PEP-TALK: A study investigating whether having group discussions in addition to physiotherapy improves the amount of physical activity following hip and knee replacement

Not Applicable

Completed

• Conditions: Physical activity after hip or knee replacement; Musculoskeletal Diseases; Physical activity after hip and knee replacement

• Registration Number: ISRCTN29770908
• Lead Sponsor: niversity of Oxford

Brief Summary

2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/32690503/ protocol (added 22/07/2020) 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/35641012/ (added 08/06/2022)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-10-23
• Study Completion: 2021-04-27
• Last Update Posted: 28 November 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 230

Inclusion Criteria

1. People following primary (first-time) unilateral total hip replacement (THR) or total knee replacement (TKR) where the indication for surgery is degenerative joint pathology (not trauma). Participants post-THR and TKR will be recruited given that there is no difference in physical activity participation between the two cohorts. Both have similar barriers to physical activity engagement which the intervention could address.
2. People who do not meet physical activity levels to benefit health (using the General Practice Physical Activity Questionnaire (GPPAQ))
3. Aged 18 years or older
4. Charlson Comorbidity Index (CCI) of one point or above
5. Capacity to provide written informed consent as determined by the approaching researcher at screening through an assessment using the AMTS

Exclusion Criteria

1. Absolute contraindication to exercise such as severe cardiovascular or pulmonary disease (New York Heart Association III-IV)
2. Undergo revision (second-time) joint replacement given that surgery and recovery of this population is more complicated.
3. Living in a care home
4. Enrolled onto another trial investigating interventions on physical activity or exercise adherence or behavioural therapy interventions
5. Cannot read and/or comprehend English
6. Do not have access to a working telephone

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Physical activity, assessed using the University of California Los Angeles (UCLA) Activity Scale at the baseline and after 6 and 12 months

Secondary Outcome Measures

Name	Time	Method
The following will be assessed at the baseline and after 6 and 12 months unless otherwise stated:<br>1. Lower limb function, assessed using the Lower Extremity Functional Scale (LEFS)<br>2. Hip and knee-specific disability, assessed using the Oxford Hip Score and Oxford Knee Score respectively<br>3. Pain, assessed using the Numerical Rating Scale for Pain<br>4. Self-efficacy, assessed using the Generalized Self-Efficacy Scale (GSE)<br>5. Fear of movement, assessed using the Tampa Scale for Kinesiophobia (TSK)<br>6. Psychological distress (anxiety and depression), assessed using the Hospital Anxiety and Depression Scale (HADS)<br>7. Health-related quality of life, assessed using the EQ-5D-5L<br>8. Complications and adverse events, assessed using self-reported questionnaire complications and an adverse event questionnaire<br>9. Self-reported health-resource use questionnaire, assessed after 6 and 12 months