About this trial
To conduct a pilot feasibility study to determine the effect of a student-led prehabilitation service in people awaiting total hip or knee replacement surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Waiting for unilateral total hip or knee replacement surgery for a minimum of 6 months;
Able to provide informed consent;
Disqualifiers
Previous hip or knee surgery;
Any medical conditions for which moderate to vigorous exercise is contraindicated;
Patellar or hip joint instability;
Any other disease/condition which severely effects functional performance e.g. stroke or Parkinson's disease;
Trial design
Parallel
Treatments tested in this trial
Experimental: BoneFit intervention
BehavioralExercise, nutrition and psychological support provided in 8 weeks prior to surgery
Placebo Comparator: Control
BehavioralControl group receive usual care (zero intervention)
Treatment groups
Trial outcomes
Primary outcomes
Recruitment
Number of people recruited and trained
Adherence and attendance
Record the number of sessions attended and calculate adherence to protocol (%)
Acceptability
Conduct semi-structured interviews following the intervention with sample of participants and ask them about experiences of the intervention. The post-intervention interviews will focus on how participants viewed the intervention, perceived burdens, and perceived effectiveness from initiation through to completion. A list of burdens / perceived benefits will be reported alongside percentage rates of respondents.
Secondary outcomes
Physical fitness
Compare incremental shuttle walk test scores (intervention v controls). Units: stage achieved and time taken (seconds)
Length of stay
Compare days in hospital following surgery (intervention v controls). Units: hours in hospital following surgery.
Readmission rates
Compare the % of patients in each group who were readmitted to hospital following surgery (intervention v controls)
Overall quality of life
Compare quality of life scores (intervention v controls) using EQ-5D-5L questionnaire. Index scores range between zero and one, based on 5-point Likert scale, with scores closer to one indicating an improved status.
Sponsors and contacts
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University of Hull
Lead sponsor
Hull University Teaching Hospitals NHS Trust
Collaborator