To conduct a pilot feasibility study to determine the effect of a student-led prehabilitation service in people awaiting total hip or knee replacement surgery.
The aim of BoneFit is to provide local people living in the Hull region with a needs-based prehabilitation care package to improve their physical and mental health, quality of life \& reduce their length of hospital stay, complications and readmission rates to hospital following orthopaedic surgery (total hip replacement, or total knee replacement. Currently, Hull University Teaching Hospitals do not offer a prehabilitation service for local patients. The University of Hull will partner with them to provide a student-led multimodal prehabilitation service for referred patients awaiting orthopaedic surgery.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
50
Exercise, nutrition and psychological support provided in 8 weeks prior to surgery
Control group receive usual care (zero intervention)
Hull University Teaching Hospitals
Hull, United Kingdom
RECRUITINGRecruitment
Number of people recruited and trained
Time frame: 2 years
Adherence and attendance
Record the number of sessions attended and calculate adherence to protocol (%)
Time frame: 2.5 years
Acceptability
Conduct semi-structured interviews following the intervention with sample of participants and ask them about experiences of the intervention. The post-intervention interviews will focus on how participants viewed the intervention, perceived burdens, and perceived effectiveness from initiation through to completion. A list of burdens / perceived benefits will be reported alongside percentage rates of respondents.
Time frame: 3 years
Physical fitness
Compare incremental shuttle walk test scores (intervention v controls). Units: stage achieved and time taken (seconds)
Time frame: 3 years
Length of stay
Compare days in hospital following surgery (intervention v controls). Units: hours in hospital following surgery.
Time frame: 3 years
Readmission rates
Compare the % of patients in each group who were readmitted to hospital following surgery (intervention v controls)
Time frame: 3 years
Overall quality of life
Compare quality of life scores (intervention v controls) using EQ-5D-5L questionnaire. Index scores range between zero and one, based on 5-point Likert scale, with scores closer to one indicating an improved status.
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Time frame: 3 years
Knee or hip specific pain, function and quality of life
Compare knee or hip specific quality of life scores (intervention v controls). For knee replacements, the KOOS-12 is scored between 0-100 on 5-point Likert scale, with higher scores equating to improved status. For hip replacements, HOOS-12 scores between 0 to 4 points with 0 representing no hip problems and 4 representing extreme hip problems, based on response to 5-point Likert scale.
Time frame: 3 years