Moving Well for Total Knee Arthroplasty (TKA)

Weill Cornell Medicine (WCM)

Status: Active, not recruiting

Conditions: Osteoarthritis, Knee

Treatments: Behavioral: Staying Well; Behavioral: Moving Well

Study type: Interventional

Funder types: Other

Identifiers

NCT05217420

19-08020638

Details and patient eligibility

About

The purpose of this study is to assess the efficacy of a behavioral intervention, Moving Well, in improving levels of anxiety and depression for patients undergoing total knee arthroplasty (TKA).

Full description

Moving Well is a behavioral intervention, guided by peer coaches, that aims to improve mental and physical preparation for patients planning to undergo total knee arthroplasty (TKA) and improve postoperative recovery and outcomes. Peer coaches are patients who themselves have had TKA due to advanced osteoarthritis (OA) of the knee and have been trained and certified to become peer coaches.

Enrollment: 79 patients

Sex: All

Ages: 50+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Subjects must have their primary TKR (one knee or both knees) scheduled in 8 weeks or more
• Be willing to participate in the Moving Well (intervention) arm or Staying Well (attention control) arm
• Are willing to work with a coach
• ≥ 50 years of age
• Speak English
• Have access to the internet, computer, and a working phone
• We will prioritize the recruitment of subjects with low socioeconomic status defined as being a beneficiary of Medicaid or no insurance and an underrepresented racial/ethnic group (Hispanic/Black).

Exclusion criteria

• Non-English speakers
• The intervention will first be delivered in English to ensure feasibility with the content before adapting the material for patients who speak other languages.
• TKR was a result of a septic joint or revision (implant malfunction)
• Unable to exercise (e.g., bed bound or wheelchair bound)
• Have had contralateral TKR or other joint replacement surgery (hip, shoulder) within the past 5 years
• If they have RA or other connective tissue disease: Lupus, ankylosing spondylitis, psoriatic arthritis, scleroderma, infectious arthritis, polymyalgia rheumatica.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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79 participants in 2 patient groups

Moving Well

Experimental group

Description:

Participants will receive weekly calls for 12 weeks (7 weeks before total knee arthroplasty surgery and 5 weeks after surgery) from a peer coach, an exercise program, and mental preparation (through positive thinking) for surgery. Participants will also receive the standard of care for patients undergoing total knee arthroplasty.

Treatment:

Behavioral: Moving Well

Staying Well

Active Comparator group

Description:

Participants will receive weekly calls for 12 weeks (7 weeks before total knee arthroplasty surgery and 5 weeks after surgery) from a research assistant. The calls will be similar in length to those in the experimental arm and will cover various health topics not related to total knee arthroplasty. Participants will also receive the standard of care for patients undergoing total knee arthroplasty.

Treatment:

Behavioral: Staying Well