Total Hip Arthroplasty (THA)NCT07279974
Preoperative Video-Based Education in Total Hip Arthroplasty
A study testing Video-Based Mobilization Education and Standard Verbal Education in people with Total Hip Arthroplasty (THA) and Kinesiophobia, run by Acibadem University at 1 site in Turkey (Türkiye).
Trial summary
This single-center, prospective, randomized controlled trial aims to evaluate the effect of preoperative video-based mobilization education on postoperative fear of movement (kinesiophobia), pain during first mobilization, and early mobilization characteristics in patients undergoing total hip arthroplasty. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Total Hip Arthroplasty (THA), Kinesiophobia, Postoperative Pain
- What is being tested?
- Video-Based Mobilization Education and Standard Verbal Education
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 96 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 Nov 2023to 30 Jul 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 18 years or older
- Able to communicate verbally
- Scheduled for primary total hip arthroplasty
- No major neurological disease
- No major psychiatric disease
- Able to participate in postoperative mobilization
- Provided written informed consent
Who cannot join
- Scheduled for revision total hip arthroplasty
- Comorbidities that prevent safe mobilization (e.g., severe cardiopulmonary limitations, severe balance disorders)
- Severe cognitive impairment affecting comprehension or cooperation
- Any condition preventing participation in the mobilization protocol
- Declining to provide informed consent
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Acibadem Healthcare Group Hospital - Orthopedic Clinic
Istanbul, 34752
About this study
Official title: The Effect of Preoperative Video-Based Education on Fear of Mobilization in Patients Undergoing Total Hip Arthroplasty: A Randomized Controlled Trial
This single-center, prospective, randomized controlled trial aims to evaluate the effect of preoperative video-based mobilization education on postoperative fear of movement (kinesiophobia), pain during first mobilization, and early mobilization characteristics in patients undergoing total hip arthroplasty. Ninety-six participants were randomized to receive either routine verbal education plus video-based education or routine verbal education alone. Postoperative outcomes were assessed using the Tampa Scale of Kinesiophobia (TSK), Numerical Pain Rating Scale (NPRS), and standardized mobilization observation forms.
Read the detailed description
Total hip arthroplasty (THA) is a common orthopedic procedure in which early postoperative mobilization plays a key role in preventing complications, reducing pain, and accelerating functional recovery. However, fear of movement (kinesiophobia), insufficient preoperative preparation, and uncertainty regarding mobility expectations may negatively affect patients' early rehabilitation performance. Providing structured, standardized education before surgery has been shown to improve postoperative participation and enhance patient confidence, yet the most effective format of such education remains unclear.
This randomized controlled trial was designed to evaluate the impact of a preoperative video-based mobilization education program on postoperative kinesiophobia, pain during the first mobilization, and early mobilization characteristics among patients undergoing primary THA. A total of 96 participants were randomly assigned to an intervention group or a control group using a simple randomization method. Both groups received routine preoperative verbal education, while the intervention group additionally viewed a structured mobilization training video developed by a multidisciplinary team of orthopedic surgeons, physiatrists, physiotherapists, and orthopedic nurses.
The educational video included demonstrations of bed exercises, safe ambulation techniques with assistive devices, chair transfer mechanics, toilet use, stair negotiation, and postoperative precautions. All postoperative outcomes were measured on the first postoperative day following each patient's initial mobilization session. Kinesiophobia was assessed using the Tampa Scale of Kinesiophobia (TSK); pain intensity was measured using the Numerical Pain Rating Scale (NPRS) immediately before and after the first mobilization; and mobilization characteristics (duration, number of steps, activity level, and level of assistance required) were recorded using a standardized observation form.
The aim of the study was to determine whether video-based preoperative education provides measurable benefits compared with routine verbal instruction alone. By focusing on both psychological (kinesiophobia) and physical (pain and mobilization performance) outcomes, this trial seeks to contribute new evidence to the field of musculoskeletal rehabilitation and to support more effective perioperative education strategies in THA care. No adverse events related to the intervention were reported.
