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Evaluation of Choose to Move Replacement Ready (CTM-RR) (CTM-RR)

8 luglio 2026 aggiornato da: Heather McKay, University of British Columbia

Choose to Move Replacement Ready: Implementation and Effectiveness of a Virtual Health-Promoting Intervention for People Awaiting Total Hip or Knee Replacement Surgery

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 goals of this observational study are to describe how the adapted program, Choose to Move Replacement Ready (CTM-RR), is implemented in BC and determine if the adapted program improves health outcomes in people with hip and/or knee osteoarthritis who are on surgical waitlists for TKR/THR. The investigators will also evaluate whether any health benefits achieved by CTM-RR participants are maintained three months after they finish the program and also during the remaining time that they wait for their TKR/THR surgery.

The investigators will work with referral partners from hospitals and orthopaedic clinics in BC to recruit participants into CTM-RR. 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.

Panoramica dello studio

Stato

Non ancora reclutamento

Condizioni

Intervento / Trattamento

Descrizione dettagliata

Choose to Move (CTM) an effective 3-month, choice-based health-promoting program for low active older adults being scaled-up in phases across British Columbia (BC), Canada. Choose to Move Replacement Ready (CTM-RR) is an adapted version of the program tailored to support individuals with hip and/ or knee osteoarthritis on surgical waitlists for TKR/THR, with the overall goal of enhancing key health outcomes. Referral partners from hospitals and orthopaedic clinics in BC will inform patients about CTM-RR when they are booked for a hip or knee replacement surgery. Trained activity coaches hired by the Active Aging Society will deliver the online CTM-RR program to individuals on surgical waitlists for TKR/THR who register for the program. The investigators will then evaluate implementation of CTM-RR, impact of CTM-RR on participants' physical and social health, and maintenance of any health benefits.

The primary aim of this trial is to assess implementation and effectiveness of the adapted CTM-RR program. The specific objectives are to:

  1. assess implementation of CTM-RR. Specifically, implementation determinants (context, acceptability, feasibility, appropriateness, self-efficacy) and implementation outcomes (1° implementation outcome: fidelity; 2° implementation outcomes: reach, retention, adoption, dose, adaptation, satisfaction).
  2. evaluate effectiveness of CTM-RR. Specifically, whether CTM-RR increases participants' pre-operative moderate-to-vigorous physical activity (moderate to vigorous physical activity, 1° effectiveness outcome), mobility, psychosocial health, self-efficacy to manage their condition; improves their pain, function, quality of life, and perception of their joint condition, and decreases social isolation and loneliness (2° effectiveness outcomes).
  3. evaluate if participant health benefits (if any) are maintained 3 months after CTM-RR is completed.
  4. evaluate if participant health benefits (if any) are maintained up until participant's surgery (i.e. during the remaining surgical waiting period).

In partnership with the Active Aging Society, the investigators aim to deliver 20 CTM-RR online programs over two years to approximately 300 participants across BC. There is no cost to participate in the CTM-RR program, and individuals may participate in CTM-RR regardless of whether they choose to be evaluated as part of this trial. The investigators expect approximately 70% of CTM-RR participants to volunteer for the evaluation.

The investigators will conduct a pre-post, observational cohort trial using a hybrid implementation effectiveness type 2 trial design. Data will be collected at 0 (baseline), 3 (postintervention), and 6 (long-term follow-up) months and 2-weeks before surgery (pre-operative) to assess implementation and impact of CTM-RR, and maintenance of any program-related benefits.

Tipo di studio

Interventistico

Iscrizione (Stimato)

210

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Backup dei contatti dello studio

Luoghi di studio

  • Canada
    • British Columbia
      • Vancouver, British Columbia, Canada, V5Z 1M9
        • Active Aging Research Team, Robert H. N. Ho Research Centre
        • Contatto:

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

  • Adulto
  • Adulto più anziano

Accetta volontari sani

No

Descrizione

Inclusion Criteria:

  1. Activity coach hired by the Active Aging Society (activity coaches must speak English to participate in the evaluation);
  2. English-speaking older adults (aged >=50 years) who participate in CTM-RR will be invited to participate in the evaluation;
  3. Referral partner (People who work in a healthcare setting who refer patients into the program)

Exclusion Criteria:

  1. non-English speaking activity coach
  2. non-English speaking referral partner

