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Development of a pre-rehabilitation program informed by cognitive behavioural therapy (pR-CBT) to improve outcomes in total knee arthroplasty (TKA)

People Involved

Project Description

Total knee arthroplasty (TKA) is one of the most common and effective treatments for severe knee osteoarthritis, with >100,000 knee replacements performed in the UK annually. Despite success in reduction of pain after knee replacements, around 1 in 5 patients continue to experience pain and limited function after their TKA, which cannot be explained entirely by biomedical factors. There is currently a lack of consideration given to modifiable psychosocial and individual factors in TKA rehabilitative intervention, relative to the importance of these factors reported in the literature. This represents a research-to-practice gap which may contribute to poorer health experience and patient outcomes.

In light of this, we seek to engage relevant stakeholders from the outset to co-produce a brief pre-rehabilitation program derived from cognitive behavioural therapy (CBT) and related therapies for people who are undergoing TKA. First, we will review the literature and speak to service users and health professionals to gather data that will inform the draft outline of the program. Then, we will hold virtual stakeholder workshops to co-design, develop, and to refine the draft program through feedback. Finally, features of the final program will be shared with all stakeholders that can be implemented across NHS Grampian.

Project Acronym pR-CBT: TKA
Status Project Live
Funder(s) NHS Grampian Endowment Fund
Value £12,000.00
Project Dates Apr 1, 2022 - Mar 31, 2023

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