The Hip Instructional Prehabilitation Program for Enhanced Recovery (HIPPER) as an eHealth Approach to Presurgical Hip Replacement Education: Protocol for a Randomized Controlled Trial

William C Miller; Somayyeh Mohammadi; Wendy Watson; Morag Crocker; Marie Westby

doi:10.2196/29322

The Hip Instructional Prehabilitation Program for Enhanced Recovery (HIPPER) as an eHealth Approach to Presurgical Hip Replacement Education: Protocol for a Randomized Controlled Trial

JMIR Res Protoc. 2021 Jul 6;10(7):e29322. doi: 10.2196/29322.

Authors

William C Miller^{1

2}, Somayyeh Mohammadi^{1

2}, Wendy Watson³, Morag Crocker³, Marie Westby³

Affiliations

¹ GF Strong Rehabilitation Research Program, Vancouver, BC, Canada.
² Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
³ Vancouver Coastal Health, Vancouver, BC, Canada.

PMID: 34255722
PMCID: PMC8292937
DOI: 10.2196/29322

Abstract

Background: Osteoarthritis (OA), leading to hip replacement (THR), is a primary contributor to global mobility impairment. In 2018, more than 59,000 THR surgeries were performed in Canada. Health promotion education, such as prehabilitation, is vital to optimizing surgical outcomes.

Objective: This study aims to evaluate the feasibility of the Hip Instructional Prehabilitation Program for Enhanced Recovery (HIPPER), an eHealth approach to prehabilitation education.

Methods: A single-blind (assessor-blind), 2-arm, feasibility randomized controlled trial will be conducted. We will recruit 40 (HIPPER group, n=20; control group, n=20) older adults with hip OA and on a waitlist for a THR. The HIPPER intervention consists of 12 online, interactive modules. The control group will receive the current standard practice consisting of 2 online educational sessions lasting 2 hours each (webinars). Feasibility outcomes (eg, recruitment and retention rates) will be evaluated.

Results: Recruitment started in March 2021. As of April 20, 2021, 18 participants were recruited. All 18 completed T1 measures. Only 1 participant has been scheduled to have a surgery and therefore has been scheduled to complete T2 measures. The remainder of the participants are waiting to be notified of their surgery date. This project was funded by a Canadian Institutes of Health Research Project Grant. Our institute's research ethics board approved this study in November 2016.

Conclusions: Results will lead to refinement of the HIPPER protocol in order to evaluate a standardized and geographically accessible prehabilitation program.

Trial registration: ClinicalTrials.gov NCT02969512; https://clinicaltrials.gov/ct2/show/NCT02969512.

International registered report identifier (irrid): DERR1-10.2196/29322.

Keywords: bone; eHealth; education; evaluation; feasibility; hip; osteoarthritis; prehabiliatation; preoperative education; randomized controlled trial; recovery; rehabilitation; surgery; total hip replacement.

©William C Miller, Somayyeh Mohammadi, Wendy Watson, Morag Crocker, Marie Westby. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 06.07.2021.

Associated data

ClinicalTrials.gov/NCT02969512