Health Coaching for Patients Waiting for Hip or Knee Replacements

Study Overview
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Brief Summary
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A randomised controlled feasibility study of a health coaching intervention targeting people on the waitlist for hip or knee replacement surgery with low patient activation.

Detailed Description
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Determine the feasibility of recruitment and retention to the trial. Evaluate the acceptability of research procedures and outcome measures. Explore the impact of trial participation through patient activation, self-reported health outcomes and interviews.

Official Title
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Feasibility of Targeted Health Coaching for Patients With Low Activation Waiting for Total Hip or Total Knee Replacements

Conditions
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Osteoarthritis, Hip, Osteo Arthritis Knee

Intervention / Treatment
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* Other: Health Coach (Health coaching)
* Other: Digital Toolkit (Control)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: On the waitlist for total hip or total knee replacement surgery PAM level 1 or 2 Exclusion Criteria: Current participation in care with a focus on self-management education PAM Level 3 or 4

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Health Coaching<br>Patients will be assigned a health coach and be eligible to 8 sessions over a 12 week period. | Other: Health Coach (Health coaching)<br>* Patients will be assigned a health coach and be eligible to 8 times, 1 hour sessions over a 12 week period. The health coach will use techniques to increase their ability to self-manage, motivation levels and commitment to change their behaviour.<br>|
| Active Comparator: Control<br>Patients will be enrolled onto the digital toolkit. | Other: Digital Toolkit (Control)<br>* This is an online website, unsupervised, 12-week self-management programme.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recruitment Rates | Defined as rate of invited participants who are eligible and consenting. | 4 weeks | 
| Retention Rates | Retention rates will be established as discontinuation with the exercise intervention and absence from the assessment sessions. | 12 weeks | 
| Acceptability of intervention | Will be evaluated by participants feedback via one-to-one semi-structured interviews. | 12 weeks | 
| Competition rates | Completion is determined by participants that attend baseline and follow-up testing. | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in patient activation | Patient activation measure 13-item questionnaire (0 - 100 point scale) | 12 weeks | 
| Change in quality of life | EQ-5D-5L questionnaire (1 - 5 point scale) | 12 weeks | 
| Change in pain score | Oxford score questionnaire (0 - 48 point scale) | 12 weeks | 
| Change in physical activity | IPAQ-SF questionnaire (MET/mins) | 12 weeks |