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Table 1 Study measures to be collected

From: RECOVER-E – a mobile app for patients undergoing total knee or hip replacement: study protocol

Measure

Instrument

t0

t1

t2

t3

t4

Primary outcome measure

Activities of daily living (ADL)

KOOS/HOOS subscale ADL (self-reported)

x

   

x

Secondary outcome measures

 Pain, symptoms, Sport & Rec and quality of life

KOOS/HOOS subscales pain, symptoms, Sport & Rec and quality of life (self-reported)

x

   

x

 Pain at rest

NRS (self-reported)

x

x

x

x

x

 Pain during activity

NRS (self-reported)

x

x

x

x

x

 Preoperative anxiety and depression

HADS (self-reported)

x

x

   

Other measures

 Usage metrics

number of user sessions, length of time participants interact with the app, content they engage with, frequency of recording self-monitoring parameters, number of awards

continuous recording

 Physical activity

IPAQ (self-reported)

x

    

 Social support

questionnaire (self-reported)

    

x

 Physician visits post-surgery

questionnaire (self-reported)

    

x

 Use of pain medication

medical record, questionnaire (self-reported)

 

x

x

x

x

 Sex, age

medical record

   

x

 

 BMI (size, weight)

medical record

   

x

 

 Operated joint

medical record

   

x

 

 OPS, ICD

medical record

   

x

 

 Comorbidities

medical record

   

x

 

 Duration of hospital stay

medical record

   

x

 

 Type and duration of planned and performed rehabilitation programme

medical record, questionnaire (self-reported)

   

x

x

 Complications post-surgery

medical record, questionnaire (self-reported)

  

x

x

x

Structural data of hospitals

- Number of beds

- Number of joint replacement surgeries performed over the past 12 months

- Number of nurses in the orthopaedic departments: nurses, nursing assistants, Pain Nurses, full-time equivalent

- Number of physicians in the orthopaedic departments: total number, number of orthopaedic specialists, full-time equivalent

- Process quality management data for the care of patients with THR/TKR (documentation forms and guidelines, interprofessional standard operating procedures for analgesic therapy, pain management guidelines, other pain therapy guidelines, standard operating procedures for patients with THR/TKR, special contracts with other facilities and mandatory health insurance companies for structured patient care)

- Regular cooperation with institutions of inpatient or outpatient rehabilitation

  1. KOOS knee injury and osteoarthritis outcome score, HOOS hip disability and osteoarthritis outcome score, NRS numerical rating scale, HADS Hospital Anxiety and Depression Scale, IPAQ International Physical Activity Questionnaire, BMI body mass index, OPS “Operationen- und Prozedurenschlüssel” (= key for surgery procedures), ICD International Statistical Classification of Diseases and Related Health Problems, THR Total hip replacement, TKR Total knee replacement