Total Knee AnthroplastyNCT07694895
"The Effect of AI-Assisted Mobilization Education on Kinesiophobia and Readiness for Hospital Discharge in Patients Undergoing Total Knee Arthroplasty''
A study testing Artificial intelligence-assisted mobilization education video in people with Total Knee Anthroplasty, run by Kocaeli University at 1 site in Turkey (Türkiye).
Trial summary
The aim of this study is to investigate the effect of artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty on their level of kinesiophobia and readiness for hospital discharge. Read more about this study
- Who is it for?
- Ages 18 to 100 years
- Conditions the study is for
- Total Knee Anthroplasty
- What is being tested?
- Artificial intelligence-assisted mobilization education video
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 72 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 5 May 2026to 30 Oct 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 to 100 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Willing to participate in the study voluntarily,
- Aged 18 years or older,
- Undergoing primary total knee arthroplasty for the first time,
- Able to read and write in Turkish,
- Having no visual, hearing, or cognitive impairment that would prevent watching, hearing, or understanding the educational video,
- Having no psychiatric disorder or use of psychiatric medication that could interfere with providing accurate responses to the study questionnaires, Having no other condition, apart from the indication for total knee arthroplasty, that affects mobility,
- Not having received narcotic analgesia within 30-60 minutes before mobilization,
- Having access to a mobile phone on which the educat
Who cannot join
- Patients who are immobile or have restricted mobility,
- Patients undergoing revision surgery or those who have undergone concomitant orthopedic surgery or orthopedic surgery within the previous month,
- Patients with impaired consciousness,
- Patients who decline to participate in the study,
- Patients with visual, hearing, or cognitive impairment,
- Patients who develop a postoperative complication resulting in restricted mobility,
- Patients with any condition that limits mobilization (e.g., amputation, paralysis, etc.)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site, 1 recruiting
- Recruiting
Seka Devlet Hastanesi
Kocaeli, İzmit, 41900
Berru Erseçkin, +90 543 507 4887, berru038@hotmail.com
Züleyha Şimşek Yaban, +90 505 228 0785, zuleyha.simsek@kocaeli.edu.tr
About this study
The aim of this study is to investigate the effect of artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty on their level of kinesiophobia and readiness for hospital discharge.
The research questions are as follows:
Read more
Does artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty affect their level of kinesiophobia? Does artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty affect their readiness for hospital discharge? Study Procedure In the control group, participants will receive the standard care routinely provided in the orthopedic clinic, without viewing the artificial intelligence-assisted mobilization education video. In the intervention group, participants will receive an artificial intelligence-assisted video-based mobilization education program developed to prepare them for their first postoperative mobilization.
Intervention Group:
After hospital admission, participants will complete a Personal Information Form. On postoperative day 1, before the first mobilization, the Tampa Scale for Kinesiophobia will be administered. Following completion of the baseline assessment, participants will receive the artificial intelligence-assisted video-based mobilization education delivered by a nurse. Immediately after the education, the Tampa Scale for Kinesiophobia will be administered again. Four hours before hospital discharge, participants will complete the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the nurse will complete the Readiness for Hospital Discharge Scale for Adult Patients-Nurse Assessment Short Form.
Control Group:
After hospital admission, participants will complete a Personal Information Form. On postoperative day 1, before the first mobilization, the Tampa Scale for Kinesiophobia will be administered. Following the baseline assessment, participants will receive the routine verbal mobilization education provided by the nurse. Immediately after the education, the Tampa Scale for Kinesiophobia will be administered again. Four hours before hospital discharge, participants will complete the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the nurse will complete the Readiness for Hospital Discharge Scale for Adult Patients-Nurse Assessment Short Form.
At the final stage of the study, all preoperative and postoperative data collected from the participants will be compiled, recorded, and analyzed.
Inclusion Criteria:
Patients will be included in the study if they meet the following criteria:
Age 18 years or older Undergoing total knee arthroplasty for the first time Able to read and write in Turkish No impairments that would prevent watching, hearing, or understanding the educational video No diagnosed psychiatric disorders and not using psychiatric medications that may affect the accuracy of responses No additional conditions affecting mobility other than knee arthroplasty No administration of narcotic analgesics within 30-60 minutes prior to mobilization Having access to a mobile phone capable of viewing the educational video during both the preoperative and postoperative periods.
