Choose to Move (CTM) is a 3-month, choice-based health-promoting program for low active older adults being scaled-up across British Columbia (BC), Canada. Recently, the investigators adapted CTM for the \>14000 people in BC who are on surgical waitlists for total knee replacement or total hip replacement (TKR/THR) for osteoarthritis (OA). The primary goal of this observational study is to learn if the adapted program, Choose to Move Replacement Ready (CTM-RR), is feasible to deliver to people with hip and/or knee osteoarthritis who are on surgical waitlists for TKR/THR.
Participants who enrol in CTM-RR will answer online survey questions about the program and about their physical activity, mobility, pain, function, quality of life, willingness to undergo surgery, overall perception of their joint condition, psychosocial health, self-efficacy, social isolation, loneliness, and sedentary time. CTM-RR activity coaches will also answer online survey questions about the program. CTM-RR participants, activity coaches, and referral partners will also participate in interviews about the program.
Activity coach hired by the Active Aging Society (activity coaches must speak English to participate in the evaluation);
English-speaking older adults (aged >=50 years) who participate in CTM-RR will be invited to participate in the evaluation
Referral partner (People who work in a healthcare setting who refer patients into the program)
non-English speaking activity coach
non-English speaking referral partner
Single group
Choose to Move Replacement Ready
BehavioralAs described under study arm description.
Implementation Outcome: Recruitment
Obtained from program records. Proportion of people who attend the program information session, are eligible, and enrol in the program. Feasibility Target: Enrol 50% of people attending the program information session who are eligible to participate to the program.
Implementation Outcome: Retention
Obtained from evaluation records. Proportion of participants who consent to the evaluation who complete each follow-up assessment. Feasibility target: A minimum of 80% of participants who consented to the evaluation (and are in the pre-operative period) completing each follow-up assessment.
Implementation Outcome: Dose delivered
Obtained from post-program survey. Proportion of required intervention components (group meetings and one-on-one consultations) delivered by activity coaches. Feasibility target: Activity coaches delivering 90% of required intervention components (group meetings and one-on-one consultations).
Implementation Outcome: Dose received
Obtained from post-program survey. Proportion of participants who consent to the evaluation, attending required intervention components (group meetings and one-on-one consultation) Feasibility target: Participants who consent to the evaluation attending 6 out of 9 (\>60%) of required intervention components (group meetings and one-on-one consultation)
Change in physical activity
Single-item physical activity questionnaire. Output measure is self-reported number of days engaging in ≥30 minutes of moderate-to-vigorous physical activity in the past week (range 0-7). Higher scores reflect a better outcome (i.e. increased physical activity)
Change in walking time
International Physical Activity Questionnaire (IPAQ-SF): assesses self-reported weekly minutes of walking (minutes per week)
Change in sedentary time
International Physical Activity Questionnaire (IPAQ-SF): assesses self-reported weekly minutes of sedentary time
Change in bone and muscle strengthening activity
Single-item muscle strengthening activity survey. Number of days in past week doing activities that increase bone and muscle strength
Acceptability - CTM-RR program
Acceptability of Intervention Measure (AIM). Activity coaches' perception that CTM-RR is agreeable or satisfactory will be assessed by survey (4 items each on a 1-5 Likert scale with 1 being completely disagree and 5 being completely agree).
Appropriateness - CTM-RR program
Intervention Appropriateness Measure (IAM). Extent to which CTM-RR fits the needs of the target population will be assessed by survey (4 items each on a 1-5 Likert scale with 1 being completely disagree and 5 being completely agree)
Feasibility - CTM-RR program
Feasibility of Intervention Measure (FIM). Activity coaches' perception that CTM-RR is feasible to deliver will be assessed by survey (4 items each on a 1-5 Likert scale with 1 being completely disagree and 5 being completely agree).
Reach
Number of individuals participating in CTM-RR programs will be obtained from program records.
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University of British Columbia
Lead sponsor
Active Aging Society
Collaborator
Specialist Services Committee (Doctors of BC)
Collaborator
