Alleviating waitlist woes: Adapting a health-promoting program for people awaiting hip and knee replacement for osteoarthritis
Description: Osteoarthritis (OA) is a serious chronic disease and is the leading cause of disability worldwide. Guidelines for hip and knee OA recommend physical activity (PA) and exercise therapy alongside education as first-line treatments before considering higher risk and more invasive treatments (medications and surgery). PA and exercise therapy improves pain, function, and health-related quality of life among people with OA, however it is underutilized. Few programs support guideline-adherent care for those awaiting surgery. In British Columbia, there is no province-wide strategy or freely available community-based program that supports the health and well-being of the ~14 000 people currently on surgical waitlists for hip and knee replacement. We co-designed Choose to Move (CTM)-a flexible, community-based program that improved physical activity, mobility, social connectedness, and diminished loneliness in older adult participants. CTM was scaled up across 9 years to reach >8000 older adults in British Columbia (BC). We aim to adapt and extend the reach of this successful program to people with OA on waitlists for hip and knee replacement in BC. Our objectives of this planning grant are to: 1) Develop a plan to adapt CTM to meet the needs of people with hip and knee OA on the waitlist for joint replacement surgery 2) Develop a CIHR Project Grant that evaluates implementation and health benefits of the adapted CTM program To achieve these objectives, we propose to bring together researchers who have expertise in OA, sex and gender science, and implementation science; health care professionals (physical therapists, orthopaedic surgeons) who specialize in arthritis; key knowledge users representing organizations who can support program delivery; and patients with hip and knee OA. What we learn can be applied to developing other health-promoting interventions for people with hip and knee OA, and to adapt the CTM program to other clinical populations beyond OA.
Amount: CA$20,000
Funding type: planning
Funder scheme: Planning and Dissemination Grant - Institute Community Support
Start date: 2024-11-01
End date: 2025-10-31
Investigator: Joanie Sims-Gould
Institution: University of British Columbia
Subfield: Rheumatology
Field: Medicine
Domain: Health Sciences
Funded outputs count: 0
Funder award ID: 197425_1
OpenAlex ID: G2826705772