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Home-based pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): a feasibility randomized controlled trial

Roshan das Nair, Jacqueline R Mhizha-Murira, Pippa Anderson, Hannah Carpenter, Simon Clarke, Sam Groves, Paul Leighton, Brigitte E Scammell, Gogem Topcu, David A Walsh, Nadina B Lincoln

Clinical Rehabilitation, Start page: 026921551875542

Swansea University Author: Pippa Anderson

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Abstract

Objective: To determine the feasibility of conducting a trial of a pre-surgical psychological interventionon pain, function, and mood in people with knee osteoarthritis listed for total knee arthroplasty.Design: Multi-centre, mixed-methods feasibility randomized controlled trial of intervention plus...

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Published in: Clinical Rehabilitation
ISSN: 0269-2155 1477-0873
Published: 2018
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URI: https://cronfa.swan.ac.uk/Record/cronfa38315
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first_indexed 2018-01-26T05:16:33Z
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2019-05-29T15:52:33.2338963</datestamp><bib-version>v2</bib-version><id>38315</id><entry>2018-01-25</entry><title>Home-based pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): a feasibility randomized controlled trial</title><swanseaauthors><author><sid>128cdedfba6e5e6374fdc85d5c78c428</sid><firstname>Pippa</firstname><surname>Anderson</surname><name>Pippa Anderson</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2018-01-25</date><deptcode>FGMHL</deptcode><abstract>Objective: To determine the feasibility of conducting a trial of a pre-surgical psychological interventionon pain, function, and mood in people with knee osteoarthritis listed for total knee arthroplasty.Design: Multi-centre, mixed-methods feasibility randomized controlled trial of intervention plus usualcare versus usual care.Setting: Participants&#x2019; homes or hospital.Participants: Patients with knee osteoarthritis listed for total knee arthroplasty and score &gt;7 on eithersubscales of Hospital Anxiety and Depression Scale.Intervention: Up-to 10 sessions of psychological intervention (based on cognitive behavioural therapy).Main measures: Feasibility outcomes (recruitment and retention rates, acceptability of trial proceduresand intervention, completion of outcome measures), and standardized questionnaires assessing pain,function, and mood at baseline, and four and six months post-randomisation.Results: Of 222 people screened, 81 did not meet inclusion criteria, 64 did not wish to participate,26 were excluded for other reasons, and 51 were randomized. A total of 30 completed 4- and 256-month outcomes. Modal number of intervention sessions completed was three (range 2&#x2013;8). At sixmonthfollow-up, mood, pain, and physical function scores were consistent with clinically important benefits from intervention, with effect sizes ranging from small (d = 0.005) to moderate (d = 0.74), andsignificant differences in physical function between intervention and usual care groups (d = 1.16). Feedbackinterviews suggested that participants understood the rationale for the study, found the informationprovided adequate, the measures comprehensive, and the intervention acceptable.Conclusion: A definitive trial is feasible, with a total sample size of 444 people. Pain is a suitable primaryoutcome, but best assessed 6 and 12 months post-surgery.</abstract><type>Journal Article</type><journal>Clinical Rehabilitation</journal><paginationStart>026921551875542</paginationStart><publisher/><issnPrint>0269-2155</issnPrint><issnElectronic>1477-0873</issnElectronic><keywords>Psychological intervention, total knee arthroplasty, knee osteoarthritis, randomized controlled trial, feasibility</keywords><publishedDay>31</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2018</publishedYear><publishedDate>2018-12-31</publishedDate><doi>10.1177/0269215518755426</doi><url/><notes/><college>COLLEGE NANME</college><department>Medicine, Health and Life Science - Faculty</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>FGMHL</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2019-05-29T15:52:33.2338963</lastEdited><Created>2018-01-25T20:36:11.4630332</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care</level></path><authors><author><firstname>Roshan</firstname><surname>das Nair</surname><order>1</order></author><author><firstname>Jacqueline R</firstname><surname>Mhizha-Murira</surname><order>2</order></author><author><firstname>Pippa</firstname><surname>Anderson</surname><order>3</order></author><author><firstname>Hannah</firstname><surname>Carpenter</surname><order>4</order></author><author><firstname>Simon</firstname><surname>Clarke</surname><order>5</order></author><author><firstname>Sam</firstname><surname>Groves</surname><order>6</order></author><author><firstname>Paul</firstname><surname>Leighton</surname><order>7</order></author><author><firstname>Brigitte E</firstname><surname>Scammell</surname><order>8</order></author><author><firstname>Gogem</firstname><surname>Topcu</surname><order>9</order></author><author><firstname>David A</firstname><surname>Walsh</surname><order>10</order></author><author><firstname>Nadina B</firstname><surname>Lincoln</surname><order>11</order></author></authors><documents><document><filename>0038315-16022018100408.pdf</filename><originalFilename>38315.pdf</originalFilename><uploaded>2018-02-16T10:04:08.1400000</uploaded><type>Output</type><contentLength>560913</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><embargoDate>2018-02-16T00:00:00.0000000</embargoDate><documentNotes>Released under the terms of a Creative Commons (CC-BY) license.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language></document></documents><OutputDurs/></rfc1807>
