provided to assist patients unfamiliar with the technology. This arm tests the effectiveness of remote nursing care compared to traditional in-person visits.
Active_comparator: Traditional In-Person Nursing Consultation
Participants attend face-to-face postoperative nursing consultations at the Specialist Outpatient Department. Nurses perform physical assessments, monitor recovery progress, detect complications, provide education, and manage minor issues in-person. Follow-up visits are scheduled 2 weeks after surgery, with additional visits as needed. Consultations typically last 20-30 minutes. This arm represents standard care and serves as the active comparator to the telehealth intervention.
Sponsors
Leads: Hospital Authority, Hong Kong

This content was sourced from clinicaltrials.gov