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Improving physical activity, pain and function in patients waiting for hip and knee arthroplasty by combining targeted exercise training with behaviour change counselling: study protocol for a randomised controlled trial

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O'Brien, J ORCID: 0000-0002-6504-8422, Hamilton, K, Williams, A ORCID: 0000-0001-8863-3491, Fell, J ORCID: 0000-0001-6094-9865, Mulford, J, Cheney, M, Wu, S and Bird, ML ORCID: 0000-0001-9642-7196 2018 , 'Improving physical activity, pain and function in patients waiting for hip and knee arthroplasty by combining targeted exercise training with behaviour change counselling: study protocol for a randomised controlled trial' , Trials, vol. 19 , pp. 1-10 , doi: 10.1186/s13063-018-2808-z.

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Abstract

Background: Osteoarthritis often results in prolonged periods of reduced physical activity and is associated withadverse health outcomes, including increased risk of cardiovascular and metabolic diseases. Exercise interventionsfor patients on the waiting list for arthroplasty can reduce the risk of long-term adverse outcomes by increasingactivity levels. However, uptake and ongoing positive rates of physical activity in this population are low and theimpact of pre-operative behaviour counselling on exercise is not known.Method/design: The exercise and behaviour change counselling (ENHANCE) trial is a two-arm assessor-blindrandomised controlled trial to assess the effectiveness of a 12-week exercise intervention designed to improve longtermphysical activity and functional abilities for people awaiting arthroplasty. Participants on the waiting list for hipand knee arthroplasty are recruited from one clinical site in Australia. After collection of baseline data, participants arerandomised to either an intervention or control group. The control group receive usual care, as recommended byevidence-based guidelines. The intervention group receive an individualised programme of exercises and counsellingsessions. The 12-week exercise programme integrates multiple elements, including up to five in-person counsellingsessions, supported by written materials. Participants are encouraged to seek social support among their friends andself-monitor their physical activity. The primary outcome is physical activity (daily step count and percentage of dayspent in sedentary activities). Secondary outcomes include pain ratings, physical function, psychosocial factors andchanges in clinical markers linked with potential common chronic diseases (diabetes and cardiovascular disease). Alloutcomes are assessed at baseline and 26 weeks later and again at 26 weeks post-surgery.

Item Type: Article
Authors/Creators:O'Brien, J and Hamilton, K and Williams, A and Fell, J and Mulford, J and Cheney, M and Wu, S and Bird, ML
Keywords: Osteoarthritis, physical activity and health action process approach.
Journal or Publication Title: Trials
Publisher: BioMed Central Ltd.
ISSN: 1745-6215
DOI / ID Number: 10.1186/s13063-018-2808-z
Copyright Information:

Copyright 2018 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

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