NCT03037619

Brief Summary

Patients undergoing knee replacement typically report improved health-related quality of life, increased physical function, and reduced pain. Despite these improvements, physical activity levels remain unchanged, or only minimally increase from pre-operative levels, yet do not reach the same level of activity observed among healthy populations. Knee replacement patients often expect their activity levels and function to improve following surgery, but the majority of patients' activity levels 5 years post-operatively did not meet their pre-operative expectations. Even though improvements are observed in pain and function, reasons for the maintenance of low levels of activity are unknown. Technology has the potential to increase physical activity levels in these patients, particularly as 81% of knee replacement patients in our recent study had a smartphone, and 40% were willing to wear a wrist-worn physical activity monitor. As the average age of knee replacement continues to decrease, we anticipate that the percent of patients with a smartphone and willingness to wear an activity monitor will increase. In addition to technology, social support is associated with greater outcomes following knee replacement. Thus, wearing a wrist-worn physical activity monitor and providing additional opportunities for social support via the technology may increase physical activity levels in these patients. The current pilot study aims to gain preliminary data on the influence of wearables and social support on physical activity in knee replacement patients following surgery. Specifically, we aim to recruit 20 patients who will be randomized to one of two conditions: Fitbit vs. Fitbit+Support. Participants in the Fitbit group will receive a Fitbit and be encouraged to wear it for 4 months. Participants in the Fitbit+Support group will be asked to identify a "buddy." Both the participant and "buddy" will be given a Fitbit and they will be asked to friend each other via Fitbit and wear the monitor for 4 months.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
23

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Mar 2017

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

January 27, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 31, 2017

Completed
1 month until next milestone

Study Start

First participant enrolled

March 6, 2017

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 10, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 10, 2018

Completed
10 months until next milestone

Results Posted

Study results publicly available

September 16, 2019

Completed
Last Updated

September 16, 2019

Status Verified

September 1, 2019

Enrollment Period

1.7 years

First QC Date

January 27, 2017

Results QC Date

July 25, 2019

Last Update Submit

September 13, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Moderate/Vigorous Intensity Physical Activity

    Number of minutes/day of moderate and vigorous intensity physical activity measured by the Fitbit

    4 months

Secondary Outcomes (3)

  • Social Support

    4 months

  • Percentage of Participants Satisfied With the Fitbit

    4 months

  • Fitbit Engagement

    4 months

Study Arms (2)

Fitbit

EXPERIMENTAL

Participants randomized to Fitbit will be mailed a Fitbit and encouraged to wear it over the next 4 months.

Behavioral: Fitbit

Fitbit+Support

EXPERIMENTAL

Participants will identify a Buddy and both the participant and Buddy will be mailed a Fitbit. Both participant and Buddy will be asked to "Friend" each other on Fitbit and encouraged to wear the monitor over the next 4 months.

Behavioral: Fitbit+Support

Interventions

FitbitBEHAVIORAL

Participants randomized to Fitbit will be mailed a Fitbit and encouraged to wear it over the next 4 months

Fitbit
Fitbit+SupportBEHAVIORAL

Participants will identify a Buddy and both the participant and Buddy will be mailed a Fitbit. Both participant and Buddy will be asked to "Friend" each other on Fitbit and encouraged to wear the monitor over the next 4 months.

Fitbit+Support

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Knee replacement patients must (1) have had a knee replacement in the last 12 months; (2) have a computer or smartphone compatible with Fitbit, (3) be English speaking, (4) willing to wear the Fitbit for 4 months, and (5) have a "buddy" willing to participate.
  • Patient buddies must: (1) have a computer or smartphone compatible with Fitbit, (2) be English speaking, and (3) willing to wear the Fitbit for 4 months.

You may not qualify if:

  • Knee replacement patients will be excluded if they have another knee replacement scheduled within the next 4 months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of South Carolina

Columbia, South Carolina, 29208, United States

Location

Results Point of Contact

Title
Christine Pellegrini
Organization
University of South Carolina

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Research Assistant Professor

Study Record Dates

First Submitted

January 27, 2017

First Posted

January 31, 2017

Study Start

March 6, 2017

Primary Completion

November 10, 2018

Study Completion

November 10, 2018

Last Updated

September 16, 2019

Results First Posted

September 16, 2019

Record last verified: 2019-09

Data Sharing

IPD Sharing
Will not share

Locations