Behaviour change physiotherapy intervention to increase physical activity following hip and knee replacement (PEP-TALK): study protocol for a pragmatic randomised controlled trial

Smith, Toby, Parsons, Scott, Fordham, Bethany, Ooms, Alex, Dutton, Susan, Hing, Caroline, Barber, Vicki, Png, ME and Lamb, Sallie (2020) Behaviour change physiotherapy intervention to increase physical activity following hip and knee replacement (PEP-TALK): study protocol for a pragmatic randomised controlled trial. BMJ Open. ISSN 2044-6055 (In Press)

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Abstract

INTRODUCTION: Whilst total hip (THR) and knee replacements (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 to usual rehabilitation after THR or TKR. METHODS AND ANALYSIS: The PEP-TALK trial is a multi-centre, 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-minute weekly group-based exercise sessions(control), or the same six-weekly, group-based, exercise sessions each preceded by a 30-minute 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. ETHICS AND DISSEMINATION: Research ethics committee (REC) 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. TRIAL ISRCTN REGISTRATION NUMBER: ISRCTN29770908 PROTOCOL VERSION: Version 4.0 – Date: 17th September 2019 STATUS: trial recruitment is ongoing and is expected to be completed by 1st April 2020.

Item Type: Article
Uncontrolled Keywords: arthroplasty,osteoarthritis,rehabilitation,physical activity,exercise,cognitive behavioural
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: LivePure Connector
Date Deposited: 16 May 2020 00:22
Last Modified: 03 Jul 2020 23:56
URI: https://ueaeprints.uea.ac.uk/id/eprint/75173
DOI:

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