The population of the study will consist of all patients undergoing total knee arthroplasty in the Orthopedics Clinic of a state hospital. The sample will include patients who meet the study eligibility criteria and agree to participate in the study. A total of 72 patients will participate in the study, with 36 patients assigned to the control group and 36 patients assigned to the intervention group. Written and verbal informed consent will be obtained from all patients prior to participation in the study.
Data will be analyzed using SPSS version 25.0 (Statistical Package for the Social Sciences).
Read the detailed description
Total knee arthroplasty (TKA) is one of the most effective surgical treatments for patients with advanced knee osteoarthritis. Early postoperative mobilization is essential for reducing complications, improving functional recovery, increasing patient independence, and facilitating a safe hospital discharge. However, many patients experience kinesiophobia after surgery, which may negatively affect their participation in rehabilitation and delay recovery. Innovative educational approaches, including artificial intelligence (AI)-assisted education, may improve patients' understanding of postoperative mobilization and increase their confidence in performing recommended activities.
The purpose of this study is to evaluate the effect of AI-assisted mobilization education on kinesiophobia and readiness for hospital discharge in patients undergoing total knee arthroplasty.
This is a non-randomized controlled interventional study involving 72 adult patients scheduled to undergo primary total knee arthroplasty. Participants will be allocated to either the intervention group (n=36) or the control group (n=36). The control group will receive the routine perioperative education and standard nursing care provided by the orthopedic clinic. In addition to routine care, the intervention group will receive AI-assisted mobilization education designed to support postoperative recovery and encourage early mobilization.
Data will be collected using a Patient Information Form, the Tampa Scale for Kinesiophobia, the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the Readiness for Hospital Discharge Scale-Nurse Assessment Form for Adult Patients. Assessments will be performed on the first postoperative day and approximately four hours before hospital discharge.
The primary objective of the study is to determine whether AI-assisted mobilization education reduces kinesiophobia and improves patients' readiness for hospital discharge compared with routine care. The findings are expected to contribute to the development of evidence-based educational interventions that enhance postoperative recovery and discharge preparation for patients undergoing total knee arthroplasty.
- Conditions
- Total Knee Anthroplasty
- Being tested
- Artificial intelligence-assisted mobilization education video
- Keywords
- total knee arthroplasty, Kinesiophobia, Artificial intelligence-asisted education, Readiness for Hospital Discharge
- Medical subject headings
- Kinesiophobia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Artificial intelligence-assisted mobilization education videoOther
Participants in the intervention group will receive an artificial intelligence-assisted video-based mobilization education program designed to prepare them for postoperative mobilization after total knee arthroplasty. The educational video will be delivered by a nurse on postoperative day 1 prior to the first mobilization. The content of the video includes information and guidance on safe mobilization techniques following surgery. Kinesiophobia levels will be assessed using the Tampa Scale for Kinesiophobia before and immediately after the intervention. In addition, readiness for hospital discharge will be evaluated prior to discharge using the Readiness for Hospital Discharge Scale.
| Study group | Role | What they receive |
|---|---|---|
| 1.Control Group - Standard Mobilization Education | No intervention | Not described |
| Intervention Group - AI-Assisted Video-Based Mobilization Education | Experimental | Not described Receives: Other: Artificial intelligence-assisted mobilization education video |
What is being measured
The primary outcome is the main question the study is designed to answer.
Effect of AI-Assisted Mobilization Education on Kinesiophobia Change in Kinesiophobia
Kinesiophobia will be assessed using the Tampa Scale for Kinesiophobia (TSK). The TSK is a validated questionnaire used to measure fear of movement and reinjury. Higher scores indicate greater levels of kinesiophobia.
Measured: Postoperative day1, immediately before and after mobilization education.
Secondary outcomes (2)
Effect of AI-Assisted Mobilization Education on Readiness for Hospital Discharge Readiness for Hospital Discharge
The effect of AI-assisted mobilization education on readiness for hospital discharge will be evaluated using the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form.
Measured: Within 4 hours before hospital discharge.
Effect of AI-Assisted Mobilization Education on Readiness for hospital Discharge Readiness for hospital Discharge
The effect of AI-Assisted Mobilization Education on Readiness for hospital Discharge will be evaluated using the Readiness for Hospital Discharge Scale-Nurse Self- Assesment Form
Measured: Within 4 hours before hospital discharge
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jul 2026
- Study start5 May 2026
- Primary completion1 Oct 2026 (estimated)
- Study completion30 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Total Knee AnthroplastyStudies of the same condition, open and under way.
