Orthopedic Disorder
Conditions
Keywords
prehabilitation, optimisation, surgery, surgical preparation
Brief summary
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.
Detailed description
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.
Interventions
BEHAVIORALExperimental: BoneFit intervention
Exercise, nutrition and psychological support provided in 8 weeks prior to surgery
BEHAVIORALPlacebo Comparator: Control
Control group receive usual care (zero intervention)
Sponsors
Hull University Teaching Hospitals NHS Trust
University of Hull
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
Masking is not possible - referrals/care providers know whether they/referral is involved in the intervention or not.
Intervention model description
Intervention v control
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Waiting for unilateral total hip or knee replacement surgery for a minimum of 6 months; * Able to provide informed consent;
Exclusion criteria
* Previous hip or knee surgery; * Any medical conditions for which moderate to vigorous exercise is contraindicated; * Patellar or hip joint instability; * Any other disease/condition which severely effects functional performance e.g. stroke or Parkinson's disease; * Chronic depression or significant psychiatric disorder; * Enrolled in a clinical trial (or recently completed one); * Cognitive impairment which would affect compliance to BoneFIt service; * Patients unable or unwilling to commit to required study follow-ups * Pregnancy;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment | 2 years | Number of people recruited and trained |
| Adherence and attendance | 2.5 years | Record the number of sessions attended and calculate adherence to protocol (%) |
| Acceptability | 3 years | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall quality of life | 3 years | 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. |
| Physical fitness | 3 years | Compare incremental shuttle walk test scores (intervention v controls). Units: stage achieved and time taken (seconds) |
| Knee or hip specific pain, function and quality of life | 3 years | 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. |
| Length of stay | 3 years | Compare days in hospital following surgery (intervention v controls). Units: hours in hospital following surgery. |
| Readmission rates | 3 years | Compare the % of patients in each group who were readmitted to hospital following surgery (intervention v controls) |
Countries
United Kingdom
Contacts
Primary ContactLee Ingle
Outcome results
None listed