Evaluation of Choose to Move Replacement Ready (CTM-RR)

Summary

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. Recently, the investigators adapted CTM for the \>14000 people in BC who are on surgical waitlists for total knee replacement or total hip replacement (TKR/THR) for osteoarthritis (OA). The primary goals of this observational study are to describe how the adapted program, Choose to Move Replacement Ready (CTM-RR), is implemented in BC and determine if the adapted program improves health outcomes in people with hip and/or knee osteoarthritis who are on surgical waitlists for TKR/THR. The investigators will also evaluate whether any health benefits achieved by CTM-RR participants are maintained three months after they finish the program and also during the remaining time that they wait for their TKR/THR surgery.

The investigators will work with referral partners from hospitals and orthopaedic clinics in BC to recruit participants into CTM-RR. Participants who enrol in CTM-RR will answer online survey questions about the program and about their physical activity, mobility, pain, function, quality of life, willingness to undergo surgery, overall perception of their joint condition, psychosocial health, self-efficacy, social isolation, loneliness, and sedentary time. CTM-RR activity coaches will also answer online survey questions about the program. CTM-RR participants, activity coaches, and referral partners will also participate in interviews about the program.

Conditions

• Osteoarthritis (OA)
• Osteoarthritis (OA) of the Hip
• Osteoarthritis (OA) of the Knee
• Total Knee Anthroplasty
• Total Hip Arthroplasty (THA)
• Mobility Limitation
• Physical Activity
• Older Adults
• Social Isolation or Loneliness
• Pain
• Implementation Science
• Sedentary Behaviors

Interventions

BEHAVIORAL

Choose to Move Replacement Ready

As described under study arm description.

Sponsors & Collaborators

• Active Aging Society

  collaborator OTHER

• Specialist Services Committee (Doctors of BC)

  collaborator UNKNOWN

• University of British Columbia

  lead OTHER

Principal Investigators

• Heather A McKay, PhD · University of British Columbia

• Laura Churchill, PT, PhD · University of British Columbia

• Joanie Sims Gould, MSW, PhD · University of British Columbia

Study Design

Allocation

NA

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

50 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-08-31

Primary Completion

2028-08-31

Completion

2028-08-31

Countries

• Canada

Study Locations