TY - JOUR
T1 - Impact of motivational feedback on levels of physical activity and quality of life by activity monitoring following knee arthroplasty surgery-protocol for a randomized controlled trial nested in a prospective cohort (Knee-Activity)
AU - Skov, Cecilie Dollerup
AU - Lindberg-Larsen, Martin
AU - Wiil, Uffe Kock
AU - Varnum, Claus
AU - Schmal, Hagen
AU - Jensen, Charlotte Myhre
AU - Holsgaard-Larsen, Anders
PY - 2024/10/2
Y1 - 2024/10/2
N2 - BACKGROUND: Evidence on how to improve daily physical activity (PA) levels following total knee arthroplasty (TKA) or medial uni-compartmental knee arthroplasty (mUKA) by motivational feedback is lacking. Moreover, it is unknown whether a focus on increased PA after discharge from the hospital improves rehabilitation, physical function, and quality of life. The aim of this randomized controlled trial (RCT) nested in a prospective cohort is (a) to investigate whether PA, physical function, and quality of life following knee replacement can be increased using an activity monitoring device including motivational feedback via a patient app in comparison with activity monitoring without feedback (care-as-usual), and (b) to investigate the potential predictive value of PA level prior to knee replacement for the length of stay, return to work, and quality of life.METHODS: The study is designed as a multicenter, parallel-group, superiority RCT with balanced randomization (1:1) and blinded outcome assessments. One hundred and fifty patients scheduled for knee replacement (TKA or mUKA) will be recruited through Odense University Hospital, Denmark, Vejle Hospital, Denmark and Herlev/Gentofte Sygehus, Denmark. Patients will be randomized to either 12 weeks of activity monitoring and motivational feedback via a patient app by gamification or 'care-as-usual,' including activity monitoring without motivational feedback. The primary outcome is the between-group change score from baseline to 12-week follow-up of cumulative daily accelerometer counts, which is a valid proxy for average objectively assessed daily PA.DISCUSSION: Improving PA through motivational feedback following knee replacement surgery might improve post-surgical function, health-related quality of life, and participation in everyday life.TRIAL REGISTRATION: ClinicalTrials.gov, ID: NCT06005623. Registered on 2023-08-22.TRIAL STATUS: Recruiting.
AB - BACKGROUND: Evidence on how to improve daily physical activity (PA) levels following total knee arthroplasty (TKA) or medial uni-compartmental knee arthroplasty (mUKA) by motivational feedback is lacking. Moreover, it is unknown whether a focus on increased PA after discharge from the hospital improves rehabilitation, physical function, and quality of life. The aim of this randomized controlled trial (RCT) nested in a prospective cohort is (a) to investigate whether PA, physical function, and quality of life following knee replacement can be increased using an activity monitoring device including motivational feedback via a patient app in comparison with activity monitoring without feedback (care-as-usual), and (b) to investigate the potential predictive value of PA level prior to knee replacement for the length of stay, return to work, and quality of life.METHODS: The study is designed as a multicenter, parallel-group, superiority RCT with balanced randomization (1:1) and blinded outcome assessments. One hundred and fifty patients scheduled for knee replacement (TKA or mUKA) will be recruited through Odense University Hospital, Denmark, Vejle Hospital, Denmark and Herlev/Gentofte Sygehus, Denmark. Patients will be randomized to either 12 weeks of activity monitoring and motivational feedback via a patient app by gamification or 'care-as-usual,' including activity monitoring without motivational feedback. The primary outcome is the between-group change score from baseline to 12-week follow-up of cumulative daily accelerometer counts, which is a valid proxy for average objectively assessed daily PA.DISCUSSION: Improving PA through motivational feedback following knee replacement surgery might improve post-surgical function, health-related quality of life, and participation in everyday life.TRIAL REGISTRATION: ClinicalTrials.gov, ID: NCT06005623. Registered on 2023-08-22.TRIAL STATUS: Recruiting.
KW - Humans
KW - Arthroplasty, Replacement, Knee
KW - Quality of Life
KW - Prospective Studies
KW - Motivation
KW - Exercise
KW - Denmark
KW - Female
KW - Male
KW - Middle Aged
KW - Randomized Controlled Trials as Topic
KW - Recovery of Function
KW - Aged
KW - App
KW - RCT
KW - Knee osteoarthritis
KW - Knee arthroplasty surgery
KW - Motivational feedback
U2 - 10.1186/s12891-024-07878-0
DO - 10.1186/s12891-024-07878-0
M3 - Journal article
C2 - 39358699
SN - 1471-2474
VL - 25
JO - BMC Musculoskeletal Disorders
JF - BMC Musculoskeletal Disorders
M1 - 778
ER -