Postoperative Care
Conditions
Keywords
older adults, hip arthroplasty, rocking chair, feasiblity, acceptability, recovery, intervention
Brief summary
Feasibility and acceptability randomized controlled trial exploring the use of a rocking chair after a total hip arthroplasty in adults who are aged 65 or older. Primary aims include its feasibility and acceptability; exploratory aims include the impact of rocking on pain, gastrointestinal effects, anxiety, ambulation, and additional healthcare visits.
Interventions
BEHAVIORALActive rocking in a rocking chair
Participants will actively rock 3 times per day for 30 minutes in a rocking chair
BEHAVIORALSitting upright in a stationary chair
Participants will sit upright in a stationary chair 3 times per day for 30 minutes
Sponsors
University of Missouri, Kansas City
Sigma-Tau Research, Inc.
Association of Rehabilitation Nurses
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Intervention model description
2 groups randomized 1x1
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* scheduled to undergo an elective primary total hip arthroplasty * Weigh less than 163kg (limit of rocking chair) * Able to consent * Able to rock with at least one leg
Exclusion criteria
* Unable to sit in a chair for at least 30 minutes at a time * Hospitalized more than 24 hours after surgery * Cannot read and understand the English language * Planned disposition to rehabilitation facility or skilled nursing facility * Known vestibular dysfunction (such as Menieres, traumatic brain injury, vertigo)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants that enroll and complete study assessed by Feasibility Participant Questionnaire (developed by investigators) | From enrollment to 31-day follow-up | Feasibility of active rocking post-operative measured by total number of participants enrolled, total percentage and number completing the study, and percent of missing data. A higher percent of missing data is a negative outcome. |
| Total participants reporting acceptability of rocking or sitting as measured by Acceptability for Participants Questionnaire | From enrollment to 31-day follow-up | Acceptability of rocking or sitting after hip arthroplasty indicated by score on domains of affective, perceived effectiveness, intervention coherence, ethicality, burden, opportunity costs, self-efficacy likert scales from 1-4 (Not at all, a little, somewhat, very much). Scores from each domain are combined and summed to determine a single acceptability score (higher scores equate to higher acceptability of the intervention). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total participants indicating Nausea using the PROMIS Scale v1.0 GI Nausea and Vomiting 4A | From surgery (Day 1 of the study) to 31-day follow-up | Participants indicate Daily nausea assessment on 5-point Likert scale (never, rarely, sometimes, often, always). Higher scores indicate more Nausea. |
| Total participants reporting Gas/bloating via PROMIS v1.1 GI Gas and Bloating 13A | From surgery (Day 1 of the study) to end of 31-day follow-up | Participants reporting Daily gas/bloating assessment on 5-point Likert scale (not at all, a little bit, somewhat, quite a bit, very much). Higher scores indicate more daily gas/bloating. |
| Total participants reporting Daily pain assessed by PROMIS v2.0 pain intensity 3A | From surgery (Day 1 of the study) to end of 31-day follow-up | Participants reporting Daily pain assessment on 5-point likert scale (no pain, mild, moderate, severe, very severe). Higher scores equate to more daily pain experienced. |
| Total amount of participants' Daily Ambulation as measured using steps via activPAL4pro accelerometer | After surgery (Day 1 of the study) and up to 7 days post-surgery | The amount of participants' Daily ambulation will be assessed with the amount of steps taken per day using the triaxial accelerometer activPAL4pro. More steps per day equates to greater ambulation. |
| Total amount of participants' Daily anxiety measured using the Anxiety subscale of the Neuro-QoL Hospital Anxiety and Depression Scale | From enrollment through 31-day follow-up | The participants will report their Daily anxiety assessment using the Anxiety subscale of the Neuro-QoL Hospital Anxiety and Depression Scale, which assesses self-reported fear, worry, tension, and nervousness and will be scored with a T-score with higher scores indicating more anxiety. The scores range from 0-3 (not at all, not often, sometimes, most of the time). |
| Participants' self-reported Additional healthcare visits since their surgery, as assessed via phone call at 31-days post-surgery | From surgery (Day 1 of the study) until 31-day follow-up | The total number of Additional healthcare visits will be assessed via phone call at 31-days post-surgery using the investigator-developed question: Have you been hospitalized since you have been discharged from your hip surgery? |
Contacts
CONTACTAmelia Hopper, MSN
STUDY_CHAIRMatthew Chrisman, PHD
University of Missouri, Kansas City
Outcome results
None listed