NCT02969512

Brief Summary

Osteoarthritis (OA), leading to hip replacement, is a leading contributor to global mobility impairment. Given the boom in the older demographic it is not surprising that there is an 11% increased demand for replacement every 5 years in Canada. Health promotion interventions, such as prehabilitation, defined as pre-surgical education, are vital to optimizing surgical outcomes, reducing hospitalization costs, accelerating rehabilitation, and reducing patient discomfort and pre-operative anxiety. HIPPER is a 2-year randomized controlled trial (RCT) that will assess feasibility indicators and clinical outcomes of online prehab education modules compared to online educational webinars. The feasibility indicators (process, resource, management, and treatment issues) and clinical outcomes (physical function, anxiety, depression, pain, daily activities, self-efficacy, and health related quality of life) will be assessed among Vancouver-dwelling older adults aged \> 50 years, with advanced hip osteoarthritis. The findings will lead to the refinement of the design protocol in order to evaluate a contemporary, standardized, and geographically accessible prehab education program in a large multi-site RCT.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
51

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2021

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 9, 2016

Completed
12 days until next milestone

First Posted

Study publicly available on registry

November 21, 2016

Completed
4.1 years until next milestone

Study Start

First participant enrolled

January 10, 2021

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 25, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 25, 2023

Completed
Last Updated

July 23, 2024

Status Verified

July 1, 2024

Enrollment Period

2.3 years

First QC Date

November 9, 2016

Last Update Submit

July 19, 2024

Conditions

Hip Osteoarthritis

Keywords

Patient educationAdvanced hip osteoarthritisOnline educationComputer-assisted instructione-learningOlder adult

Outcome Measures

Primary Outcomes (1)

  • Change in Primary Clinical Outcomes Scale

    Hospital Anxiety and Depression Scale (HADS-A): The HADS-A is a validated 7-item tool that includes tension, worry and fear and has respondents indicate how they currently feel on each item.

    Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).

Secondary Outcomes (7)

  • 30-second Chair-Stand Test

    Baseline,7-10 days before surgery.

  • Change in Physical Activity Scale for the Elderly (PASE)

    Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).

  • Change in Self-Efficacy for Rehabilitation Outcome Scale (SER)

    Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).

  • Equipment Checklist

    Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).

  • EuroQol-5 Dimension, 5 level

    Baseline,7-10 days before surgery, Post Intervention (30 days after surgery).

  • +2 more secondary outcomes

Study Arms (2)

HIPPER

EXPERIMENTAL

The HIPPER group will receive 12 interactive online modules (\~20 minutes each). HIPPER participants will receive email or phone contact (participant preference) to provide them with website portal access consisting of the web address, and simple instructions to access the website using personalized encrypted login information to the site.

Other: HIPPER

OASIS Online Educational Webinars

ACTIVE COMPARATOR

To provide a comparable level of education, participants in the Online Education group will receive 2 hours of OASIS online educational webinars as per current practice.

Other: OASIS Online Educational Webinars

Interventions

HIPPEROTHER

Participants can complete the online educational modules at home or another location with internet access. The total time to complete all of the modules is about 2 hours and 30 minutes.

Also known as: Behavioral: Online prehab education
HIPPER
OASIS Online Educational WebinarsOTHER

2-hour online educational large group sessions

Also known as: Behavioral: large group education sessions
OASIS Online Educational Webinars

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Community-dwelling participants with advanced hip OA will be included if they:
  • are living in the greater Vancouver region;
  • are aged 50 years or older;
  • are scheduled to have a single THR in 12 weeks or later;
  • have access to the internet

You may not qualify if:

  • cannot communicate and complete questionnaires in English;
  • anticipate a health condition or procedure that contraindicates their THR surgery;
  • are actively receiving physical therapy for their hip symptoms;
  • have had a previous THR.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

GF Strong Rehabilitation Centre

Vancouver, British Columbia, V5Z 2G9, Canada

Location

Related Publications (3)

  • Mohammadi S, Westby MD, Schneeberg A, Watson W, Dhariwal A, Simpson E, Miller WC. The hip instructional prehabilitation program for enhanced recovery (HIPPER) as an eHealth approach to presurgical hip replacement Education: Feasibility randomized controlled trial. Int J Orthop Trauma Nurs. 2025 Aug;58:101210. doi: 10.1016/j.ijotn.2025.101210. Epub 2025 Jun 18.

    PMID: 40580786DERIVED

  • Dhariwal A, Mohammadi S, Simpson E, Westby MD, Watson W, Miller WC. Patient-centered perspectives: A qualitative evaluation of the Hip Instructional Prehabilitation Program for Enhanced Recovery (HIPPER). PLoS One. 2025 Apr 24;20(4):e0322114. doi: 10.1371/journal.pone.0322114. eCollection 2025.

    PMID: 40273090DERIVED

  • Miller WC, Mohammadi S, Watson W, Crocker M, Westby M. 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.

    PMID: 34255722DERIVED

MeSH Terms

Conditions

Osteoarthritis, Hip

Condition Hierarchy (Ancestors)

OsteoarthritisArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Study Officials

  • William C Miller, PhD

    University of British Columbia

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

November 9, 2016

First Posted

November 21, 2016

Study Start

January 10, 2021

Primary Completion

April 25, 2023

Study Completion

April 25, 2023

Last Updated

July 23, 2024

Record last verified: 2024-07

Data Sharing

IPD Sharing
Will not share

Locations

CA(1)