- Conditions
- Total Hip Arthroplasty (THA), Kinesiophobia, Postoperative Pain, Early Mobilization, Hip Osteoarthritis, Musculoskeletal Rehabilitation
- Being tested
- Video-Based Mobilization Education, Standard Verbal Education
- Keywords
- Total Hip Arthroplasty, Kinesiophobia, Fear of Movement, Preoperative Education, Video-Based Training, Mobilization, Postoperative Pain, Rehabilitation Nursing, Orthopedic Surgery, Early Mobilization
- Medical subject headings
- Kinesiophobia, Pain, Postoperative, Osteoarthritis, Hip
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Video-Based Mobilization EducationBehavioural
A structured preoperative video-based mobilization training including demonstrations of bed exercises, mobilization with assistive devices, chair transfer, toilet use, stair negotiation, and postoperative precautions.
Standard Verbal EducationBehavioural
Routine preoperative verbal instruction provided by ward nurses.
| Study group | Role | What they receive |
|---|---|---|
| Intervention Group | Experimental | Participants in this arm receive routine preoperative verbal education plus a structured video-based mobilization training. The video includes demonstrations of bed exercises, mobilization with assistive devices, chair transfer techniques, toilet use, stair negotiation, and postoperative precautions. Receives: Behavioral: Video-Based Mobilization Education |
| Control Group | Active comparator | Participants in this arm receive only routine preoperative verbal education provided by ward nurses. No video-based training is given. Receives: Behavioral: Standard Verbal Education |
What is being measured
The primary outcome is the main question the study is designed to answer.
Kinesiophobia (TSK Score)
Kinesiophobia will be measured using the Tampa Scale of Kinesiophobia (TSK), a 17-item scale scored on a 4-point Likert system (1-4). Total scores range from 17 to 68, with higher scores indicating greater fear of movement. The Turkish validated version will be used.
Measured: First postoperative day, after first mobilization
Secondary outcomes (6)
Pain Intensity Before First Mobilization
Pain intensity will be assessed using the Numerical Pain Rating Scale (NPRS), in which patients rate their pain on a scale from 1 to 10. Higher scores represent greater pain intensity.
Measured: Immediately before first mobilization
Pain Intensity After First Mobilization
Pain intensity will be assessed using the Numerical Pain Rating Scale (NPRS), recorded on a scale from 1 to 10, where higher scores indicate more severe pain.
Measured: Immediately after first mobilization
Mobilization Duration
The total duration (in minutes) of the patient's first mobilization session will be recorded by the researcher using a standardized observation form.
Measured: First postoperative day
Number of Steps During First Mobilization
The number of steps taken during the first mobilization session will be counted using the standardized mobilization observation form.
Measured: First postoperative day
Activity Level During First Mobilization
Activity level will be evaluated using the standardized mobilization observation form, which records walking distance, device use, and functional quality of ambulation.
Measured: First postoperative day
Level of Assistance Required During First Mobilization
The required level of assistance (independent, minimal assistance, moderate assistance, or full assistance) will be assessed during the first mobilization session using a standardized observation form.
Measured: First postoperative day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Dec 2025
- Study start15 Nov 2023
- Primary completion30 Jul 2024
- Study completion30 Jul 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Total Hip Arthroplasty (THA)Studies of the same condition, open and under way.
- More trials run by Acibadem UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This study uses a parallel assignment design in which participants are randomly allocated to either an intervention group receiving preoperative video-based mobilization education or a control group receiving standard verbal education. Both groups are followed concurrently, and no crossover occurs between groups. Outcomes are assessed on the first postoperative day.
