Evaluation of Choose to Move Replacement Ready (CTM-RR) (CTM-RR)
20 augustus 2026 bijgewerkt door: 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.
Studie Overzicht
Toestand
Werving
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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:
- 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).
- 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).
- evaluate if participant health benefits (if any) are maintained 3 months after CTM-RR is completed.
- 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.
Studietype
Ingrijpend
Inschrijving (Geschat)
210
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studiecontact
- Naam: Douglas L Race, MSc
- Telefoonnummer: 21787 604-875-4111
- E-mail: douglas.race@ubc.ca
Studie Contact Back-up
- Naam: Giulia Coletta, PhD
- Telefoonnummer: 604-875-4111
- E-mail: giulia.coletta@ubc.ca
Studie Locaties
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
- Werving
- Active Aging Research Team, Robert H. N. Ho Research Centre
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Contact:
- Douglas Race, MSc
- Telefoonnummer: 21787 604-875-4111
- E-mail: douglas.race@ubc.ca
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Nee
Beschrijving
Inclusion Criteria:
- Activity coach hired by the Active Aging Society (activity coaches must speak English to participate in the evaluation);
- English-speaking older adults (aged >=50 years) who participate in CTM-RR will be invited to participate in the evaluation;
- Referral partner (People who work in a healthcare setting who refer patients into the program)
Exclusion Criteria:
- non-English speaking activity coach
- non-English speaking referral partner
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ondersteunende zorg
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: 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.
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Zoals beschreven onder bestudeerde armbeschrijving.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Implementation outcome: Fidelity (Proportion of participants who adhered to CTM-RR program components)
Tijdsspanne: 3 months
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Obtained from post-program survey.
Measures adherence to prescribed frequency, intensity, duration, and type of exercises performed, and attendance at CTM-RR group meetings.
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3 months
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Effectiveness outcome: Change in physical activity
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Tevredenheid met CTM-RR (Survey)
Tijdsspanne: 3 maanden
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Tevredenheid met CTM-RR zal worden beoordeeld via de deelnemer (oudere volwassenen) enquête (ontworpen in huis).
Hogere scores (1-5 Likert-schaal) duiden op een hogere tevredenheid van de deelnemers met de interventie.
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3 maanden
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Aanpassing (enquête)
Tijdsspanne: 3 maanden
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Geplande of doelgerichte wijzigingen in de levering van CTM-RR door activiteitscoaches zullen worden beoordeeld door een enquête (korte antwoordreacties; ontwikkeld in House).
Coaches zullen aangeven of ze aanpassingen aan het programma hebben aangebracht (ja/nee) en om details te verstrekken van aanpassingen zoals waarom het moest gebeuren.
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3 maanden
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Reach
Tijdsspanne: 3 months
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Number of individuals participating in CTM-RR programs will be obtained from program records
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3 months
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Retention
Tijdsspanne: Baseline, 3 and 6 months, 2 weeks pre-operative
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Obtained from evaluation records.
Proportion of participants who consent to the evaluation who complete each assessment.
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Baseline, 3 and 6 months, 2 weeks pre-operative
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Dose delivered
Tijdsspanne: 3 months
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Obtained from post-program survey.
Proportion of required intervention components (group meetings and one-on-one consultations) delivered by activity coaches.
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3 months
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Adoption
Tijdsspanne: 3 months
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Obtained from program records.
Number of referral partners who refer participants to the program.
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3 months
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Change in walking time
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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International Physical Activity Questionnaire (IPAQ-SF): assesses self-reported weekly minutes of walking
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in sedentary time
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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International Physical Activity Questionnaire (IPAQ-SF): assesses self-reported weekly minutes of sedentary time
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in bone and muscle strengthening activity
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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Single-item muscle strengthening activity survey.
Number of days in past week doing activities that increase bone and muscle strength
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in balance activity
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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Single-item activity survey.
Number of days in past week doing activities that improve balance.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in capacity for mobility
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in social isolation
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in loneliness
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in ability to participate in daily activities
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in Hip disability and Osteoarthritis Outcome 12-item Score
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in Knee disability and Osteoarthritis Outcome 12-item Score
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in patient global assessment of target joint
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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).
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in arthritis-specific self-efficacy
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in pain intensity
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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Pain Numerical Rating Scale (NRS): score (0-10) assesses pain intensity on average during the past week.
Higher scores indicate worse pain intensity.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in willingness to undergo surgery
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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).
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in anxiety
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in kinesiophobia
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Change in exercise self-efficacy
Tijdsspanne: baseline, 3 and 6 months, 2 weeks pre-operative
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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.
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baseline, 3 and 6 months, 2 weeks pre-operative
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Andere uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Aanvaardbaarheid - CTM -RR -programma
Tijdsspanne: 3 maanden
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Aanvaardbaarheid van interventiemaatregel (AIM).
De perceptie van activiteitencoaches dat CTM-RR aangenaam of bevredigend is, zal worden beoordeeld door een enquête (4 items elk op een 1-5 Likert-schaal met 1 volledig mee oneens en 5 helemaal mee eens zijn).
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3 maanden
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Geschiktheid - CTM -RR -programma
Tijdsspanne: 3 maanden
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Intervention Geschiktheidsmaatregel (IAM).
