Getting fit for hip and knee replacement: a protocol for the Fit-Joints pilot randomized controlled trial of a multi-modal intervention in frail patients with osteoarthritis

Abstract

The multi-modal frailty intervention components will include (1) tailored exercise program (center-based and/or home-based) with education and cognitive behavioral change strategies; (2) protein supplementation; (3) vitamin D supplementation; and (4) medication review. Any recommendations will be mailed/faxed to the participants’ family physicians for their consideration by the central site coordinator. 1Based on Canadian Physical Activity Guidelines for those aged 65 years or older which recommend cardiorespiratory, strength, balance, and flexibility exercise components [25] 2Topics to support patients in achieving their health goals could include (1) goal setting, (2) self-monitoring, (3) time management, (4) overcoming barriers, (5) environmental scan, (6) social support, and (7) stimulus control Kinesiologist visit schedule and delivery of coaching/supplements After randomization, the study intervention kinesiologist will phone the participant to book a home visit where goal setting will be done. The 7 CBCS topics that will be incorporated over the intervention period will include (1) goal setting: to assist with the development of their tailored exercise program, (2) self-monitoring: to track their exercise progress/goals/behavior, (3) time management strategies: to find more time to exercise, (4) overcoming barriers: to overcome adversity in exercise routines, (5) environmental scan: to help participants identify local/available resources and support, (6) social support: to find participants’ support system to achieve physical activity, and (7) stimulus control: to create participants’ planned reminders for increasing physical activity. (DOCX 31 kb) Authors’ Affiliations (1) Geriatric Education and Research for the Aging Sciences (GERAS), St Peter’s Hospital, 88 Maplewood Ave, Hamilton, ON, L8M 1W9, Canada (2) School of Rehabilitation Sciences, IAHS 403, McMaster University, 1400 Main Street West, Hamilton, ON, L8S 1C7A, Canada (3) Department of Medicine, McMaster University, 1280 Main St West, Hamilton, ON, L8S 4L8, Canada (4) Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main St West, Hamilton, ON, L8S 4L8, Canada (5) Department of Pediatrics, McMaster University, 1280 Main St West, Hamilton, ON, L8S 4L8, Canada (6) Biostatistics Unit, St Joseph’s Healthcare—Hamilton, 50 Charlton Avenue East, Hamilton, Ontario, L8N 4A6, Canada (7) Department of Surgery, Division of Orthopaedics, McMaster University, 1280 Main St West, Hamilton, Ontario, L8S 4L8, Canada Public Health Agency of Canada P. Life with arthritis in Canada: a personal and public health challenge Ottawa, Canada: Public Health Agency of Canada; 2010 [Available from: http://www.phac-aspc.gc.ca/cd-mc/arthritis-arthrite/lwaic-vaaac-10/pdf/arthritis-2010-eng.pdf.