Fitbit and Social Support in Knee Replacement Patients & Buddies

Study Overview
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Brief Summary
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Patients undergoing knee replacement typically report improved health-related quality of life, increased physical function, and reduced pain. Despite these improvements, physical activity levels remain unchanged, or only minimally increase from pre-operative levels, yet do not reach the same level of activity observed among healthy populations. Knee replacement patients often expect their activity levels and function to improve following surgery, but the majority of patients' activity levels 5 years post-operatively did not meet their pre-operative expectations. Even though improvements are observed in pain and function, reasons for the maintenance of low levels of activity are unknown. Technology has the potential to increase physical activity levels in these patients, particularly as 81% of knee replacement patients in our recent study had a smartphone, and 40% were willing to wear a wrist-worn physical activity monitor. As the average age of knee replacement continues to decrease, we anticipate that the percent of patients with a smartphone and willingness to wear an activity monitor will increase. In addition to technology, social support is associated with greater outcomes following knee replacement. Thus, wearing a wrist-worn physical activity monitor and providing additional opportunities for social support via the technology may increase physical activity levels in these patients. The current pilot study aims to gain preliminary data on the influence of wearables and social support on physical activity in knee replacement patients following surgery. Specifically, we aim to recruit 20 patients who will be randomized to one of two conditions: Fitbit vs. Fitbit+Support. Participants in the Fitbit group will receive a Fitbit and be encouraged to wear it for 4 months. Participants in the Fitbit+Support group will be asked to identify a buddy. Both the participant and buddy will be given a Fitbit and they will be asked to friend each other via Fitbit and wear the monitor for 4 months.

Official Title
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Influence of Wearable Activity Monitors and Social Support on Physical Activity After Knee Replacement

Conditions
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Arthroplasty, Replacement, Knee

Intervention / Treatment
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* Behavioral: Fitbit
* Behavioral: Fitbit+Support


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Knee replacement patients must (1) have had a knee replacement in the last 12 months; (2) have a computer or smartphone compatible with Fitbit, (3) be English speaking, (4) willing to wear the Fitbit for 4 months, and (5) have a buddy willing to participate. Patient buddies must: (1) have a computer or smartphone compatible with Fitbit, (2) be English speaking, and (3) willing to wear the Fitbit for 4 months. Exclusion Criteria: Knee replacement patients will be excluded if they have another knee replacement scheduled within the next 4 months.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Fitbit<br>Participants randomized to Fitbit will be mailed a Fitbit and encouraged to wear it over the next 4 months. | Behavioral: Fitbit<br>* Participants randomized to Fitbit will be mailed a Fitbit and encouraged to wear it over the next 4 months<br>|
| Experimental: Fitbit+Support<br>Participants will identify a Buddy and both the participant and Buddy will be mailed a Fitbit. Both participant and Buddy will be asked to Friend each other on Fitbit and encouraged to wear the monitor over the next 4 months. | Behavioral: Fitbit+Support<br>* Participants will identify a Buddy and both the participant and Buddy will be mailed a Fitbit. Both participant and Buddy will be asked to Friend each other on Fitbit and encouraged to wear the monitor over the next 4 months.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Moderate/Vigorous Intensity Physical Activity | Number of minutes/day of moderate and vigorous intensity physical activity measured by the Fitbit | 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Social Support | Social Support & Exercise Survey - Family score (sum items 11 - 16 and 20 - 23); Scores can range between 10-50, with a higher score indicating more support | 4 months | 
| Percentage of Participants Satisfied With the Fitbit | Acceptability of the Fitbit (% satisfied with Fitbit) | 4 months | 
| Fitbit Engagement | Percentage of days Fitbit was worn | 4 months |