Choose to Move Replacement Ready for Osteoarthritis

(CTM-RR Trial)

Overseen By Christa Hoy, MSc

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of British Columbia

Disqualifiers: Non-English speaking, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

Duration: 12 weeks

60 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a new program can assist individuals with hip or knee osteoarthritis (joint pain and stiffness) who are awaiting joint replacement surgery. The program, called Choose to Move Replacement Ready, is a 3-month plan where participants set goals, attend group meetings, and perform exercises at home. The study seeks to assess the program's ease of delivery and effectiveness for those on the surgical waitlist. Suitable candidates are English-speaking older adults with hip or knee issues awaiting surgery. Participants will provide feedback about their experience through surveys and interviews. As an unphased trial, this study offers a unique opportunity for participants to contribute to innovative solutions for managing osteoarthritis while awaiting surgery.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that the Choose to Move Replacement Ready program is safe for individuals with hip and/or knee osteoarthritis?

Research has shown that the Choose to Move Replacement Ready (CTM-RR) program benefits individuals with hip or knee osteoarthritis awaiting surgery. While specific safety data is unavailable, CTM-RR relies on physical activities rather than medication or surgery. It involves exercises and online meetings, which generally pose lower risks compared to other medical treatments.

The program offers online consultations and group meetings, along with home exercises for hips and knees. These exercises aim to keep participants active and prepare them for surgery. With its focus on guided movements and discussions, the program is likely manageable for participants. However, individuals should consider their health conditions and consult healthcare providers if necessary. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Choose to Move Replacement Ready program because it offers a unique approach for people with hip and knee osteoarthritis awaiting surgery. Unlike traditional treatments that focus mainly on medication or physical therapy post-surgery, this program empowers participants by integrating virtual consultations, group meetings, and home exercises before surgery. The emphasis on peer support and goal-setting aims to enhance participants' physical activity levels and prepare them better for surgery. This proactive approach could potentially improve surgical outcomes and overall well-being, making it a promising addition to existing treatment options.

What evidence suggests that the Choose to Move Replacement Ready program is effective for individuals with osteoarthritis on surgical waitlists?

Research shows that the Choose to Move Replacement Ready (CTM-RR) program might help people with hip and knee osteoarthritis. Studies have found that education and exercise programs can lessen pain and improve movement for those awaiting joint replacement surgery. In this trial, participants will engage in the CTM-RR program, which offers personal coaching, group meetings, and exercises to achieve these benefits. Participants in similar programs have reported a better quality of life and improved function. While specific data on CTM-RR's effectiveness is still being collected, the program is based on proven methods for managing osteoarthritis symptoms. ^{1 4 5 6 7}

Who Is on the Research Team?

Heather A. McKay, PhD

Principal Investigator

University of British Columbia

Laura Churchill, PT, PhD

Principal Investigator

University of British Columbia

Joanie Sims Gould, MSW, PhD

Principal Investigator

University of British Columbia

Are You a Good Fit for This Trial?

This trial is for older adults in British Columbia who are not very active and are waiting for knee or hip replacement surgery due to osteoarthritis. Participants should be willing to answer surveys and discuss their experience with the program, which aims to improve physical activity, mobility, pain management, and quality of life.

Inclusion Criteria

I am an activity coach for the Active Aging Society and I speak English.

I am 50 years or older and speak English.

Referral partner (People who work in a healthcare setting who refer patients into the program)

Exclusion Criteria

My referral partner does not speak English.

My activity coach does not speak English.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in the 3-month Choose to Move Replacement Ready (CTM-RR) program, which includes virtual consultations, group meetings, and home-based exercises.

12 weeks

1 virtual consultation, 8 virtual group meetings

Follow-up

Participants are monitored for maintenance of health benefits and program impact 6 months after completing the CTM-RR program.

6 months

What Are the Treatments Tested in This Trial?

Interventions

• Choose to Move Replacement Ready

Trial Overview The 'Choose to Move Replacement Ready' (CTM-RR) program is being tested for its feasibility. It's a health-promoting initiative adapted specifically for those awaiting joint replacement surgery. The study will observe if CTM-RR can effectively engage participants in increasing their physical activity and improving overall well-being.

How Is the Trial Designed?

Group I: Choose to Move Replacement Ready Experimental Treatment 1 Intervention

CTM-RR is a 3-month program for individuals with hip and/or knee osteoarthritis on surgical waitlists for total hip or total knee replacement that includes three required components: 1) a 30-min one-on-one virtual consultation (via Zoom) where activity coaches support participants to set goals and develop a PA action plan; 2) 8 virtual group meetings (via Zoom, 90-min each) facilitated by activity coaches, with small groups of participants (10/program) who provide peer support. Each meeting includes: i) two, 15-min movement breaks where participants perform structured hip and knee exercises delivered by the coach and ii) education and discussion on relevant topics (e.g. goal setting, PA, what to expect from surgery); 3) Home-based hip and knee exercises to complete independently, 2x/week. Optional components of CTM-RR include 4) a bi-weekly newsletter distributed by the AAS and 5) peer support check-ins outside of group meetings.

Who Is Running the Clinical Trial?

University of British Columbia

Lead Sponsor

Trials

1,506

Recruited

2,528,000+

Specialist Services Committee (Doctors of BC)

Collaborator

Active Aging Society

Collaborator

Trials

4

Recruited

2,500+

Citations

1. clinicaltrials.gov clinicaltrials.gov/study/NCT07069179

Feasibility of Choose to Move Replacement Ready Choose to Move Replacement Ready (CTM-RR) is an adapted version of the program tailored to support individuals with hip and/or knee osteoarthritis on surgical ...

2. withpower.com withpower.com/trial/phase-social-isolation-6-2025-0d47e

Choose to Move Replacement Ready for Osteoarthritis Choose to Move (CTM) is a 3-month, choice-based health-promoting program for low active older adults being scaled-up across British Columbia (BC), Canada.

3. clinconnect.io clinconnect.io/trials/NCT07069179

Feasibility of Choose to Move Replacement Ready The study wants to find out if this program is practical to offer to these patients and whether it helps with things like pain, movement, mood, and feelings of ...

4. withpower.com withpower.com/clinical-trials/for-total-knee-replacement?page=3

Top Total Knee Replacement Clinical Trials | Power Choose to Move (CTM) is a 3-month, choice-based health-promoting program for low active older adults being scaled-up across British Columbia (BC), Canada.

5. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12061182/

Change in willingness for surgery and risk of joint replacement ... Numerous studies report that education and exercise interventions can shift people's willingness to undergo joint replacement surgery for osteoarthritis.

6. trialx.com trialx.com/clinical-trials/listings/300971/feasibility-of-choose-to-move-replacement-ready/

Feasibility of Choose to Move Replacement Ready The primary goal of this observational study is to learn if the adapted program, Choose to Move Replacement Ready (CTM-RR), is feasible to ...

7. trial.medpath.com trial.medpath.com/clinical-trial/be16f3ef7a6e24b4/nct07069179-virtual-health-intervention-hip-knee-replacement

Feasibility of Choose to Move Replacement Ready | MedPath Data will be collected at 0 (baseline), 3 (post-intervention), and 9 (long-term follow-up) months to assess implementation and impact of CTM-RR, and maintenance ...