Extrait

Background and study aims Hip and knee arthritis causes pain which limits physical function and can affect ability to work. Hip and knee replacements are proven to relieve pain and improve function, and help many patients of working age to continue working or get back to work. Currently there is variation in the advice and support given about sickness absence, recovery to usual activities and return to work after these procedures. Earlier, sustainable, return to work improves the health of patients and benefits their employers and society. It is therefore important to better understand what is currently being done and how current care can be improved. In this study, information will be collected about the issues they face when returning to work after hip and knee replacement in order to develop an ‘occupational advice intervention' which is tailored to their requirements, in the form of a manual that will provide support and advice to enhance their early recovery to usual activities, including work. The aim of this study is to investigate the feasibility of conducting a full scale trial evaluating whether an occupational advice programme delivered to working adults, starting before hip or knee joint replacement surgery, improves speed of recovery to usual activities including work. Who can participate? In the first part of the study, patients undergoing a hip or knee replacement who are aged 16 and over can take part. In the second part of the study, patients undergoing a hip or knee replacement who are aged 16 and over and are intending to return to work following surgery can take part. What does the study involve? This research has two separate parts and lasts for a total of 27 months. In the first part, information about work roles and return to work is collected from a variety of sources including surgeons, allied health professionals (AHPs), general practitioners (GPs), employers and patients using questionnaires and interviews. This runs during the first 13 months of the study. These interviews provide detailed information about the shortcomings and difficulties in current care and support available, and identify possible solutions and improvements to overcome them. Patients in the first part of the study are also asked to complete the initial questionnaire while in hospital and then follow up questionnaires 8 and 16 weeks after their operation. Some patients also receive a follow up questionnaire at 24 weeks. If patients also agree to take part in the interview part of the study, their contact details are sent to researchers from the University of Nottingham. They then contact the patients to arrange an interview to discuss in greater detail about the work patients do, and what advice and support they received to help them return to work and their usual activities following their surgery. The interview lasts for around 30 minutes. In the second part of the study, information from the first part is used to develop the ‘occupational advice intervention’ manual to help patients return to usual activities including work and aim to test the acceptability, practicality and feasibility of this intervention. Patients in this part of the study are asked to complete the initial questionnaire while in hospital and then follow up questionnaires 8 and 16 weeks after their operation. These patients are also interviewed about the implementation of the ‘occupational advice intervention’ manual. What are the possible benefits and risks of participating? There may be no direct benefit to participants. However, the information we collect from the study will help us understand patients’ experiences of the support and advice they receive and will identify improvements that might be made in the future. Participants will be helping to shape and improve advice for those patients hoping to return to work after hip or knee replacement in the future. There are no notable risks involved with participating. Where is the study run from? 1. The James Cook University Hospital (UK) 2. Queen’s Medical Centre (UK) 3. Nottingham City Hospital (UK) 4. Norfolk and Norwich University Hospital (UK) When is the study starting and how long is it expected to run for? July 2016 to September 2018 Who is funding the study? National Institute for Health Research (UK) Who is the main contact? Dr Lucksy Kottam [email protected]

Critère d'inclusion

• Specialty: Musculoskeletal disorders, Primary sub-specialty: Other; UKCRC code/ Disease: Musculoskeletal/ Other disorders of the musculoskeletal system and connective tissue

Liens

• isrctn