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Terapia di supporto
  • Assegnazione: N / A
  • Modello interventistico: Assegnazione di gruppo singolo
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Choose to Move Replacement Ready
Choose to Move Replacement Ready CTM-RR is a 3-month program for individuals with hip and/or knee osteoarthritis on surgical waitlists for total hip or total knee replacement that includes three required components: 1) a 30-min one-on-one virtual consultation (via Zoom) where activity coaches support participants to set goals and develop a physical activity (PA) action plan; 2) 8 virtual group meetings (via Zoom, 90-min each) facilitated by activity coaches, with participants (10/program) who provide peer support. Each meeting includes: i) two, 15-min movement breaks where participants perform structured hip and knee exercises delivered by the coach and ii) education and discussion on relevant topics (e.g. goal setting, PA, what to expect from surgery); 3) Home-based hip and knee exercises to complete independently, 2x/week. Optional components of CTM-RR include 4) a bi-weekly newsletter distributed by the Active Aging Society and 5) peer support check-ins outside of group meetings.
Comportamentale: Scegli di spostare la sostituzione pronta
Come descritto in studio Descrizione ARM.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Implementation outcome: Fidelity (Proportion of participants who adhered to CTM-RR program components)
Lasso di tempo: 3 months
Obtained from post-program survey. Measures adherence to prescribed frequency, intensity, duration, and type of exercises performed, and attendance at CTM-RR group meetings.
3 months
Effectiveness outcome: Change in physical activity
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative

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)
baseline, 3 and 6 months, 2 weeks pre-operative

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Soddisfazione con CTM-RR (Survey)
Lasso di tempo: 3 mesi
La soddisfazione con CTM-RR sarà valutata tramite il sondaggio dei partecipanti (anziani) (progettato in casa). I punteggi più alti (1-5 scala Likert) indicano una maggiore soddisfazione dei partecipanti per l'intervento.
3 mesi
Adattamento (sondaggio)
Lasso di tempo: 3 mesi
Le modifiche pianificate o intenzionali alla consegna di CTM-RR da parte degli allenatori di attività saranno valutate dall'indagine (risposte di risposta breve; sviluppate in casa). Gli allenatori indicheranno se hanno effettuato adattamenti al programma (sì/no) e per fornire dettagli su eventuali adattamenti come il motivo per cui doveva verificarsi.
3 mesi
Reach
Lasso di tempo: 3 months
Number of individuals participating in CTM-RR programs will be obtained from program records
3 months
Retention
Lasso di tempo: Baseline, 3 and 6 months, 2 weeks pre-operative
Obtained from evaluation records. Proportion of participants who consent to the evaluation who complete each assessment.
Baseline, 3 and 6 months, 2 weeks pre-operative
Dose delivered
Lasso di tempo: 3 months
Obtained from post-program survey. Proportion of required intervention components (group meetings and one-on-one consultations) delivered by activity coaches.
3 months
Adoption
Lasso di tempo: 3 months
Obtained from program records. Number of referral partners who refer participants to the program.
3 months
Change in walking time
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
International Physical Activity Questionnaire (IPAQ-SF): assesses self-reported weekly minutes of walking
baseline, 3 and 6 months, 2 weeks pre-operative
Change in sedentary time
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
International Physical Activity Questionnaire (IPAQ-SF): assesses self-reported weekly minutes of sedentary time
baseline, 3 and 6 months, 2 weeks pre-operative
Change in bone and muscle strengthening activity
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
Single-item muscle strengthening activity survey. Number of days in past week doing activities that increase bone and muscle strength
baseline, 3 and 6 months, 2 weeks pre-operative
Change in balance activity
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
Single-item activity survey. Number of days in past week doing activities that improve balance.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in capacity for mobility
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
Short-Form-36 health survey (SF-36) Physical Functioning Scale: two items assess self-reported ability to walk ¼ mile and 1 flight of stairs.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in social isolation
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
Social Isolation Questionnaire: score (0-15) reflects the degree of social interaction and support. Higher scores indicate a greater level of social interaction and support.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in loneliness
