An automated text messaging system increases patient engagement with home-based exercise and promotes faster recovery after total knee or hip replacement surgery, reports a study in the January 16, 2019 issue of The Journal of Bone & Joint Surgery.
"The content of the text and video messages reinforced the perioperative instructions and were delivered to patients at the appropriate time based on their recovery progress," the researchers write. Over the six-week period after surgery, patients in the text-message group received about 90 texts.
Patients who received automated texts performed their home exercises an average of 46 minutes per day, compared to 38 minutes in the standard-care group, a significant difference of nine minutes per day. The texted group had greater knee motion at three weeks' follow-up, suggesting faster short-term recovery, but by six weeks, knee motion was similar between groups.
The study provides evidence of improved outcomes when an automated text-message system makes daily contact with patients and provides them with relevant information and encouragement. Advantages include more time doing recommended home exercises, faster recovery of knee motion, and improved patient satisfaction.
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Source: Wolters Kluwer