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A single-center, open-label, randomized, parallel-group trial to pilot the effectiveness of a peer coach behavioral intervention versus an active control in reducing anxiety and depression in patients scheduled for total knee replacement
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A single-center, open-label, randomized, parallel-group trial to pilot the effectiveness of a peer coach behavioral intervention versus an active control in reducing anxiety and depression in patients scheduled for total knee replacement
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A single-center, open-label, randomized, parallel-group trial to pilot the effectiveness of a peer coach behavioral intervention versus an active control in reducing anxiety and depression in patients scheduled for total knee replacement
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Journal Article
A single-center, open-label, randomized, parallel-group trial to pilot the effectiveness of a peer coach behavioral intervention versus an active control in reducing anxiety and depression in patients scheduled for total knee replacement
2023
Overview
Background
Moving Well
is a behavioral intervention for patients with knee osteoarthritis (KOA) scheduled for a total knee replacement (TKR). The objective of this intervention is to help patients with KOA mentally and physically prepare for and recover from TKR.
Methods
This is an open-label pilot randomized clinical trial that will test the feasibility and effectiveness of the
Moving Well
intervention compared to an attention control group,
Staying Well
, to reduce symptoms of anxiety and depression in patients with KOA undergoing TKR. The
Moving Well
intervention is guided by Social Cognitive Theory. During this 12-week intervention, participants will receive 7 weekly calls before surgery and 5 weekly calls after surgery from a peer coach. During these calls, participants will be coached to use principles of cognitive behavioral therapy (CBT), stress reduction techniques, and will be assigned an online exercise program, and self-monitoring activities to complete on their own time throughout the program.
Staying Well
participants will receive weekly calls of similar duration from research staff to discuss a variety of health topics unrelated to TKR, CBT, or exercise. The primary outcome is the difference in levels of anxiety and/or depression between participants in the
Moving Well
and
Staying Well
groups 6 months after TKR.
Discussion
This study will pilot test the feasibility and effectiveness of
Moving Well
, a peer coach intervention, alongside principles of CBT and home exercise, to help patients with KOA mentally and physically prepare for and recover from TKR.
Trial registration
Clinicaltrials.gov. NCT05217420; Registered: January 31, 2022.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Anxiety - prevention & control
/ Arthroplasty, Replacement, Knee - adverse effects
/ Behavior
/ Cognitive behavioral therapy
/ Depression - prevention & control
/ Exercise
/ Humans
/ Insomnia
/ Knee
/ Medicine
/ Methods
/ Osteoarthritis, Knee - diagnosis
/ Osteoarthritis, Knee - surgery
/ Pain
/ Patients
/ Surgery
