Behaviour change physiotherapy intervention to increase physical activity following hip and knee replacement (PEP-TALK): study protocol for a pragmatic randomised controlled trial.
Arthroplasty, Replacement, Hip
/ psychology
Arthroplasty, Replacement, Knee
/ psychology
Cognitive Behavioral Therapy
/ methods
Comorbidity
England
Exercise
Exercise Therapy
/ methods
Female
Humans
Male
Multicenter Studies as Topic
Pragmatic Clinical Trials as Topic
Recovery of Function
Surveys and Questionnaires
Treatment Outcome
adult orthopaedics
hip
knee
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
19 07 2020
19 07 2020
Historique:
entrez:
22
7
2020
pubmed:
22
7
2020
medline:
18
2
2021
Statut:
epublish
Résumé
While total hip replacement (THR) and total knee replacement (TKR) successfully reduce pain associated with chronic joint pathology, this infrequently translates into increased physical activity. This is a challenge given that over 50% of individuals who undergo these operations are physically inactive and have medical comorbidities such as hypertension, heart disease, diabetes and depression. The impact of these diseases can be reduced with physical activity. This trial aims to investigate the effectiveness of a behaviour change physiotherapy intervention to increase physical activity compared with usual rehabilitation after THR or TKR. The PEP-TALK trial is a multicentre, open-labelled, pragmatic randomised controlled trial. 260 adults who are scheduled to undergo a primary unilateral THR or TKR and are moderately inactive or inactive, with comorbidities, will be recruited across eight sites in England. They will be randomised post-surgery, prior to hospital discharge, to either six, 30 min weekly group-based exercise sessions (control), or the same six weekly, group-based, exercise sessions each preceded by a 30 min cognitive behaviour approach discussion group. Participants will be followed-up to 12 months by postal questionnaire. The primary outcome is the University of California, Los Angeles (UCLA) Physical Activity Score at 12 months. Secondary outcomes include: physical function, disability, health-related quality of life, kinesiophobia, perceived pain, self-efficacy and health resource utilisation. Research ethics committee approval was granted by the NRES Committee South Central (Oxford B - 18/SC/0423). Dissemination of results will be through peer-reviewed, scientific journals and conference presentations. ISRCTN29770908.
Identifiants
pubmed: 32690503
pii: bmjopen-2019-035014
doi: 10.1136/bmjopen-2019-035014
pmc: PMC7371148
doi:
Banques de données
ISRCTN
['ISRCTN29770908']
Types de publication
Clinical Trial Protocol
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e035014Investigateurs
Steve Algar
(S)
Zara Hansen
(Z)
Ian Smith Karen
(IS)
Iain McNamara
(I)
Michael Dunn
(M)
Dawn Locke
(D)
Sonny Driver
(S)
Jamila Kassam
(J)
Peter Penny
(P)
Celia Woodhouse
(C)
Tracey Potter
(T)
Helena Daniell
(H)
Alex Herring
(A)
Yan Cunningham
(Y)
Irrum Afzal
(I)
Maninderpal Matharu
(M)
Tamsin Hughes
(T)
Erin Hannink
(E)
Michelle Moynihan
(M)
David Deehan
(D)
Emma Godfrey
(E)
Neil Artz
(N)
Steve Algar
(S)
Lindsey Smith
(L)
Dipesh Mistry
(D)
Paul Baker
(P)
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
J Gen Intern Med. 2007 Apr;22(4):464-9
pubmed: 17372794
Clin Rehabil. 2017 May;31(5):639-650
pubmed: 27773874
BMC Med. 2010 Mar 24;8:18
pubmed: 20334633
Postgrad Med J. 2015 Sep;91(1079):483-91
pubmed: 26306502
J Physiother. 2012;58(2):113-6
pubmed: 22613241
J Arthroplasty. 1998 Dec;13(8):890-5
pubmed: 9880181
Acta Orthop. 2016 Jul;87 Suppl 1:44-9
pubmed: 27299567
Age Ageing. 1972 Nov;1(4):233-8
pubmed: 4669880
BMC Musculoskelet Disord. 2015 Dec 10;16:385
pubmed: 26652166
Ann Rheum Dis. 2014 Aug;73(8):1462-9
pubmed: 24590181
Health Qual Life Outcomes. 2013 Nov 25;11:202
pubmed: 24268204
BMC Musculoskelet Disord. 2015 Nov 26;16:366
pubmed: 26612135
J Orthop Sports Phys Ther. 2016 Mar;46(3):200-16
pubmed: 26813750
J Rehabil Med. 2005 Sep;37(5):330-4
pubmed: 16208869
J Arthroplasty. 2015 Feb;30(2):176-91
pubmed: 25449591
J Bone Joint Surg Br. 1996 Mar;78(2):185-90
pubmed: 8666621
Phys Ther. 2012 Sep;92(9):1109-16
pubmed: 22628580
Eur J Cardiovasc Prev Rehabil. 2008 Jun;15(3):239-46
pubmed: 18525377
Soc Sci Med. 2016 Jun;158:14-23
pubmed: 27104307
J Chronic Dis. 1987;40(5):373-83
pubmed: 3558716
Health Technol Assess. 2010 Aug;14(41):1-253, iii-iv
pubmed: 20807469
Physiotherapy. 2018 Mar;104(1):80-90
pubmed: 28917522
J Psychosom Res. 2002 Feb;52(2):69-77
pubmed: 11832252
Arthritis Care Res. 1996 Jun;9(3):189-96
pubmed: 8971228
J Bone Joint Surg Br. 1998 Jan;80(1):63-9
pubmed: 9460955
Pain. 2011 Oct;152(10):2399-404
pubmed: 21856077
Med Sci Sports Exerc. 2003 Nov;35(11):1823-7
pubmed: 14600545
BMJ. 2014 Mar 07;348:g1687
pubmed: 24609605
Acta Psychiatr Scand. 1983 Jun;67(6):361-70
pubmed: 6880820
BMC Musculoskelet Disord. 2012 Jun 29;13:116
pubmed: 22748117
Diabetes. 2005 Jan;54(1):158-65
pubmed: 15616024
Clin Orthop Relat Res. 2009 Apr;467(4):958-65
pubmed: 18587624
Patient Relat Outcome Meas. 2016 Jul 25;7:101-8
pubmed: 27524925
Stroke. 2003 Oct;34(10):2475-81
pubmed: 14500932
Rheumatol Int. 2015 Jul;35(7):1233-41
pubmed: 25586654
Health Policy. 1990 Dec;16(3):199-208
pubmed: 10109801
Int J Behav Nutr Phys Act. 2015 Aug 18;12:101
pubmed: 26283094
Glob Heart. 2014 Mar;9(1):145-158.e21
pubmed: 25432124
Phys Ther. 2008 Sep;88(9):1039-48
pubmed: 18653677
Ann Behav Med. 2014 Oct;48(2):225-34
pubmed: 24648017
Phys Ther. 1999 Apr;79(4):371-83
pubmed: 10201543