TKA pRehabilitation program informed by Cognitive Behavioural Therapy
Research type
Research Study
Full title
Development of a prehabilitation program informed by cognitive behavioural therapy (pR CBT) to improve outcomes in total knee arthroplasty (TKA).
IRAS ID
314539
Contact name
Joanna Shim
Contact email
Sponsor organisation
Robert Gordon University
Duration of Study in the UK
0 years, 11 months, 31 days
Research summary
Knee replacement is a common approach to treat severe osteoarthritis and knee injury, with more than 100,000 knee replacements performed in the UK annually. Although knee replacement surgery usually improves pain and function (e.g. walking and climbing stairs), around 1 in 5 patients are still not satisfied with the outcome of their surgery.
Prehabilitation, a form of pre-surgery rehabilitation to improve overall physical health, is really important because it may help with some of the physical and mental barriers one might experience prior to surgery; therefore, reducing the overall interventions required afterwards. Prehabilitation before knee replacement has also been reported to shorten the length of hospital stay and help speed the return to normal daily life activity after surgery. However, most of the existing prehabilitation only focuses on exercises and education to improve knee function and does not currently take into account important modifiable psychological or individual factors such as patient expectations and coping ability which play a significant role in recovery. Therefore, there is a need to develop a prehabilitation intervention for patients undergoing knee replacement surgery that provides the necessary psychological support and this study will do that.
To do this, we will initially conduct surveys of NHS Grampian Allied Health Professionals (AHPs) and service users to ask their views on this. Then, we will hold virtual stakeholder workshops with service users and AHPs to discuss the survey findings and confirm what to explore in more depth. In the next phase, we will speak to service users, AHPs and AHP managers to explore in detail their views and experiences of remote AHP service provision. Finally, we will share the findings with all stakeholders and agree how the recommendations for practice will be implemented across NHS Grampian.REC name
London - West London & GTAC Research Ethics Committee
REC reference
23/LO/0159
Date of REC Opinion
20 Feb 2023
REC opinion
Further Information Favourable Opinion