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

Sabrina Grant; A. W. Blom; Michael R. Whitehouse; Ian Craddock; Andrew Judge; Emma L. Tonkin; Rachael Gooberman-Hill

doi:10.1136/bmjopen-2018-021862

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

Sabrina Grant^*, A. W. Blom, Michael R. Whitehouse, Ian Craddock, Andrew Judge, Emma L. Tonkin, Rachael Gooberman-Hill

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

16 Citations (Scopus)

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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 wrist-band 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 a) determine, the accuracy and feasibility of the sensory data as it compares to conventional assessment of health outcomes after surgery using patient self-reported questionnaires, and (b) to explore how the SPHERE system is useful for every day 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 depth in understanding of the acceptability, feasibility and accuracy of the data.

Ethics and Dissemination: Ethical approval has been obtained through South West – Central Bristol Research Ethics Committee (17/SW/0121). We aim to disseminate the findings through regional talks and seminars, international conferences and peer-reviewed journals and social medi

Original language	English
Article number	e021862
Number of pages	11
Journal	BMJ Open
Volume	8
Issue number	7
Early online date	28 Jul 2018
DOIs	https://doi.org/10.1136/bmjopen-2018-021862
Publication status	Published - Jul 2018

Research Groups and Themes

Digital Health
Centre for Surgical Research
SPHERE

Keywords

adult orthopaedics
health informatics
hip
knee

Access to Document

10.1136/bmjopen-2018-021862

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This is the final published version of the article (version of record). It first appeared online via BMJ Publishing at https://bmjopen.bmj.com/content/8/7/e021862 . Please refer to any applicable terms of use of the publisher.
Final published version, 8.99 MBLicence: CC BY

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Cite this

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

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 wrist-band 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 a) determine, the accuracy and feasibility of the sensory data as it compares to conventional assessment of health outcomes after surgery using patient self-reported questionnaires, and (b) to explore how the SPHERE system is useful for every day 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 depth in understanding of the acceptability, feasibility and accuracy of the data. Ethics and Dissemination: Ethical approval has been obtained through South West – Central Bristol Research Ethics Committee (17/SW/0121). We aim to disseminate the findings through regional talks and seminars, international conferences and peer-reviewed journals and social medi",

keywords = "adult orthopaedics, health informatics, hip, knee",

author = "Sabrina Grant and Blom, \{A. W.\} and Whitehouse, \{Michael R.\} and Ian Craddock and Andrew Judge and Tonkin, \{Emma L.\} and Rachael Gooberman-Hill",

year = "2018",

month = jul,

doi = "10.1136/bmjopen-2018-021862",

language = "English",

volume = "8",

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issn = "2044-6055",

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TY - JOUR

T1 - Using home sensing technology to assess outcome and recovery after hip and knee replacement in the UK

T2 - The HEmiSPHERE study protocol

AU - Grant, Sabrina

AU - Blom, A. W.

AU - Whitehouse, Michael R.

AU - Craddock, Ian

AU - Judge, Andrew

AU - Tonkin, Emma L.

AU - Gooberman-Hill, Rachael

PY - 2018/7

Y1 - 2018/7

N2 - 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 wrist-band 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 a) determine, the accuracy and feasibility of the sensory data as it compares to conventional assessment of health outcomes after surgery using patient self-reported questionnaires, and (b) to explore how the SPHERE system is useful for every day 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 depth in understanding of the acceptability, feasibility and accuracy of the data. Ethics and Dissemination: Ethical approval has been obtained through South West – Central Bristol Research Ethics Committee (17/SW/0121). We aim to disseminate the findings through regional talks and seminars, international conferences and peer-reviewed journals and social medi

AB - 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 wrist-band 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 a) determine, the accuracy and feasibility of the sensory data as it compares to conventional assessment of health outcomes after surgery using patient self-reported questionnaires, and (b) to explore how the SPHERE system is useful for every day 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 depth in understanding of the acceptability, feasibility and accuracy of the data. Ethics and Dissemination: Ethical approval has been obtained through South West – Central Bristol Research Ethics Committee (17/SW/0121). We aim to disseminate the findings through regional talks and seminars, international conferences and peer-reviewed journals and social medi

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KW - health informatics

KW - hip

KW - knee

UR - https://www.scopus.com/pages/publications/85053035750

U2 - 10.1136/bmjopen-2018-021862

DO - 10.1136/bmjopen-2018-021862

M3 - Article (Academic Journal)

C2 - 30056388

AN - SCOPUS:85053035750

SN - 2044-6055

VL - 8

JO - BMJ Open

JF - BMJ Open

IS - 7

M1 - e021862

ER -

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

Abstract

Research Groups and Themes

Keywords

Access to Document

Handle.net

Other files and links

Embargoed Document

Fingerprint

Toward Enhanced Clinical Decision Support for Patients Undergoing a Hip or Knee Replacement: Focus Group and Interview Study With Surgeons

SPHERE (EPSRC IRC)

Cite this

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

Abstract

Research Groups and Themes

Keywords

Access to Document

Handle.net

Other files and links

Embargoed Document

Fingerprint

Research output

Toward Enhanced Clinical Decision Support for Patients Undergoing a Hip or Knee Replacement: Focus Group and Interview Study With Surgeons

Projects

SPHERE (EPSRC IRC)

Cite this