Knee-hip Surgery Wait-list Support Program

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorNova Scotia Health Authority

About this trial

This project will outline a pre-surgery support program that identifies risk factors related to poor surgical outcomes and recommends actions to improve these before surgery.

The main questions this study attempts to answer are:

1. Is a formalized knee-hip pre-surgery support program feasible, measured by recruitment rate, adherence, and completion rate? 2. Does the support program improve surgical risk factors including hemoglobin A1c (HB A1C), blood pressure, hemoglobin, estimated glomerular filtration rate (eGFR), frailty score, and physical fitness and function (measured with the 2-minute step test and 30s second sit to stand test)?

Participants will participate in education, medical navigation, and exercise.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

On surgery wait list for total hip or knee arthroplasty at Valley Regional Hospital

18+ and able to provide informed consent

Anticipated surgery time 8-16 weeks after the study start date

Disqualifiers

Any contraindications or exclusions identified through the assessment process that are outside thresholds for acceptable surgery risk

Trial design

Design model

Parallel

Treatments tested in this trial

  • Support program

    Behavioral

    education, medical navigation, exercise

Treatment groups

50 Participants
are divided into 3 treatment groups
Group A: InterventionExperimental treatment 1 intervention
Group B: Healthy controlNo intervention 0 interventions
Group C: Unhealthy controlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Recruitment rate

the number of consenting participants divided by the total number of participants asked to join the study

Time frame
Study baseline
2

Recruitment rate for enhanced support

the number of consented and screened participants signing up to the support program, divided by the total number of participants recommended to the support program

Time frame
Study baseline
3

Adherence to enhanced support program

percent of planned sessions attended

Time frame
Pre-surgery (10-16 weeks after baseline)
4

Completion rate

number of participants that completed the study divided by the number of participants that started the study

Time frame
Pre-surgery (10-16 weeks after baseline)

Secondary outcomes

1

Condition specific health-related quality of life

Oxford hip/knee questionnaire, score range 12-60, lower scores are better

Time frame
Initial assessment (approx. 6-12 months before study enrolment), study baseline, pre-surgery (10-16 weeks after baseline), post-surgery (approx. 6 weeks after surgery)
2

Generic health-related quality of life

Euroqol 5 dimension questionnaire 5 level version (EQ-5D-5L), used to calculate health utility scores which range from 0-1, higher scores are better

Time frame
Initial assessment (approx. 6-12 months before study enrolment), study baseline, pre-surgery (10-16 weeks after baseline), post-surgery (approx. 6 weeks after surgery)
3

Health behaviours

Health behaviours questionnaire (includes questions about drinking status, number of drinks consumed per week, smoking status, and number of cigarettes smoked per day

Time frame
Study baseline and pre-surgery (10-16 weeks after baseline)
4

Physical activity level

Godin-Shepherd Leisure-Time Physical Activity Questionnaire (measures self-reported minutes of moderate to vigorous physical activity per week)

Time frame
Study baseline and pre-surgery (10-16 weeks after baseline)

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Nova Scotia Health Authority

Lead sponsor

Acadia University

Collaborator

This trial is not recruiting at the moment. You can still explore other options: