Health Coaching for Patients Waiting for Total Hip or Knee Replacements

N/AEnrolling By InvitationNCT06596031

Sheffield Hallam University36 enrolled

Overview

This pilot study aims to evaluate the feasibility of collecting objective data on physical performance to measure the impact of health coaching in addition to a digital resource (Active Wait) and enable sample size calculation for a larger scale RCT.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Arthritis Knee Arthritis of Hip

Interventions

Health coachingBEHAVIORAL

The core belief in coaching is that people are resourceful and that the participant knows what is best for themselves. If the participants are assigned to the health coaching group, they will have access to a health coach with a physiotherapist background. Instead of offering physiotherapy advice, however, the health coaching will work with the participant to come up with ideas that work the best for them to manage their health and wellness to prepare for surgery, including addressing some difficulties the participant are facing when using the online resource.

Digital toolkitBEHAVIORAL

This intervention provides, via a website, self-management support of preoperative rehabilitation for hip or knee replacement based on NICE guidelines Joint replacement (primary): hip and knee. This includes guidance for patients to undertake a strengthening programme that will aid recovery, lifestyle behaviours including weight management, diet and smoking cessation, and maximising functional independence and quality of life before surgery.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients scheduled on the waitlist for a total joint replacement surgery for hip/knee, ie clinically and radiographically diagnosed, symptomatic knee/hip osteoarthritis deemed suitable for surgical intervention; * have access to the internet and the ability to navigate web-based programs; * able and willing to travel to Advanced Wellbeing Research Centre for baseline and follow-up assessments; * able to comprehend the requirements and purpose of the study and give informed consent Exclusion Criteria: * other musculoskeletal lower limb or back conditions requiring assessment or treatment by a health professional in the last 6 months; * neurological impairment or condition affecting lower limb function; conditions listed as both absolute and relative contraindications for physical activities by the American College of Sports Medicine (ACSM), such as unstable angina, uncontrolled diabetes; * systemic inflammatory disease (e.g. rheumatoid arthritis); * previous total joint replacement surgery (hip or knee)

Locations (1)

Advanced Wellbeing Research Centre

Sheffield, United Kingdom

Outcomes

Primary Outcomes

Global rating of change

Bowens Framework - acceptability (Perceived benefits) 7-point likert scale global rating of change (GROC) with -3 being worse, 0 being no change and 3 being better

Time frame: 12 weeks

Perceived Satisfaction

Bowens Framework - acceptability (Perceived satisfaction). How satisfied were you with the overall information, level of support, and ease of use of the program? Measured on a numeric rating scale, where 0 means not satisfied, 10 means significant satisfaction.

Time frame: 12 weeks

Rate of retention

Bowens Framework - acceptability, percentage of participants progressing from baseline, to midpoint and post-intervention assessments

Time frame: 12 weeks

Drop out rate

Bowens Framework - acceptability, percentage of people discontinuing in both groups

Time frame: 12 weeks

Adverse events

Bowens Framework- practicality, measured by number, type and severity of adverse events

Time frame: 12 weeks

Rate of service utilisation

Bowens Framework - implementation, measured by the number of attended sessions (health coaching) number of days during the week using the active wait website

Time frame: 12 weeks

Rates of recruitment

Bowens Framework - demand, measured by n number of recruitment per week.

Time frame: 12 weeks

Secondary Outcomes

Data from ClinicalTrials.gov

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