Stretching, strengthening, and other rehab-specific exercises counted toward their home-based exercises, while walking was excluded.
| Group | Value | 95% CI |
|---|---|---|
| Text Messaging (SMS) Bot | 46.4 | ± 17.4 |
| Routine Perioperative Instructions | 37.7 | ± 16.3 |
Last reviewed · How we verify
Novel Text-Messaging Bot in Patients Undergoing Joint Arthroplasty
NA trial testing Automated Text Messaging (SMS) Bot (intervention group) in Osteoarthritis, Knee in 159 participants. Completed in 1 October 2017.
| Lead sponsor | Rush University Medical Center |
|---|---|
| Phase | NA |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 159 |
| Start date | 21 November 2016 |
| Primary completion | 1 August 2017 |
| Estimated completion | 1 October 2017 |
Rush University Medical Center
18 and older, any sex, with Osteoarthritis, Knee or Osteoarthritis, Hip. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Stretching, strengthening, and other rehab-specific exercises counted toward their home-based exercises, while walking was excluded.
| Group | Value | 95% CI |
|---|---|---|
| Text Messaging (SMS) Bot | 46.4 | ± 17.4 |
| Routine Perioperative Instructions | 37.7 | ± 16.3 |
Degrees of flexion and extension of the operative knee will be measured at 6 weeks after surgery.
| Group | Value | 95% CI |
|---|---|---|
| Text Messaging (SMS) Bot | 111.9 | ± 13.3 |
| Routine Perioperative Instructions | 108.0 | ± 12.8 |
Medications designated as "narcotics" included any medications that contained: hydrocodone, oxycodone, codeine, morphine, or tramadol. Patients were instructed to record their responses during the same two-hour window each day in a daily diary.
| Group | Value | 95% CI |
|---|---|---|
| Text Messaging (SMS) Bot | 22.5 | ± 13.4 |
| Routine Perioperative Instructions | 32.4 | ± 11.8 |
VAS mood scores were collected from patients on the standard ten-point validated scale. If a patient circled two adjacent numbers on their daily diary, an average of the two numbers were assigned for that day. Minimum score 0. Maximum score 10. Higher score is worse outcome (more pain).
| Group | Value | 95% CI |
|---|---|---|
| Text Messaging (SMS) Bot | 7.5 | ± 1.8 |
| Routine Perioperative Instructions | 6.5 | ± 1.7 |
The number of patient calls to their physicians office were tracked and recorded.
| Group | Value | 95% CI |
|---|---|---|
| Text Messaging (SMS) Bot | 0.6 | ± 0.8 |
| Routine Perioperative Instructions | 2.6 | ± 3.4 |
Patients were asked to fill out a satisfaction survey six weeks after surgery
| Group | Value | 95% CI |
|---|---|---|
| Text Messaging (SMS) Bot | 69 | |
| Routine Perioperative Instructions | 38 |
The number of visits to the ED were tracked and recorded.
| Group | Value | 95% CI |
|---|---|---|
| Text Messaging (SMS) Bot | 0 | |
| Routine Perioperative Instructions | 4 |
Time frame: 6 weeks.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Text Messaging (SMS) Bot | Routine Perioperative Inst… |
|---|---|---|---|
| Presentation to the Emergency Department | Musculoskeletal and connective tissue disorders | — | — |
Most-reported serious reactions: Presentation to the Emergency Department.
Data from ClinicalTrials.gov NCT03388502 adverse events section.
This study evaluates the addition of an automated physician-specific text-messaging (SMS) bot in patients undergoing total joint arthroplasty. Half of the patients received the traditional perioperative education and instructions (control group), while the other half were enrolled in their physician's SMS bot (intervention group).
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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