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
The 3-item U.S. Health and Retirement Study Participant Lifestyle Questionnaire reflects experiences of loneliness. Each item is scored on a scale of 1-3. The output variable is the summed score of the 3 items (range 3-9); Higher scores indicate greater perceived loneliness.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in ability to participate in daily activities
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
The four-item PROMIS- Ability to Participate in Social Roles and Activities Scale- short form 4a will be used to assess perceived ability to perform one's usual social roles and activities. Each item is scored on a scale of 1-5. The output variable is the summed raw score of all 4-items (range 4-20) converted into a T-score (27.5-64.2) ; higher scores indicate greater ability to engage in social roles and activities.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in Hip disability and Osteoarthritis Outcome 12-item Score
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
The 12-item Hip Disability and Osteoarthritis Outcome Score (HOOS-12) assesses patients' hip condition (pain, function, quality of life). Each item is scored on a scale of 0-10. The output variable is the average score of the 12-items (range 0-100); higher scores indicate worse hip problems.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in Knee disability and Osteoarthritis Outcome 12-item Score
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
The 12-item Knee Disability and Osteoarthritis Outcome Score (KOOS-12) assesses patients' knee condition (pain, function, quality of life). Each item is scored on a scale of 0-10. The output variable is the average score of the 12- items (range 0-100); higher scores indicate worse knee problems.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in patient global assessment of target joint
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
Single-item measure using a numerical rating scale: score (0-10) assesses the overall condition of the affected hip or knee joint. Higher scores indicate worse condition (severe symptoms).
baseline, 3 and 6 months, 2 weeks pre-operative
Change in arthritis-specific self-efficacy
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
The 8-item questionnaire assesses how certain an individual is that they can manage various aspects of their arthritis. Each item is scored on a scale of 1-10. The output variable is the average score of all 8-items (range 8-80); higher scores indicate more self-efficacy.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in pain intensity
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
Pain Numerical Rating Scale (NRS): score (0-10) assesses pain intensity on average during the past week. Higher scores indicate worse pain intensity.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in willingness to undergo surgery
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
One item will assess participants' willingness to undergo hip or knee replacement surgery. The question asks: "What is your current willingness to undergo a [total hip replacement surgery or total knee replacement surgery]?" The response options are: definitely unwilling, probably unwilling, unsure, probably willing or definitely willing. Definitely unwilling, probably unwilling, unsure= No, and probably willing or definitely willing=Yes. The output variable is self-reported willingness to undergo surgery (yes/no).
baseline, 3 and 6 months, 2 weeks pre-operative
Change in anxiety
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
The Generalized Anxiety Disorder 7-item scale (GAD-7) will be used to assess the presence of anxiety. Each item is scored on a scale of 0-3. The output variable is the summed total of all scores (range 0-21); higher scores indicate greater levels of anxiety.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in kinesiophobia
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
The 11-item Tampa Scale for Kinesiophobia (TSK-11) assesses fear of movement in individuals with chronic pain. Each item is scored on a scale of 1-4. The output variable is the total summed score of all 11-items (range 11-44); higher scores indicate greater fear of movement.
baseline, 3 and 6 months, 2 weeks pre-operative
Change in exercise self-efficacy
Lasso di tempo: baseline, 3 and 6 months, 2 weeks pre-operative
The 10-item Exercise Self-Efficacy Scale (ESES) assesses how confident participants are with regard to carrying out regular physical activities and exercise. Each item is scored on a scale of 1-4. The output variable is the total summed score of all 10 items (range 10-40); higher scores indicate greater self-efficacy for exercise.
baseline, 3 and 6 months, 2 weeks pre-operative

