Health Coaching for Patients Waiting for Total Hip or Knee Replacements

Sheffield Hallam University

Status: Invitation-only

Conditions: Arthritis of Hip; Arthritis Knee

Treatments: Behavioral: Health coaching; Behavioral: Digital toolkit

Study type: Interventional

Funder types: Other

Identifiers

NCT06596031

ER68359613

Details and patient eligibility

About

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.

Enrollment: 36 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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)

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Health coaching

Experimental group

Description:

Participants randomized to the intervention group will receive access to the Active Wait program, which includes remote, self-paced (asynchronous) education, exercise, and nutritional advice delivered via a web-based platform. The participants in the intervention group will have access to the program, in conjunction with health coaching. Patients undertaking health coaching will be assigned a personal health coach who will provide support to increase their ability to self-manage through self- regulation principles of behaviour change. Health coaching sessions will be delivered remotely (via telephone or video conferencing) a maximum of 8-times during a 12-week intervention period. Sessions are limited to 1 hour, offering education, self-management strategies, barrier and facilitator identification, support and encouragement, goal setting, action planning and self-monitoring with the intention to facilitate positive and sustainable lifestyle and behaviour changes.

Treatment:

Behavioral: Health coaching

Digital toolkit

Active Comparator group

Description:

Patients in the active-comparator group will be given a link to the same Digital Toolkit. The digital toolkit is a 12-week non-contact programme titled Active Wait, which offers education, self-management techniques and an unsupervised strength programme. The website Active Wait can be accessed via the link: https://protect-au.mimecast.com/s/8_5gCP7yRZiWn3q3FzwqnS?domain=sheffieldachesandpains.com/

Treatment:

Behavioral: Digital toolkit