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RecruitingNCT07885449Updated Oct 21, 2026

The Effect of Mind Mapping-Based Education on Postoperative Pain, Kinesiophobia, and Discharge Readiness in Patients Undergoing Total Knee Arthroplasty

An interventional study of Mind Mapping-Based Education in Total Knee Arthroplasty, sponsored by Inonu University. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Inonu University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Jun 2026, registered Oct 2026).
  • Started Jun 2026; still recruiting 4 months later.
Updated Oct 21, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
102
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Total knee arthroplasty is a surgical procedure used to relieve pain and improve function in patients with severe knee joint problems. However, patients may experience pain, fear of movement (kinesiophobia), and difficulties in feeling ready to leave the hospital after surgery.

The purpose of this study is to evaluate the effect of mind mapping-based education on postoperative pain, kinesiophobia, and discharge readiness in patients undergoing total knee arthroplasty.

In this study, patients will receive education based on mind mapping in addition to routine care, or routine care alone, according to their assigned study group. Mind mapping is a visual learning method that presents information using connected words, concepts, and diagrams. The study will compare the outcomes of the groups to determine whether mind mapping-based education improves patients' postoperative experiences and readiness for discharge.

Postoperative pain, fear of movement, and discharge readiness will be assessed using appropriate measurement tools. The findings may help improve patient education and support recovery after total knee arthroplasty.

Read the detailed description

Mind mapping is a visual learning strategy that organizes information around a central concept through related concepts, keywords, and connections. This approach may facilitate the organization, comprehension, and recall of information by presenting complex topics in a structured visual format.

In perioperative nursing care, patients undergoing total knee arthroplasty need information about the surgical process, postoperative recovery, pain management, mobilization, and preparation for discharge. Providing structured education before and after surgery may support patients' understanding of the recovery process and encourage their active participation in postoperative care.

This randomized controlled study will investigate the effects of mind mapping-based education provided before and after total knee arthroplasty, in addition to routine care, compared with routine care alone. The intervention is designed to present perioperative information in a visual and organized format.

Participants will be randomly allocated to an intervention group or a control group. The intervention group will receive mind mapping-based education in addition to routine care, whereas the control group will receive routine care without the additional mind mapping-based educational intervention.

The study is intended to provide evidence regarding the potential contribution of mind mapping-based education to perioperative patient education and nursing care in individuals undergoing total knee arthroplasty.

02

Conditions studied

  • Total Knee Arthroplasty

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Keywords

  • Total Knee Arthroplasty
  • Mind Mapping
  • Kinesiophobia
  • Discharge Readiness
03

In context

Kinesiophobia

253 studies on the registry are indexed under Kinesiophobia; 90 are open to participants now.

This study's planned enrollment of 102 is above the median of 52 across 151 interventional studies indexed under Kinesiophobia.

Browse Kinesiophobia studies →

Lead sponsor

Inonu University is the lead sponsor of 384 studies on the registry; 90 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Individuals without speech or hearing impairments.

Individuals who are literate in Turkish.

Individuals who are oriented to person, place, and time.

Individuals aged 18 years or older.

Exclusion criteria

Exclusion Criteria:

  • Individuals with a neurological diagnosis (e.g., Alzheimer's disease) or a psychiatric diagnosis (e.g., schizophrenia) that may affect cognitive function.

Individuals who are not literate in Turkish.

Individuals undergoing bilateral total knee arthroplasty.

Individuals with a history of previous orthopedic surgery.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
102 participants (estimated)

Study arms

  • Experimental
    Mind Mapping-Based Education Group

    Participants in this group will receive mind mapping-based education before and after total knee arthroplasty in addition to routine care. The education will provide structured visual information about the perioperative process, postoperative pain management, mobilization, recovery, and preparation for hospital discharge.

    Behavioral: Mind Mapping-Based Education

  • No intervention
    Routine Care Group

    Participants in this group will receive routine care, including standard patient education provided by the clinical unit, without the additional mind mapping-based educational intervention.

Interventions

  • BehavioralMind Mapping-Based Education

    Participants will receive mind mapping-based education before and after total knee arthroplasty, in addition to routine care. The education will cover the perioperative process, postoperative pain management, mobilization, recovery, and discharge preparation.

06

What researchers measure

Primary outcomes

  1. Change from Baseline in Kinesiophobia Score

    Kinesiophobia will be assessed at the initial data collection (baseline) and on postoperative day 1 using the kinesiophobia measurement instrument specified in the study protocol. The change in score from baseline to postoperative day 1 will be calculated and compared between the mind mapping-based education group and the routine care group. Scoring and interpretation will follow the instrument's guidelines.

    Time frame: Baseline (initial data collection before the intervention) and postoperative day 1.

  2. Postoperative Pain Intensity on the Numeric Rating Scale

    Postoperative pain intensity will be assessed using the Numeric Rating Scale (NRS) on postoperative days 0, 1, and 2. Pain scores at each assessment time point will be compared between the mind mapping-based education group and the routine care group. Scoring will follow the version of the NRS specified in the study protocol.

    Time frame: Postoperative day 0, postoperative day 1, and postoperative day 2.

  3. Readiness for Hospital Discharge Score

    Readiness for hospital discharge will be assessed using the Readiness for Hospital Discharge Scale on postoperative day 2, after the decision to discharge the patient has been made. Scores will be calculated according to the instrument's scoring guidelines and compared between the mind mapping-based education group and the routine care group

    Time frame: Postoperative day 2, after the decision to discharge the patient has been made.

07

Study locations

1 of 1 sites recruiting
  • Batman Eğitim ve Araştırma Hastanesi
    Batman, Turkey (Türkiye)
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07885449
Lead sponsor
Inonu University
Responsible party
Buşra AKYOL (Dr, Batman University) — Principal investigator
First posted
Oct 21, 2026
Start date
Jun 1, 2026
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Oct 21, 2026

Study contacts

Runida Doğan
Contact
runida.dogan@inonu.edu.tr
+90 422 377 3825 ext. 3846
Buşra Akyol
Contact
busragny72@gmail.com
5317994476

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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