Optimizing recovery after reverse shoulder arthroplasty with a personalised mobile health application compared to generic digital information: a protocol of a multicentre randomised controlled trial

Abstract Background Mobile health (mHealth)—the use of medical applications in healthcare settings—include tools that can support self-management after surgery and thereby contribute to early postoperative recovery. Providing patients with timely and interactive information through mHealth is hypoth...

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Main Authors: J. R. W. Crutsen, F. O. Lambers Heerspink, A. Kornuijt, J. Ascencio, W. van der Weegen, T. Timmers, C. Craamer, J. J. A. M. van Raay, F. Hollman, E. R. C. Janssen
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Language:English
Published: BMC 2025-07-01
Series:BMC Musculoskeletal Disorders
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Online Access:https://doi.org/10.1186/s12891-025-08857-9
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author J. R. W. Crutsen
F. O. Lambers Heerspink
A. Kornuijt
J. Ascencio
W. van der Weegen
T. Timmers
C. Craamer
J. J. A. M. van Raay
F. Hollman
E. R. C. Janssen
author_facet J. R. W. Crutsen
F. O. Lambers Heerspink
A. Kornuijt
J. Ascencio
W. van der Weegen
T. Timmers
C. Craamer
J. J. A. M. van Raay
F. Hollman
E. R. C. Janssen
author_sort J. R. W. Crutsen
collection DOAJ
description Abstract Background Mobile health (mHealth)—the use of medical applications in healthcare settings—include tools that can support self-management after surgery and thereby contribute to early postoperative recovery. Providing patients with timely and interactive information through mHealth is hypothesized to positively influence recovery after reverse shoulder arthroplasty (RSA). The aim of this study is to determine the effectiveness of both interactive and personalized information and a rehabilitation protocol with a mobile application compared to generic non-personalized digital information on postoperative recovery in patients undergoing primary RSA. Methods A multicentre randomised controlled trial will be conducted in two Dutch hospitals. In total 170 patients undergoing elective, primary RSA will be included. Participants will be randomly allocated to one of the two groups on a 1:1 ratio. The intervention group will receive interactive postoperative information on a daily basis. The control group will receive generic, non-personalized digital information. The primary outcome is defined as functional recovery measured using the Oxford Shoulder Score (OSS) at 6 weeks. Secondary outcomes are: pain, physical functioning, quality of life, length of stay, complications, treatment satisfaction and app usage. The between group difference will be analysed using linear mixed-effects regression. Discussion This randomised controlled trial will compare the postoperative recovery rate in patients undergoing RSA between patients receiving an interactive mHealth application with generic digital information. The results from this study can contribute to improving postoperative care for patients undergoing RSA. Trial registration This trial is registered in ClinicalTrials.gov (NCT06520085) on the 22nd of July 2024.
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spelling doaj-art-e0a9c6b5fa2e4d8dbf66b1f7d91952962025-08-20T03:28:53ZengBMCBMC Musculoskeletal Disorders1471-24742025-07-012611810.1186/s12891-025-08857-9Optimizing recovery after reverse shoulder arthroplasty with a personalised mobile health application compared to generic digital information: a protocol of a multicentre randomised controlled trialJ. R. W. Crutsen0F. O. Lambers Heerspink1A. Kornuijt2J. Ascencio3W. van der Weegen4T. Timmers5C. Craamer6J. J. A. M. van Raay7F. Hollman8E. R. C. Janssen9Department of Orthopaedic Surgery, VieCuri Medical CentreDepartment of Orthopaedic Surgery, VieCuri Medical CentreSports and Orthopedics Research Centre, Anna HospitalDepartment of Orthopaedic Surgery, VieCuri Medical CentreSports and Orthopedics Research Centre, Anna HospitalInteractive Studios B.V.Interactive Studios B.V.Department of Orthopaedic Surgery, Martini Hospital GroningenDepartment of Orthopaedic Surgery, VieCuri Medical CentreDepartment of Orthopaedic Surgery, VieCuri Medical CentreAbstract Background Mobile health (mHealth)—the use of medical applications in healthcare settings—include tools that can support self-management after surgery and thereby contribute to early postoperative recovery. Providing patients with timely and interactive information through mHealth is hypothesized to positively influence recovery after reverse shoulder arthroplasty (RSA). The aim of this study is to determine the effectiveness of both interactive and personalized information and a rehabilitation protocol with a mobile application compared to generic non-personalized digital information on postoperative recovery in patients undergoing primary RSA. Methods A multicentre randomised controlled trial will be conducted in two Dutch hospitals. In total 170 patients undergoing elective, primary RSA will be included. Participants will be randomly allocated to one of the two groups on a 1:1 ratio. The intervention group will receive interactive postoperative information on a daily basis. The control group will receive generic, non-personalized digital information. The primary outcome is defined as functional recovery measured using the Oxford Shoulder Score (OSS) at 6 weeks. Secondary outcomes are: pain, physical functioning, quality of life, length of stay, complications, treatment satisfaction and app usage. The between group difference will be analysed using linear mixed-effects regression. Discussion This randomised controlled trial will compare the postoperative recovery rate in patients undergoing RSA between patients receiving an interactive mHealth application with generic digital information. The results from this study can contribute to improving postoperative care for patients undergoing RSA. Trial registration This trial is registered in ClinicalTrials.gov (NCT06520085) on the 22nd of July 2024.https://doi.org/10.1186/s12891-025-08857-9Reverse Shoulder ArthroplastymHealthApplicationPostoperative careSelf-managementRehabilitation
spellingShingle J. R. W. Crutsen
F. O. Lambers Heerspink
A. Kornuijt
J. Ascencio
W. van der Weegen
T. Timmers
C. Craamer
J. J. A. M. van Raay
F. Hollman
E. R. C. Janssen
Optimizing recovery after reverse shoulder arthroplasty with a personalised mobile health application compared to generic digital information: a protocol of a multicentre randomised controlled trial
BMC Musculoskeletal Disorders
Reverse Shoulder Arthroplasty
mHealth
Application
Postoperative care
Self-management
Rehabilitation
title Optimizing recovery after reverse shoulder arthroplasty with a personalised mobile health application compared to generic digital information: a protocol of a multicentre randomised controlled trial
title_full Optimizing recovery after reverse shoulder arthroplasty with a personalised mobile health application compared to generic digital information: a protocol of a multicentre randomised controlled trial
title_fullStr Optimizing recovery after reverse shoulder arthroplasty with a personalised mobile health application compared to generic digital information: a protocol of a multicentre randomised controlled trial
title_full_unstemmed Optimizing recovery after reverse shoulder arthroplasty with a personalised mobile health application compared to generic digital information: a protocol of a multicentre randomised controlled trial
title_short Optimizing recovery after reverse shoulder arthroplasty with a personalised mobile health application compared to generic digital information: a protocol of a multicentre randomised controlled trial
title_sort optimizing recovery after reverse shoulder arthroplasty with a personalised mobile health application compared to generic digital information a protocol of a multicentre randomised controlled trial
topic Reverse Shoulder Arthroplasty
mHealth
Application
Postoperative care
Self-management
Rehabilitation
url https://doi.org/10.1186/s12891-025-08857-9
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