A Psycholgical Intervention Delivered by Automated Mobile Phone Messaging Stabilized Hip and Knee Function During the COVID-19 Pandemic: A Randomized Controlled Trial.
A Psycholgical Intervention Delivered by Automated Mobile Phone Messaging Stabilized Hip and Knee Function During the COVID-19 Pandemic: A Randomized Controlled Trial.
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DOI：
10.1016/j.arth.2021.12.006
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Bedard NA
中科院分区：
文献类型：
--
作者：
Anthony CA;Rojas E;Glass N;Keffala V;Noiseux N;Elkins J;Brown TS;Bedard NA
我们进行了一项随机对照试验，以评估通过手机短信机器人向因COVID-19大流行而推迟全髋关节置换术或全膝关节置换术的患者提供接受和承诺治疗（ACT）的有效性。90例因COVID-19大流行而延迟手术的全髋关节置换术或全膝关节置换术患者随机分为ACT组和对照组，ACT组接受14天每天两次的自动手机短信，对照组不接受短信。最小临床重要差异（MCIDs）在干预前和干预后的患者报告的结果措施来评估干预。38%的ACT组参与者在患者报告的结果测量信息系统身体健康方面改善并达到了MCID，而对照组为17.5% （P = 0.038；需要治疗的人数[NNT] 5）。对于关节特异性髋关节残疾和骨关节炎结局评分关节置换术和膝关节残疾和骨关节炎结局评分关节置换术（oos JR）， 24%的ACT组达到了MCID，而对照组为2.5% （P = 0.004; NNT 5）。ACT组患者的kos JR改善率为29%，对照组为4.2% （P = 0.028; NNT 5）。14%的ACT组参与者经历了kos JR的临床重要下降，而对照组为41.7% （P = 0.027; NNT 4）。通过短信机器人提供的心理干预改善了COVID-19大流行期间意外手术延迟的患者的身体功能，并防止了患者报告的结果指标下降。1.
We conducted a randomized controlled trial to evaluate the effectiveness of acceptance and commitment therapy (ACT) delivered via a mobile phone messaging robot to patients who had their total hip arthroplasty or total knee arthroplasty procedures postponed due to the COVID-19 pandemic. Ninety patients scheduled for total hip arthroplasty or total knee arthroplasty who experienced surgical delay due to the COVID-19 pandemic were randomized to the ACT group, receiving 14 days of twice daily automated mobile phone messages, or the control group, who received no messages. Minimal clinically important differences (MCIDs) in preintervention and postintervention patient-reported outcome measures were utilized to evaluate the intervention. Thirty-eight percent of ACT group participants improved and achieved MCID on the Patient-Reported Outcome Measure Information System Physical Health compared to 17.5% in the control group (P = .038; number needed to treat [NNT] 5). For the joint-specific Hip Disability and Osteoarthritis Outcome Score Joint Replacement and Knee Disability and Osteoarthritis Outcome Score Joint Replacement (KOOS JR), 24% of the ACT group achieved MCID compared to 2.5% in the control group (P = .004; NNT 5). An improvement in the KOOS JR was found in 29% of the ACT group compared to 4.2% in the control group (P = .028; NNT 5). Fourteen percent of the ACT group participants experienced a clinical important decline in the KOOS JR compared to 41.7% in the control group (P = .027; NNT 4). A psychological intervention delivered via a text messaging robot improved physical function and prevented decline in patient-reported outcome measures in patients who experienced an unexpected surgical delay during the COVID-19 pandemic. 1.
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