Altre misure di risultato

Misura del risultato
Misura Descrizione
Lasso di tempo
Accettabilità - Programma CTM -RR
Lasso di tempo: 3 mesi
Accettabilità della misura di intervento (AIM). La percezione degli allenatori di attività che CTM-RR sia gradevole o soddisfacente sarà valutata dal sondaggio (4 elementi ciascuno su una scala di 1-5 Likert con 1 che è completamente in disaccordo e 5 sono completamente d'accordo).
3 mesi
Appropriatezza - Programma CTM -RR
Lasso di tempo: 3 mesi
Misura di appropriatezza dell'intervento (IAM). Estensione in cui CTM-RR si adatta alle esigenze della popolazione target sarà valutata mediante sondaggio (4 elementi ciascuno su una scala 1-5 Likert con 1 essere completamente in disaccordo e 5 essere completamente d'accordo)
3 mesi
Fattibilità - Programma CTM -RR
Lasso di tempo: 3 mesi
Fattibilità della misura di intervento (FIM). La percezione degli allenatori di attività che CTM-RR sia possibile per la consegna sarà valutata dal sondaggio (4 elementi ciascuno su una scala 1-5 Likert con 1 che è completamente in disaccordo e 5 sono completamente d'accordo).
3 mesi
Reattività dei partecipanti percepiti (sondaggio)
Lasso di tempo: 3 mesi
La reattività dei partecipanti percepita sarà valutata tramite il sondaggio sui partecipanti (anziani) (risposte di risposta breve; sviluppata in casa). Gli adulti più anziani indicheranno in quali componenti di intervento opzionali si sono impegnati (check-in peer, newsletter e-mail, esercizi di risposta al ginocchio e al ginocchio;
3 mesi
Adaptation (interview)
Lasso di tempo: 3 months
Planned or purposeful changes to the delivery of CTM-RR by activity coaches will be assessed by interview (no score associated with qualitative interview).
3 months
Experience with training and program delivery (interview)
Lasso di tempo: 3 months
Activity coaches overall experience with program training and delivery, will be assessed by interview (no score associated with qualitative interview).
3 months
Perceived participant responsiveness (interview)
Lasso di tempo: 3 months
Activity coaches' perceptions of participant responsiveness will be assessed by interview (no score associated with qualitative interview).
3 months
Adaptations (interview)
Lasso di tempo: 3 and 6 months
Older adults' perceptions of potential adaptations to improve the program will be assessed by interview (no score associated with qualitative interview).
3 and 6 months
Perceived participant responsiveness (interview)
Lasso di tempo: 3 and 6 months
Older adults' responsiveness during the program will be assessed by interview (no score associated with qualitative interview).
3 and 6 months
Acceptability- CTM-RR program (interview)
Lasso di tempo: 3 and 6 months
Older adults' perceptions that the program is acceptable or satisfactory will be assessed by interview (no score associated with qualitative interview).
3 and 6 months
Feasibility- CTM-RR program (interview)
Lasso di tempo: 3 and 6 months
Older adults' perceptions of the program's feasibility will be assessed by interview (no score associated with qualitative interview).
3 and 6 months
Appropriateness- CTM-RR program (interview)
Lasso di tempo: 3 and 6 months
Older adults' perceptions of the program's appropriateness will be assessed by interview (no score associated with qualitative interview).
3 and 6 months
Feasibility - CTM-RR referral process (interview)
Lasso di tempo: 3 months
Referral partners' perception that the CTM-RR referral process can be used successfully within the organization will be assessed by interview (no score associated with qualitative interview).
3 months
Acceptability - CTM-RR referral process (interview)
Lasso di tempo: 3 months
Referral partners' perception that the CTM-RR referral process is acceptable or satisfactory will be assessed by interview (no score associated with qualitative interview).
3 months
Appropriateness - CTM-RR referral process (interview)
Lasso di tempo: 3 months
Referral partners' perception regarding the extent to which the CTM-RR referral process fits with the mission, priorities, and values of the organization will be assessed by interview (no score associated with qualitative interview).
3 months
Sociodemographics
Lasso di tempo: Baseline
22-item survey (developed in house) to capture sociodemographic characteristics of older adults including: postal code, city, age, gender, sex, height, weight, ethnicity, education level, employment status, chronic diseases, disability, living arrangement, marital status, affected joint (surgical hip or knee), other affected joints (hip/knee/spine/hands/feet), date of surgery (if known), time on waitlist, name of operating surgeon/hospital, years with hip/knee symptoms most days of the week, prior total hip/knee replacement, medication use, use of muscle strengthening exercises for their joint pain or general aerobic fitness exercise for their joint pain in the last three months, and referral source.
Baseline
Surgery date
Lasso di tempo: Monthly following program completion until surgery date is known (assessed up to two years).
Determined from monthly survey sent to older adults if surgery date is not known when they complete the CTM-RR program.
Monthly following program completion until surgery date is known (assessed up to two years).

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

University of British Columbia

Collaboratori

Active Aging Society
Specialist Services Committee (Doctors of BC)

Investigatori

  • Investigatore principale: Heather A McKay, PhD, University of British Columbia
  • Investigatore principale: Joanie Sims Gould, MSW, PhD, University of British Columbia
  • Investigatore principale: Laura Churchill, PT, PhD, University of British Columbia

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Pubblicazioni generali

Collegamenti utili

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Stimato)

1 agosto 2026

Completamento primario (Stimato)

1 agosto 2028

Completamento dello studio (Stimato)

1 agosto 2028

Date di iscrizione allo studio

Primo inviato

30 giugno 2026

Primo inviato che soddisfa i criteri di controllo qualità

8 luglio 2026

Primo Inserito (Effettivo)

10 luglio 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

10 luglio 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

8 luglio 2026

Ultimo verificato

1 luglio 2026

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • H26-01517

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

INDECISO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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