University of Worcester Worcester Research and Publications

Using home sensing technology to assess outcome and recovery after hip and knee replacement in the UK: the HEmiSPHERE study protocol

Grant, Sabrina ORCID:, Blom, A.W., Whitehouse, M.R., Craddock, I., Judge, A., Tonkin, E.L. and Gooberman-Hill, R. (2018) Using home sensing technology to assess outcome and recovery after hip and knee replacement in the UK: the HEmiSPHERE study protocol. BMJ Open, 8. e021862. ISSN Online: 2044-6055

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Abstract Introduction Over 160 000 people with severe hip or knee pain caused by osteoarthritis undergo total hip (THR) or knee replacement (TKR) surgery each year in the UK within the National Health Service (NHS), and this number is expected to increase. Innovative approaches to evaluating surgical outcomes will be needed to respond to the increasing burden of joint replacement surgery. The Sensor Platform for Healthcare in a Residential Environment, Interdisciplinary Research Collaboration (SPHERE-IRC) have developed a system of sensors that can monitor the health-related behaviours of people living at home. The system includes sensors for the home environment (measuring temperature, humidity, room occupancy, water and electricity usage), a wristband body-worn activity monitor and silhouette (body outline) sensors. The aim of HEmiSPHERE (Hip and knEe study of a Sensor Platform of HEalthcare in a Residential Environment) is to (1) determine the accuracy and feasibility of the sensory data as it compares with conventional assessment of health outcomes after surgery using patient self-reported questionnaires, and (2) to explore how the SPHERE system is useful for everyday clinical decision-making. Methods and analysis A feasibility study recruiting and installing the SPHERE system in the homes of up to 30 NHS adult patients as they undergo a THR or TKR. Through a mixed-methods design, the SPHERE system will monitor and record continuous measurements of daily behaviour. Main outcomes will assess the relationships between environmental, behavioural and movement data and the parameters of interest from the standard clinical assessments measuring patient outcomes over time. Patient interviews and focus groups with consultant orthopaedic surgeons will provide in-depth understanding of the acceptability, feasibility and accuracy of the data. Ethics and dissemination We aim to disseminate the findings through regional talks and seminars, international conferences and peer-reviewed journals and social media.

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© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ.
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See:

Uncontrolled Discrete Keywords: hip, knee, replacement, osteoarthritis, HEmiSPHERE, home sensing technology, outcome, recovery, SENSOR platform
Divisions: College of Health, Life and Environmental Sciences > School of Nursing and Midwifery
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Copyright Info: Open access article
Depositing User: Sabrina Grant
Date Deposited: 18 Nov 2019 15:58
Last Modified: 17 Jun 2020 17:33

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