- Masking
- None (open label)
- Enrolment
- 96 participants (actual)
Sponsor and investigators
- Lead sponsor
- Acibadem University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Nermin Ocaktan, Acibadem University
- Investigators
- Nermin Ocaktan, Principal investigator, Acibadem University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07279974
- Sponsor's protocol ID
- 2022-17-46
- Status last verified
- Dec 2025
- First submitted
- 1 Dec 2025
- Last updated
- 12 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The individual participant data (IPD) will not be shared because the study does not include a data sharing provision in the ethics approval and the collected data contain potentially identifiable clinical information.
Study at a glance
From the registry record, last updated by the sponsor on 12 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Preoperative Video-Based Education on Fear of Mobilization in Patients Undergoing Total Hip Arthroplasty: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07279974
- Acronym / sponsor ID
- 2022-17-46
- Conditions
- Total Hip Arthroplasty (THA), Kinesiophobia, Postoperative Pain, Early Mobilization, Hip Osteoarthritis, Musculoskeletal Rehabilitation
- Keywords
- Total Hip Arthroplasty, Kinesiophobia, Fear of Movement, Preoperative Education, Video-Based Training, Mobilization, Postoperative Pain, Rehabilitation Nursing
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 96 participants (actual)
- Lead sponsor
- Acibadem UniversityUniversity, hospital or other
- Study start
- 15 Nov 2023 (actual)
- Primary completion
- 30 Jul 2024 (actual)
- Study completion
- 30 Jul 2024 (actual)
- First posted
- 12 Dec 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This single-center, prospective, randomized controlled trial aims to evaluate the effect of preoperative video-based mobilization education on postoperative fear of movement (kinesiophobia), pain during first mobilization, and early mobilization characteristics in patients undergoing total hip arthroplasty. Ninety-six participants were randomized to receive either routine verbal education plus video-based education or routine verbal education alone. Postoperative outcomes were assessed using the Tampa Scale of Kinesiophobia (TSK), Numerical Pain Rating Scale (NPRS), and standardized mobilization observation forms.
Detailed description
Total hip arthroplasty (THA) is a common orthopedic procedure in which early postoperative mobilization plays a key role in preventing complications, reducing pain, and accelerating functional recovery. However, fear of movement (kinesiophobia), insufficient preoperative preparation, and uncertainty regarding mobility expectations may negatively affect patients' early rehabilitation performance. Providing structured, standardized education before surgery has been shown to improve postoperative participation and enhance patient confidence, yet the most effective format of such education remains unclear.
This randomized controlled trial was designed to evaluate the impact of a preoperative video-based mobilization education program on postoperative kinesiophobia, pain during the first mobilization, and early mobilization characteristics among patients undergoing primary THA. A total of 96 participants were randomly assigned to an intervention group or a control group using a simple randomization method. Both groups received routine preoperative verbal education, while the intervention group additionally viewed a structured mobilization training video developed by a multidisciplinary team of orthopedic surgeons, physiatrists, physiotherapists, and orthopedic nurses.
The educational video included demonstrations of bed exercises, safe ambulation techniques with assistive devices, chair transfer mechanics, toilet use, stair negotiation, and postoperative precautions. All postoperative outcomes were measured on the first postoperative day following each patient's initial mobilization session. Kinesiophobia was assessed using the Tampa Scale of Kinesiophobia (TSK); pain intensity was measured using the Numerical Pain Rating Scale (NPRS) immediately before and after the first mobilization; and mobilization characteristics (duration, number of steps, activity level, and level of assistance required) were recorded using a standardized observation form.
