- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02969512
Feasibility of the Hip Instructional Prehabilitation Program for Enhanced Recovery (HIPPER) (HIPPER)
Feasibility of the Hip Instructional Prehabilitation Program for Enhanced Recovery (HIPPER) Intervention Protocol: An eHealth Approach for Pre-surgical Hip Replacement Education
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This feasibility study will use a single-site, parallel group evaluator blind RCT. Subjects (N=40) will be randomly assigned to the experimental (HIPPER n=20) or control (n=20) groups.The experimental group will receive the interactive online HIPPER intervention consisting of 12 modules (~20 mins/module). The control group is usual practice consisting of a 2 hr online large group educational webinar. Feasibility indicators (i.e. recruitment and retention; subject burden; safety; intervention administration/adherence; perceived benefit) will be evaluated as binary outcomes against pre-set parameters reflecting viability for a multi-site large-scale RCT. The primary clinical outcome of interest when assessing effect size for the eventual RCT is the Hospital Anxiety and Depression Scale-Anxiety. Secondary clinical outcomes include measures of pain, function, daily activities, self-efficacy, equipment checklist, system usability scale, environmental setup, physical activity, and health related quality of life.
Upon successful screening/enrollment and baseline data collection (T1) the Study Coordinator will contact the statistician by telephone or email and obtain group assignment within 48 hours. Subjects will be randomized using a 1:1 allocation ratio between groups. A central computerized randomization process will be designed by the statistician, with an undisclosed block size. To address bias, subjects will be instructed not to discuss their program and Testers will reinforce this point at each session. T1 data will be collected at our clinic while the follow up data collected 7-10 days prior to surgery (T2), and 30 days post-surgery (T3).
The findings from the study will be summarized and mailed to each participant upon study completion. HIPPER and control group assessments will be held at GF Strong Rehabilitation Centre and at subject's homes.
The outcome will lead to the refinement of the design protocol in order to robustly evaluate a contemporary, standardized, and geographically accessible prehabilitation education program. Ultimately, HIPPER may be found to have significant individual and social (health system level) benefits.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Somayyeh Mohammadi, PhD
- Phone Number: 604-714-4108
- Email: somayyeh.mohammadi@ubc.ca
Study Locations
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 2G9
- Recruiting
- GF Strong Rehabilitation Centre
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Principal Investigator:
- William C Miller, PhD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Community-dwelling participants with advanced hip OA will be included if they:
- are living in the greater Vancouver region;
- are aged 50 years or older;
- are scheduled to have a single THR in 12 weeks or later;
- have access to the internet
Exclusion Criteria:
- cannot communicate and complete questionnaires in English;
- anticipate a health condition or procedure that contraindicates their THR surgery;
- are actively receiving physical therapy for their hip symptoms;
- have had a previous THR.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: HIPPER
The HIPPER group will receive 12 interactive online modules (~20 minutes each).
HIPPER participants will receive email or phone contact (participant preference) to provide them with website portal access consisting of the web address, and simple instructions to access the website using personalized encrypted login information to the site.
|
Participants can complete the online educational modules at home or another location with internet access.
The total time to complete all of the modules is about 2 hours and 30 minutes.
Other Names:
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Active Comparator: OASIS Online Educational Webinars
To provide a comparable level of education, participants in the Online Education group will receive 2 hours of OASIS online educational webinars as per current practice.
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2-hour online educational large group sessions
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Primary Clinical Outcomes Scale
Time Frame: Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).
|
Hospital Anxiety and Depression Scale (HADS-A): The HADS-A is a validated 7-item tool that includes tension, worry and fear and has respondents indicate how they currently feel on each item.
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Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
30-second Chair-Stand Test
Time Frame: Baseline,7-10 days before surgery.
|
Functional lower limb strength and dynamic balance will be assessed by having subjects perform repeated sit-to-stands using a standard 43-46 cm straight back chair with no arm rests.
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Baseline,7-10 days before surgery.
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Change in Physical Activity Scale for the Elderly (PASE)
Time Frame: Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).
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Patients are less physically active prior to THR and show minimal improvements in activity levels post-operatively.
PASE is 12-item tool developed for older adults to assess home, occupational and recreational activities in the previous 7 days.
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Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).
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Change in Self-Efficacy for Rehabilitation Outcome Scale (SER)
Time Frame: Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).
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The SER is a 12-item questionnaire that asks patients to rate their confidence on an 11-point Likert scale and generates 2 subscale scores: self-efficacy for rehabilitation therapy exercises and self-efficacy for overcoming barriers.
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Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).
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Equipment Checklist
Time Frame: Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).
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It is recommended that patients acquire equipment and mobility aids prior to THR to ensure their safety, carry out daily living activities and adhere to surgical precautions post-operatively.
A comprehensive checklist of recommended equipment will be created based on current guidelines, clinical recommendations and our Patient Partners' input.
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Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).
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EuroQol-5 Dimension, 5 level
Time Frame: Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).
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Health-related quality of life is a core outcome for hip OA and the EQ-5D a suggested measure.
The EQ-5D is a brief questionnaire that assesses 5 health status domains, reflected in a single-score, and overall health state using a visual analogue scale.
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Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).
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System Usability Scale
Time Frame: 7-10 days before surgery, Post Intervention (30 days after surgery)
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System Usability Scale consists of a 10 item questionnaire with five response options for respondents; from "Strongly agree" to "Strongly disagree".
Originally created by John Brooke in 1986, it allows to evaluate a wide variety of products and services, including hardware, software, mobile devices, websites and applications.
Some example items are "I think that I would like to use this system frequently."
and "I needed to learn a lot of things before I could get going with this system."
In this study, we replaced "the system" with "Hipper" to capture the opinion of participants regarding the usability of our eHealth program
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7-10 days before surgery, Post Intervention (30 days after surgery)
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Oxford Hip Score (OHS)
Time Frame: Baseline, 7-10 days before surgery, Post Intervention (30 days after surgery)
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The OHS is a 12-item tool that assesses pain and function in patients undergoing hip replacement surgery.
It demonstrates good construct validity and test-retest reliability in THR
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Baseline, 7-10 days before surgery, Post Intervention (30 days after surgery)
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Collaborators and Investigators
Sponsor
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- H16-02553
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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