Effect of combined exercise training and behaviour change counselling versus usual care on physical activity in patients awaiting hip and knee arthroplasty: A randomised controlled trial

Andrew D. Williams; Jane O'Brien; Jonathan Mulford; Ronnie Mathew; Deependra Kaji Thapa; Kyra Hamilton; Michael Cheney; Matthew Schmidt; Sam Wu; Marie Louise Bird

doi:10.1016/j.ocarto.2022.100308

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Effect of combined exercise training and behaviour change counselling versus usual care on physical activity in patients awaiting hip and knee arthroplasty: A randomised controlled trial

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Effect of combined exercise training and behaviour change counselling versus usual care on physical activity in patients awaiting hip and knee arthroplasty: A randomised controlled trial

Andrew D. Williams, Jane O'Brien, Jonathan Mulford, Ronnie Mathew, Deependra Kaji Thapa, Kyra Hamilton, Michael Cheney, Matthew Schmidt, Sam Wu and Marie Louise Bird

Osteoarthritis and Cartilage Open, Vol.4(4), pp.1-10

2022

DOI: https://doi.org/10.1016/j.ocarto.2022.100308

PMID: 36474797

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Abstract

Arthroplasty

Behaviour change

Exercise

Health action process approach

Hip

Knee

Osteoarthritis

Waitlist

Objective This study aimed to determine if a novel intervention that combined individualised exercise training with behaviour change counselling based on Health Action Process Approach (HAPA) constructs could elicit long-term increase in physical activity (PA) and reduce comorbidity development among people requiring hip or knee arthroplasty. Method A pre-registered two arm, parallel group, randomised controlled trial comparing the effect of a 12-week individualised exercise program combined with behavioural counselling delivered by accredited exercise physiologists, versus usual care to Osteoarthritis (OA) patients on public surgery waitlists. Participants were followed up at 6 months after baseline (pre-surgery) and again at 6 months post-surgery. Within and between group differences in post-surgery PA (as measured by ActivPal accelerometer), pain, function, quality of life, HAPA-based behavioural and psychological constructs, and health risk factors were analysed. Results 63 participants (34 Female; Mean age = 66.4 ± 7.2 yrs) consented to participate in this study. At 6 months post baseline and 6 months post-surgery there were significant improvements in PA, pain, function, and quality of life, however there were no significant differences in the between group responses. Significant between group changes were observed in several psychological constructs related to volition at 6 months post baseline; however, these had disappeared by 6 months post-surgery. Conclusions An exercise program and HAPA guided counselling intervention can improve psychological constructs related to exercise behaviour; however, these did not result in significant between group changes in PA at the timepoints measured. Further research with larger sample size is required. Trial Registration: Australian New Zealand Clinical Trials Registry (ACTRN 12617000357358) Date of registration: 08/03/2017.

Details

Title: Effect of combined exercise training and behaviour change counselling versus usual care on physical activity in patients awaiting hip and knee arthroplasty: A randomised controlled trial
Authors: Andrew D. Williams (Corresponding Author) - University of Tasmania
Jane O'Brien - University of Tasmania
Jonathan Mulford - Launceston General Hospital (Australia)
Ronnie Mathew - Launceston General Hospital (Australia)
Deependra Kaji Thapa - Central Queensland University
Kyra Hamilton - Griffith University
Michael Cheney - University of Tasmania
Matthew Schmidt - University of Tasmania
Sam Wu - Swinburne University of Technology
Marie Louise Bird - University of British Columbia
Publication details: Osteoarthritis and Cartilage Open, Vol.4(4), pp.1-10
Publisher: Elsevier Ltd
Date published: 2022
DOI: 10.1016/j.ocarto.2022.100308
ISSN: 2665-9131
PMID: 36474797
Copyright note: © 2022 The Authors. Published by Elsevier Ltd on behalf of Osteoarthritis Research Society International (OARSI). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Grant note: This project was funded by the Clifford Craig Foundation.
Organisation Unit: Healthy Ageing Research Cluster; School of Health - Nursing
Language: English
Record Identifier: 991212777202621
Output Type: Journal article

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