Table 4 Education intervention components and delivery approaches

Component: Education topic

Knee joint anatomy

O

V

V

Osteoarthritis

O

Alternative treatment options to TKR

O

Joint replacements in younger people

Pre-op exercise/purpose of pre-op rehabilitation

O

V

Patient active involvement in their own management

O

V

Goal setting

O

Obtaining/using walking aids and other equipment

O

V

Making home preparations

O

V

V

V

Arranging social support

V

Transport

V

What to expect during the hospital stay

O

O

V

V^c

V

TKR surgical procedure

O

OV

V

V

Risks of TKR surgery

V

V^c

Precautions

O

O

O

O

V

Pain expectations

O

V

Discharge instructions/what to expect following discharge

O

O

O

Recovery expectations

O

O

V

V

V

Pain management

O

O

O

V

Asking for antiemetics

O

Edema management

V

Wound healing

V

Rehabilitation

O

O

O

V

V

V

Alternative and supplementary rehabilitation options

Addressing sleep difficulties

V

Returning to daily activities

O

O

O

V

V

V

Returning to sports

O

Returning to work

O

V

Physical activity

O

Nutrition

V

Comorbidities

V

Other patients’ experiences of TKR

O

Component: Activity/ opportunity

Allow participation of a relative or other support

V

V

Combination of theory and active participation

Asking/addressing questions

O

O

O

V

V

Practicing transfers, stairs, post-op exercises and/or mobilizing with or without aids

O

Goal setting

O

Documentation of concerns, strategies and questions

O

Provider

Multidisciplinary team

V

Researcher(s)

O

Orthopaedic surgeon

V

V

Physician assistant

V

Nurse/nurse practitioner

O

O

V

Physical therapist/physiotherapist

O

V

Occupational therapist

V

Case manager

V

V

Social worker

V

V

Previous patients

V

Pain management provider

V

Home healthcare provider

V

Dietetics

V

Anesthetist

V

Pharmacist

V

Diabetes educator

V

Hospital concierge

V

Translator

V

Delivery mode: Format

Single format

O

V

>1 format

O

O

O

O

V

Individual

O

O

V

Group

V

Face-to-face/visit/session

O

O

O

O

Verbal

V

Booklet/other written paper format

O

O

O

V

V

Video/DVD

O

O

V

V

Website/mobile health/other electronic format

O

V

Virtual reality

Telecommunication

O

PowerPoint presentation

V

Workbook

V

Client demonstration or teach back method

V

Healthcare provider demonstration

V

Delivery mode: Delivery with other patients

Delivered separately from education delivered to patients waiting for other orthopedic surgery

V

V

Delivered with patients waiting for other orthopedic surgery

V

Setting

Pre-op assessment clinic

O

Schedule: Number of sessions (contacts with education providers)

0 sessions

V

1 session

O

O

O

V

2 sessions

O

V

3 sessions

V

≥5 sessions

V

Schedule: Timing of delivery

1 day pre-op

O

<1 week pre-op

O

V

~2 weeks pre-op

O

V

3 weeks pre-op

V

~4 weeks pre-op

O

V

≤4 weeks pre-op

O

4–6 weeks pre-op

O

6 or ≥8 weeks pre-op

V

Immediately after listing for surgery

Far in advance of surgery

V

Close to surgery

V

On the same day as other appointments, e.g., pre-op assessment or physician appointments

O

O

O

O

V

Intensity: Duration of sessions (contacts with education providers)

<15, 15–29 or 30–59 min session

V

~20–30 min session

O

~45 min session, including watching a 10-min DVD twice

O

1 to <1.5, 1.5 to <2, 2 to <2.5, 2.5 to <3 or >3 h session

V

Intensity: Quantity of information

12 page booklet

O

Large volume of information

Tailoring

Tailored to patient-specific needs/individualized

O

O

V^c

V

Consistent education for all patients

V

Lateralized (right versus left)

O

Tailored to patients undergoing TKR

O

Component: Education topic

Knee joint anatomy

V

V

Osteoarthritis

V

Alternative treatment options to TKR

V

V

Joint replacements in younger people

V^c

Pre-op exercise/purpose of pre-op rehabilitation

Patient active involvement in their own management

Goal setting

Obtaining/using walking aids and other equipment

V

V

V

Making home preparations

V^c

V

V

Arranging social support

V^c

Transport

V

What to expect during the hospital stay

TKR surgical procedure

V

V

Risks of TKR surgery

V

V

V

Precautions

V

Pain expectations

V

V

Discharge instructions/what to expect following discharge

V

V

Recovery expectations

V^c

V

V

V

Pain management

V

V

V

Asking for antiemetics

Edema management

Wound healing

Rehabilitation

V^c

V

V

V

V

V

Alternative and supplementary rehabilitation options

V

Addressing sleep difficulties

Returning to daily activities

V

V

Returning to sports

V

Returning to work

V

Physical activity

Nutrition

Comorbidities

Other patients’ experiences of TKR

V

Component: Activity/ opportunity

Allow participation of a relative or other support

V^c

V

Combination of theory and active participation

V

Asking/addressing questions

V

V

V

V

V

Practicing transfers, stairs, post-op exercises and/or mobilizing with or without aids

V

Goal setting

Documentation of concerns, strategies and questions

Provider

Multidisciplinary team

V

V

Researcher(s)

Orthopaedic surgeon

V

V

Physician assistant

Nurse/nurse practitioner

V

V

Physical therapist/physiotherapist

V

Occupational therapist

V

Case manager

V

Social worker

Previous patients

V

Pain management provider

Home healthcare provider

Dietetics

Anesthetist

Pharmacist

Diabetes educator

Hospital concierge

Translator

Delivery mode: Format

Single format

>1 format

V

Individual

V^c

Group

V

V

V

Face-to-face/visit/session

V

V

V

V

Verbal

V^c

V

V

Booklet/other written paper format

V

V

V

V

V

V

V

Video/DVD

V

V

V

Website/mobile health/other electronic format

V

V

Virtual reality

V

Telecommunication

V

V

PowerPoint presentation

V

Workbook

Client demonstration or teach back method

Healthcare provider demonstration

Delivery mode: Delivery with other patients

Delivered separately from education delivered to patients waiting for other orthopedic surgery

Delivered with patients waiting for other orthopedic surgery

V

Setting

Pre-op assessment clinic

V

Schedule: Number of sessions (contacts with education providers)

0 sessions

1 session

2 sessions

3 sessions

V

≥5 sessions

Schedule: Timing of delivery

1 day pre-op

<1 week pre-op

~2 weeks pre-op

3 weeks pre-op

~4 weeks pre-op

≤4 weeks pre-op

4–6 weeks pre-op

6 or ≥8 weeks pre-op

Immediately after listing for surgery

V

Far in advance of surgery

V^c

Close to surgery

V^c

On the same day as other appointments, e.g., pre-op assessment or physician appointments

Intensity: Duration of sessions (contacts with education providers)

<15, 15–29 or 30–59 min session

~20–30 min session

~45 min session, including watching a 10-min DVD twice

1 to <1.5, 1.5 to <2, 2 to <2.5, 2.5 to <3 or >3 h session

Intensity: Quantity of information

12 page booklet

Large volume of information

V

V

V

Tailoring

Tailored to patient-specific needs/individualized

V

V

Consistent education for all patients

Lateralized (right versus left)

Tailored to patients undergoing TKR