- 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
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 72 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kocaeli University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Berru Erseçkin, Kocaeli University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07694895
- Sponsor's protocol ID
- 2025/24/38
- Status last verified
- Jul 2026
- First submitted
- 29 Jun 2026
- Last updated
- 10 Jul 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- "The Effect of AI-Assisted Mobilization Education on Kinesiophobia and Readiness for Hospital Discharge in Patients Undergoing Total Knee Arthroplasty''
- ClinicalTrials.gov ID
- NCT07694895
- Acronym / sponsor ID
- 2025/24/38
- Conditions
- Total Knee Anthroplasty
- Keywords
- total knee arthroplasty, Kinesiophobia, Artificial intelligence-asisted education, Readiness for Hospital Discharge
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 72 participants (estimated)
- Lead sponsor
- Kocaeli UniversityUniversity, hospital or other
- Study start
- 5 May 2026 (actual)
- Primary completion
- 1 Oct 2026 (estimated)
- Study completion
- 30 Oct 2026 (estimated)
- First posted
- 10 Jul 2026 (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.
The aim of this study is to investigate the effect of artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty on their level of kinesiophobia and readiness for hospital discharge.
The research questions are as follows:
Does artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty affect their level of kinesiophobia? Does artificial intelligence-assisted mobilization education provided to patients undergoing total knee arthroplasty affect their readiness for hospital discharge? Study Procedure In the control group, participants will receive the standard care routinely provided in the orthopedic clinic, without viewing the artificial intelligence-assisted mobilization education video. In the intervention group, participants will receive an artificial intelligence-assisted video-based mobilization education program developed to prepare them for their first postoperative mobilization.
Intervention Group:
After hospital admission, participants will complete a Personal Information Form. On postoperative day 1, before the first mobilization, the Tampa Scale for Kinesiophobia will be administered. Following completion of the baseline assessment, participants will receive the artificial intelligence-assisted video-based mobilization education delivered by a nurse. Immediately after the education, the Tampa Scale for Kinesiophobia will be administered again. Four hours before hospital discharge, participants will complete the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the nurse will complete the Readiness for Hospital Discharge Scale for Adult Patients-Nurse Assessment Short Form.
Control Group:
After hospital admission, participants will complete a Personal Information Form. On postoperative day 1, before the first mobilization, the Tampa Scale for Kinesiophobia will be administered. Following the baseline assessment, participants will receive the routine verbal mobilization education provided by the nurse. Immediately after the education, the Tampa Scale for Kinesiophobia will be administered again. Four hours before hospital discharge, participants will complete the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the nurse will complete the Readiness for Hospital Discharge Scale for Adult Patients-Nurse Assessment Short Form.
At the final stage of the study, all preoperative and postoperative data collected from the participants will be compiled, recorded, and analyzed.
Inclusion Criteria:
Patients will be included in the study if they meet the following criteria:
Age 18 years or older Undergoing total knee arthroplasty for the first time Able to read and write in Turkish No impairments that would prevent watching, hearing, or understanding the educational video No diagnosed psychiatric disorders and not using psychiatric medications that may affect the accuracy of responses No additional conditions affecting mobility other than knee arthroplasty No administration of narcotic analgesics within 30-60 minutes prior to mobilization Having access to a mobile phone capable of viewing the educational video during both the preoperative and postoperative periods.
The population of the study will consist of all patients undergoing total knee arthroplasty in the Orthopedics Clinic of a state hospital. The sample will include patients who meet the study eligibility criteria and agree to participate in the study. A total of 72 patients will participate in the study, with 36 patients assigned to the control group and 36 patients assigned to the intervention group. Written and verbal informed consent will be obtained from all patients prior to participation in the study.
Data will be analyzed using SPSS version 25.0 (Statistical Package for the Social Sciences).
Detailed description
Total knee arthroplasty (TKA) is one of the most effective surgical treatments for patients with advanced knee osteoarthritis. Early postoperative mobilization is essential for reducing complications, improving functional recovery, increasing patient independence, and facilitating a safe hospital discharge. However, many patients experience kinesiophobia after surgery, which may negatively affect their participation in rehabilitation and delay recovery. Innovative educational approaches, including artificial intelligence (AI)-assisted education, may improve patients' understanding of postoperative mobilization and increase their confidence in performing recommended activities.
The purpose of this study is to evaluate the effect of AI-assisted mobilization education on kinesiophobia and readiness for hospital discharge in patients undergoing total knee arthroplasty.
This is a non-randomized controlled interventional study involving 72 adult patients scheduled to undergo primary total knee arthroplasty. Participants will be allocated to either the intervention group (n=36) or the control group (n=36). The control group will receive the routine perioperative education and standard nursing care provided by the orthopedic clinic. In addition to routine care, the intervention group will receive AI-assisted mobilization education designed to support postoperative recovery and encourage early mobilization.
Data will be collected using a Patient Information Form, the Tampa Scale for Kinesiophobia, the Readiness for Hospital Discharge Scale-Patient Self-Assessment Form, and the Readiness for Hospital Discharge Scale-Nurse Assessment Form for Adult Patients. Assessments will be performed on the first postoperative day and approximately four hours before hospital discharge.
The primary objective of the study is to determine whether AI-assisted mobilization education reduces kinesiophobia and improves patients' readiness for hospital discharge compared with routine care. The findings are expected to contribute to the development of evidence-based educational interventions that enhance postoperative recovery and discharge preparation for patients undergoing total knee arthroplasty.
Study design
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1.Control Group - Standard Mobilization Education | No intervention | – |
| Intervention Group - AI-Assisted Video-Based Mobilization Education | Experimental | Other: Artificial intelligence-assisted mobilization education video |
Who may qualify
- Ages
- 18 to 100 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Willing to participate in the study voluntarily,
- Aged 18 years or older,
- Undergoing primary total knee arthroplasty for the first time,
- Able to read and write in Turkish,
- Having no visual, hearing, or cognitive impairment that would prevent watching, hearing, or understanding the educational video,
Key exclusion criteria (7 listed)
- Patients who are immobile or have restricted mobility,
- Patients undergoing revision surgery or those who have undergone concomitant orthopedic surgery or orthopedic surgery within the previous month,
- Patients with impaired consciousness,
- Patients who decline to participate in the study,
- Patients with visual, hearing, or cognitive impairment,
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 |
|---|---|---|
| Artificial intelligence-assisted mobilization education videoParticipants in the intervention group will receive an artificial intelligence-assisted video-based mobilization education program designed to prepare them for postoperative mobilization after total knee arthroplasty. The educational video will be delivered by a nurse on postoperative day 1 prior to the first mobilization. The content of the video includes information and guidance on safe mobilization techniques following surgery. Kinesiophobia levels will be assessed using the Tampa Scale for Kinesiophobia before and immediately after the intervention. In addition, readiness for hospital discharge will be evaluated prior to discharge using the Readiness for Hospital Discharge Scale. | Other | Intervention Group - AI-Assisted Video-Based Mobilization Education |
Primary outcome
Effect of AI-Assisted Mobilization Education on Kinesiophobia Change in Kinesiophobia
Time frame: Postoperative day1, immediately before and after mobilization education.
Kinesiophobia will be assessed using the Tampa Scale for Kinesiophobia (TSK). The TSK is a validated questionnaire used to measure fear of movement and reinjury. Higher scores indicate greater levels of kinesiophobia.
2 secondary outcomes
Effect of AI-Assisted Mobilization Education on Readiness for Hospital Discharge Readiness for Hospital Discharge
Time frame: Within 4 hours before hospital discharge.
Effect of AI-Assisted Mobilization Education on Readiness for hospital Discharge Readiness for hospital Discharge
Time frame: Within 4 hours before hospital discharge
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jul 2026.
- Individual participant dataSharing planned: No
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Artificial intelligence-assisted mobilization education video in people with Total Knee Anthroplasty, run by Kocaeli 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 8 inclusion and 7 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: looking for participants now, as of the sponsor's last update on 10 Jul 2026. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Berru B Erseçkin (+90 543 507 48 87, berru038@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Effect of AI-Assisted Mobilization Education on Kinesiophobia Change in Kinesiophobia (time frame: Postoperative day1, immediately before and after mobilization education.). 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 10 Jul 2026.