spelling 2019-05-29T15:52:33.2338963 v2 38315 2018-01-25 Home-based pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): a feasibility randomized controlled trial 128cdedfba6e5e6374fdc85d5c78c428 Pippa Anderson Pippa Anderson true false 2018-01-25 FGMHL Objective: To determine the feasibility of conducting a trial of a pre-surgical psychological interventionon pain, function, and mood in people with knee osteoarthritis listed for total knee arthroplasty.Design: Multi-centre, mixed-methods feasibility randomized controlled trial of intervention plus usualcare versus usual care.Setting: Participants’ homes or hospital.Participants: Patients with knee osteoarthritis listed for total knee arthroplasty and score >7 on eithersubscales of Hospital Anxiety and Depression Scale.Intervention: Up-to 10 sessions of psychological intervention (based on cognitive behavioural therapy).Main measures: Feasibility outcomes (recruitment and retention rates, acceptability of trial proceduresand intervention, completion of outcome measures), and standardized questionnaires assessing pain,function, and mood at baseline, and four and six months post-randomisation.Results: Of 222 people screened, 81 did not meet inclusion criteria, 64 did not wish to participate,26 were excluded for other reasons, and 51 were randomized. A total of 30 completed 4- and 256-month outcomes. Modal number of intervention sessions completed was three (range 2–8). At sixmonthfollow-up, mood, pain, and physical function scores were consistent with clinically important benefits from intervention, with effect sizes ranging from small (d = 0.005) to moderate (d = 0.74), andsignificant differences in physical function between intervention and usual care groups (d = 1.16). Feedbackinterviews suggested that participants understood the rationale for the study, found the informationprovided adequate, the measures comprehensive, and the intervention acceptable.Conclusion: A definitive trial is feasible, with a total sample size of 444 people. Pain is a suitable primaryoutcome, but best assessed 6 and 12 months post-surgery. Journal Article Clinical Rehabilitation 026921551875542 0269-2155 1477-0873 Psychological intervention, total knee arthroplasty, knee osteoarthritis, randomized controlled trial, feasibility 31 12 2018 2018-12-31 10.1177/0269215518755426 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2019-05-29T15:52:33.2338963 2018-01-25T20:36:11.4630332 Faculty of Medicine, Health and Life Sciences School of Health and Social Care Roshan das Nair 1 Jacqueline R Mhizha-Murira 2 Pippa Anderson 3 Hannah Carpenter 4 Simon Clarke 5 Sam Groves 6 Paul Leighton 7 Brigitte E Scammell 8 Gogem Topcu 9 David A Walsh 10 Nadina B Lincoln 11 0038315-16022018100408.pdf 38315.pdf 2018-02-16T10:04:08.1400000 Output 560913 application/pdf Version of Record true 2018-02-16T00:00:00.0000000 Released under the terms of a Creative Commons (CC-BY) license. true eng
title Home-based pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): a feasibility randomized controlled trial
spellingShingle Home-based pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): a feasibility randomized controlled trial
Pippa Anderson
title_short Home-based pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): a feasibility randomized controlled trial
title_full Home-based pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): a feasibility randomized controlled trial
title_fullStr Home-based pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): a feasibility randomized controlled trial
title_full_unstemmed Home-based pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): a feasibility randomized controlled trial
title_sort Home-based pre-surgical psychological intervention for knee osteoarthritis (HAPPiKNEES): a feasibility randomized controlled trial
author_id_str_mv 128cdedfba6e5e6374fdc85d5c78c428
author_id_fullname_str_mv 128cdedfba6e5e6374fdc85d5c78c428_***_Pippa Anderson
author Pippa Anderson
author2 Roshan das Nair
Jacqueline R Mhizha-Murira
Pippa Anderson
Hannah Carpenter
Simon Clarke
Sam Groves
Paul Leighton
Brigitte E Scammell
Gogem Topcu
David A Walsh
Nadina B Lincoln
format Journal article
container_title Clinical Rehabilitation
container_start_page 026921551875542
publishDate 2018
institution Swansea University
issn 0269-2155
1477-0873
doi_str_mv 10.1177/0269215518755426
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care
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description Objective: To determine the feasibility of conducting a trial of a pre-surgical psychological interventionon pain, function, and mood in people with knee osteoarthritis listed for total knee arthroplasty.Design: Multi-centre, mixed-methods feasibility randomized controlled trial of intervention plus usualcare versus usual care.Setting: Participants’ homes or hospital.Participants: Patients with knee osteoarthritis listed for total knee arthroplasty and score >7 on eithersubscales of Hospital Anxiety and Depression Scale.Intervention: Up-to 10 sessions of psychological intervention (based on cognitive behavioural therapy).Main measures: Feasibility outcomes (recruitment and retention rates, acceptability of trial proceduresand intervention, completion of outcome measures), and standardized questionnaires assessing pain,function, and mood at baseline, and four and six months post-randomisation.Results: Of 222 people screened, 81 did not meet inclusion criteria, 64 did not wish to participate,26 were excluded for other reasons, and 51 were randomized. A total of 30 completed 4- and 256-month outcomes. Modal number of intervention sessions completed was three (range 2–8). At sixmonthfollow-up, mood, pain, and physical function scores were consistent with clinically important benefits from intervention, with effect sizes ranging from small (d = 0.005) to moderate (d = 0.74), andsignificant differences in physical function between intervention and usual care groups (d = 1.16). Feedbackinterviews suggested that participants understood the rationale for the study, found the informationprovided adequate, the measures comprehensive, and the intervention acceptable.Conclusion: A definitive trial is feasible, with a total sample size of 444 people. Pain is a suitable primaryoutcome, but best assessed 6 and 12 months post-surgery.
published_date 2018-12-31T03:48:28Z
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