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Background <p>Total knee arthroplasty plays a pivotal role in restoring patients’ quality of life; however, challenges related to postoperative adaptation and self-care remain significant. Integrating technology into patient education through web-based and mobile application<b>-</b>supported interventions has emerged as an innovative approach to strengthen recovery and enhance patient outcomes. This study aimed to evaluate the impact of a web-based education (WBE) program on self-care power, self-efficacy, and quality of life in patients undergoing total knee arthroplasty.</p> Methods <p>This prospective, two-group clinical trial was conducted between January and October 2024 at the Orthopedics and Traumatology Clinic of a city hospital. A total of 67 patients were assigned to either the WBE group (<i>n</i> = 33) or the control group (<i>n</i> = 34). The control group received standard unstructured discharge education, whereas the WBE group received the same education plus a one-month web-based education program using a mobile application starting on the 15th day post-discharge. Data were collected via the Self-Care Agency Scale (SCAS), the Self-Efficacy Scale (SES), and the Short Form-36 Health Survey (SF-36) at 15 days and one-month post-discharge.</p> Results <p>No significant baseline differences were observed between the WBE and control groups (<i>p</i> &gt; 0.05). After the intervention, the WBE group showed significantly greater improvements in self-care agency, self-efficacy, and quality of life compared with the control group (<i>p</i> &lt; 0.05). Mixed-design ANOVA demonstrated significant group×time interaction effects for all outcomes, with large effects for self-care agency (ηp²=0.703–0.827) and moderate to large effects for self-efficacy (ηp² = 0.435–0.719) and SF-36 quality-of-life subdimensions (ηp²=0.451–0.713).</p> Conclusion <p>Web-designed education via mobile applications was shown to be effective in improving the self-care power and self-efficacy and increasing the quality of life of patients undergoing TKA.</p> Trial registration <p>This study was registered in the ClinicalTrials.gov database as (NCT06306027) Protocol Registration and Results System.</p>

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Web-based education enhances self-care agency, self-efficacy, and quality of life in patients undergoing total knee arthroplasty: a randomized controlled trial

  • 期刊论文

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  • 发表日期：

    2026年3月14日

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  • Esra Nur Boztaş,
  • Serap Sayar,
  • Ferhat Sayar

摘要

Background

Total knee arthroplasty plays a pivotal role in restoring patients’ quality of life; however, challenges related to postoperative adaptation and self-care remain significant. Integrating technology into patient education through web-based and mobile application-supported interventions has emerged as an innovative approach to strengthen recovery and enhance patient outcomes. This study aimed to evaluate the impact of a web-based education (WBE) program on self-care power, self-efficacy, and quality of life in patients undergoing total knee arthroplasty.

Methods

This prospective, two-group clinical trial was conducted between January and October 2024 at the Orthopedics and Traumatology Clinic of a city hospital. A total of 67 patients were assigned to either the WBE group (n = 33) or the control group (n = 34). The control group received standard unstructured discharge education, whereas the WBE group received the same education plus a one-month web-based education program using a mobile application starting on the 15th day post-discharge. Data were collected via the Self-Care Agency Scale (SCAS), the Self-Efficacy Scale (SES), and the Short Form-36 Health Survey (SF-36) at 15 days and one-month post-discharge.

Results

No significant baseline differences were observed between the WBE and control groups (p > 0.05). After the intervention, the WBE group showed significantly greater improvements in self-care agency, self-efficacy, and quality of life compared with the control group (p < 0.05). Mixed-design ANOVA demonstrated significant group×time interaction effects for all outcomes, with large effects for self-care agency (ηp²=0.703–0.827) and moderate to large effects for self-efficacy (ηp² = 0.435–0.719) and SF-36 quality-of-life subdimensions (ηp²=0.451–0.713).

Conclusion

Web-designed education via mobile applications was shown to be effective in improving the self-care power and self-efficacy and increasing the quality of life of patients undergoing TKA.

Trial registration

This study was registered in the ClinicalTrials.gov database as (NCT06306027) Protocol Registration and Results System.