Mate waarin CTM-RR past bij de behoeften van de doelpopulatie zal worden beoordeeld door een enquête (elk 4 items op een 1-5 Likert-schaal, waarbij 1 volledig mee oneens is en 5 helemaal mee eens is)
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3 maanden
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Haalbaarheid - CTM -RR -programma
Tijdsspanne: 3 maanden
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Haalbaarheid van interventiemaatregel (FIM).
De perceptie van activiteitencoaches dat CTM-RR haalbaar is om te leveren, zal worden beoordeeld door een enquête (4 items elk op een 1-5 Likert-schaal, waarbij 1 helemaal niet mee eens is en 5 helemaal mee eens zijn).
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3 maanden
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Waargenomen responsiviteit van deelnemers (enquête)
Tijdsspanne: 3 maanden
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De responsiviteit van de waargenomen deelnemers zal worden beoordeeld via de deelnemer (oudere volwassenen) enquête (korte antwoordreacties; ontwikkeld in huis).
Oudere volwassenen geven aan in welke optionele interventiecomponenten ze deelnamen (peer check-in, e-mailnieuwsbrief, heup- en knieoefeningen; ja/nee antwoordopties)
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3 maanden
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Adaptation (interview)
Tijdsspanne: 3 months
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Planned or purposeful changes to the delivery of CTM-RR by activity coaches will be assessed by interview (no score associated with qualitative interview).
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3 months
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Experience with training and program delivery (interview)
Tijdsspanne: 3 months
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Activity coaches overall experience with program training and delivery, will be assessed by interview (no score associated with qualitative interview).
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3 months
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Perceived participant responsiveness (interview)
Tijdsspanne: 3 months
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Activity coaches' perceptions of participant responsiveness will be assessed by interview (no score associated with qualitative interview).
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3 months
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Adaptations (interview)
Tijdsspanne: 3 and 6 months
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Older adults' perceptions of potential adaptations to improve the program will be assessed by interview (no score associated with qualitative interview).
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3 and 6 months
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Perceived participant responsiveness (interview)
Tijdsspanne: 3 and 6 months
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Older adults' responsiveness during the program will be assessed by interview (no score associated with qualitative interview).
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3 and 6 months
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Acceptability- CTM-RR program (interview)
Tijdsspanne: 3 and 6 months
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Older adults' perceptions that the program is acceptable or satisfactory will be assessed by interview (no score associated with qualitative interview).
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3 and 6 months
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Feasibility- CTM-RR program (interview)
Tijdsspanne: 3 and 6 months
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Older adults' perceptions of the program's feasibility will be assessed by interview (no score associated with qualitative interview).
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3 and 6 months
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Appropriateness- CTM-RR program (interview)
Tijdsspanne: 3 and 6 months
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Older adults' perceptions of the program's appropriateness will be assessed by interview (no score associated with qualitative interview).
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3 and 6 months
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Feasibility - CTM-RR referral process (interview)
Tijdsspanne: 3 months
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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).
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3 months
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Acceptability - CTM-RR referral process (interview)
Tijdsspanne: 3 months
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Referral partners' perception that the CTM-RR referral process is acceptable or satisfactory will be assessed by interview (no score associated with qualitative interview).
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3 months
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Appropriateness - CTM-RR referral process (interview)
Tijdsspanne: 3 months
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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).
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3 months
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Sociodemographics
Tijdsspanne: Baseline
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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.
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Baseline
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Surgery date
Tijdsspanne: Monthly following program completion until surgery date is known (assessed up to two years).
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Determined from monthly survey sent to older adults if surgery date is not known when they complete the CTM-RR program.
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Monthly following program completion until surgery date is known (assessed up to two years).
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Hoofdonderzoeker: Heather A McKay, PhD, University of British Columbia
- Hoofdonderzoeker: Joanie Sims Gould, MSW, PhD, University of British Columbia
- Hoofdonderzoeker: Laura Churchill, PT, PhD, University of British Columbia
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
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- Hawker GA, Bohm E, Dunbar MJ, Faris P, Jones CA, Noseworthy T, Ravi B, Woodhouse LJ, Marshall DA; BEST-Knee Study Team. Patient appropriateness for total knee arthroplasty and predicted probability of a good outcome. RMD Open. 2023 Apr;9(2):e002808. doi: 10.1136/rmdopen-2022-002808.
- Nettlefold L, Macdonald HM, Sims Gould J, Bauman A, Szewczyk Z, McKay HA. Does optimizing Choose to Move - a health-promoting program for older adults - enhance scalability, program implementation and effectiveness? Int J Behav Nutr Phys Act. 2024 Dec 18;21(1):140. doi: 10.1186/s12966-024-01649-9.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Geschat)
1 september 2026
Primaire voltooiing (Geschat)
1 augustus 2028
Studie voltooiing (Geschat)
1 augustus 2028
Studieregistratiedata
Eerst ingediend
30 juni 2026
Eerst ingediend dat voldeed aan de QC-criteria
8 juli 2026
Eerst geplaatst (Werkelijk)
10 juli 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
24 augustus 2026
Laatste update ingediend die voldeed aan QC-criteria
20 augustus 2026
Laatst geverifieerd
1 augustus 2026
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- H26-01517
Plan Individuele Deelnemersgegevens (IPD)
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ONBESLIST
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .