MULTIMEDIA EDUCATION FOR JOINT REPLACEMENT PATIENTS

在该SBIR研究项目的第一阶段，修订证明了 有能力设计、拍摄、制作和试行研究 全髋关节置换术的定制化教育和练习录像带 (THA)患者。包含41个运动和教育部分的图书馆 用英语和西班牙语讲述的是与软件一起构建的 允许医生根据每个患者的需要定制磁带。 在一项初步研究中，对定制的类型进行了19个THA的评估 病人。研究发现，磁带患者有更好的理解或 术前家庭准备策略，更频繁地锻炼，并 平均住院时间较短。尽管样本量是 由于规模太小，无法推广，这一趋势令人鼓舞，值得 进一步研究。 在第二阶段，RVision将制作一个全面的库 可定制的视频练习和教育片段，适用于THA和 膝关节(TKA)患者。我们会进一步改善 用于预览数据段和定制磁带的软件 医生的处方。第二阶段将以随机化的 对500例TA人工全膝关节置换术患者的疗效评价 定制的磁带。结果变量包括遵守 运动处方、发挥功能的时间和护理成本。 拟议的商业应用：超过300万美国人接受 每年都会进行关节置换手术。几乎所有人都参加了预赛和 术后康复和教育计划，并可能 受益于个性化的教学录像带。临床医生 谁开出了这些康复和教育计划的处方 患者群体代表了该技术的主要市场 在本申请中提出的。

In Phase I of this SBIR research project, Revision demonstrated the ability to design, film, produce and pilot study the effectiveness of customized education and exercise videotapes for total hip arthroplasty (THA) patients. A library of 41 exercise and education segments narrated in both English and Spanish was built along with software to allow physicians to customize tapes for each patient's needs. In a pilot study, the customized types were evaluated with 19 THA patients. The study found tape patients had greater understanding or pre-op home preparation strategies, exercised more frequently, and had a shorter average length of hospital stay. Although the sample size is too small for generizability, the trend is encouraging and worthy of further study. In Phase II, Rvision will produce a comprehensive library of customizable video exercise and education segments for both THA and TKA (knee) patients. Additional refinements will be made to the software used for previewing segments and customization of tapes to the physicians' prescriptions. Phase II will conclude with a randomized trial of 500 TA ad TKA patients to assess the effectiveness of the customized tapes. Outcome variables include compliance with the exercise prescription, time to functionality, and cost of care. PROPOSED COMMERCIAL APPLICATION: Over 3000,000 Americans undergo joint replacement surgery each year. Nearly all participate in pre- and post-operative rehabilitation and education programs, and would likely benefit from an individualized instructional videotape. The clinicians who prescribe these rehabilitation and education programs to this patient group represent the primary market for the technology proposed in this application.