The purpose of the study is to identify the beliefs, attitudes, and behaviors of patients undergoing knee surgery so as to propose modifying factors that will help patients to have the most successful post-operative outcomes. These modifying factors will be identified in Phases I and II, and used in Phase III through patient education of post-surgical recommendations.
This proposal will be conducted in these phases. Phase 1-Aim 1: To identify beliefs, expectations and goals of patients undergoing total knee arthroplasty (TKA). Aim 2: To determine which are appropriate and realistic goals for patients undergoing knee arthroplasty. Phase 2-Aim 3: To develop an instrument to evaluate patient beliefs, expectations and goals in relation to knee arthroplasty. Aim 4: To identify psychosocial and educational barriers to surgical success and patient satisfaction after knee arthroplasty. Aim 5: To evaluate the impact of psychological determinants, and knee arthroplasty outcomes on health costs . Hypotheses: 1.Patient expectancies of improvement, high self-efficacy, and rational goals are associated with better outcomes in knee arthroplasty. 2.Psychosocial/educational barriers and poor functional outcomes are associated with increased health costs in patients undergoing knee arthroplasty. Phase 3: Aim 6 :To develop and pilot test a patient-centered, cognitive behavioral and psychoeducational intervention for patients undergoing TKA, with the goal of maximizing functional outcomes and patient satisfaction.
K-24 is a mentoring career award (2006-0627). Please note that there is no funding for this study from K-24, which only funds Dr. Suarez-Almazor's mentoring activities. |