The aim of the study was to determine whether video-based preoperative education provides measurable benefits compared with routine verbal instruction alone. By focusing on both psychological (kinesiophobia) and physical (pain and mobilization performance) outcomes, this trial seeks to contribute new evidence to the field of musculoskeletal rehabilitation and to support more effective perioperative education strategies in THA care. No adverse events related to the intervention were reported.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- This study uses a parallel assignment design in which participants are randomly allocated to either an intervention group receiving preoperative video-based mobilization education or a control group receiving standard verbal education. Both groups are followed concurrently, and no crossover occurs between groups. Outcomes are assessed on the first postoperative day.
| Arm | Type | Receives |
|---|---|---|
| Intervention Group | Experimental | Behavioral: Video-Based Mobilization EducationParticipants in this arm receive routine preoperative verbal education plus a structured video-based mobilization training. The video includes demonstrations of bed exercises, mobilization with assistive devices, chair transfer techniques, toilet use, stair negotiation, and postoperative precautions. |
| Control Group | Active comparator | Behavioral: Standard Verbal EducationParticipants in this arm receive only routine preoperative verbal education provided by ward nurses. No video-based training is given. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Age 18 years or older
- Able to communicate verbally
- Scheduled for primary total hip arthroplasty
- No major neurological disease
- No major psychiatric disease
Key exclusion criteria (5 listed)
- Scheduled for revision total hip arthroplasty
- Comorbidities that prevent safe mobilization (e.g., severe cardiopulmonary limitations, severe balance disorders)
- Severe cognitive impairment affecting comprehension or cooperation
- Any condition preventing participation in the mobilization protocol
- Declining to provide informed consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Video-Based Mobilization EducationA structured preoperative video-based mobilization training including demonstrations of bed exercises, mobilization with assistive devices, chair transfer, toilet use, stair negotiation, and postoperative precautions. | Behavioural | Intervention Group |
| Standard Verbal EducationRoutine preoperative verbal instruction provided by ward nurses. | Behavioural | Control Group |
Primary outcome
Kinesiophobia (TSK Score)
Time frame: First postoperative day, after first mobilization
Kinesiophobia will be measured using the Tampa Scale of Kinesiophobia (TSK), a 17-item scale scored on a 4-point Likert system (1-4). Total scores range from 17 to 68, with higher scores indicating greater fear of movement. The Turkish validated version will be used.
6 secondary outcomes
Pain Intensity Before First Mobilization
Time frame: Immediately before first mobilization
Pain Intensity After First Mobilization
Time frame: Immediately after first mobilization
Mobilization Duration
Time frame: First postoperative day
Number of Steps During First Mobilization
Time frame: First postoperative day
Activity Level During First Mobilization
Time frame: First postoperative day
Level of Assistance Required During First Mobilization
Time frame: First postoperative day
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Dec 2025.
- Individual participant dataSharing planned: No. The individual participant data (IPD) will not be shared because the study does not include a data sharing provision in the ethics approval and the collected data contain potentially identifiable clinical information.
Related trials for Total Hip Arthroplasty (THA)
RecruitingPhase 4
PENG vs L-ESPB With S-ESPB for Analgesia in Total Hip Arthroplasty
Hip Osteoarthritis, Hip Arthropathy
Not yet recruiting
Effects of Combined Pericapsular Nerve Group (PENG) and Lateral Femoral Cutaneous Nerve (LFCN) Blocks on Anaesthetic Requirements and Electroencephalographic Depth of Anaesthesia During Total Hip Arthroplasty
Total Hip Arthroplasty (THA)
Recruiting
EMPHASYS Cup Positioning in THA With Non-Invasive Navigation (Velys Hip Navigation (VHN))
Osteoarthritis, Traumatic Arthritis
Enrolling by invitationPhase 2
Efficacy of Intravenous Oxytocin to Speed Recovery After THA
Total Hip Arthroplasty
Enrolling by invitationPhase 3
A Clinical Trial Evaluating the Efficacy and Safety of Local Infiltration of RF16001 for Injection for Analgesia After Total Hip Arthroplasty in China
Pain After Abdominal Surgery
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nermin Ocaktan principal investigator
Acibadem University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Video-Based Mobilization Education and Standard Verbal Education in people with Total Hip Arthroplasty (THA) and Kinesiophobia, run by Acibadem University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Kinesiophobia (TSK Score) (time frame: First postoperative day, after first mobilization). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Dec 2025.