Healthy Living After Knee Replacement
Arthroplasty, Overweight and Obesity
About this trial
This is an interventional prevention trial for Arthroplasty
Eligibility Criteria
Inclusion Criteria:
Participants must:
- have a body mass index between 25-45 kg/m2
- have had a knee replacement (including primary, staged or independent bilateral, or revision) <6 months prior to baseline assessment
- have a computer, tablet, or smartphone with active internet access to self-monitor online and/or have a device or computer compatible with Fitbit
- completion of baseline assessment measures (height, weight, function tests, surveys, ≥4 days valid of activity monitoring, and 1 day of dietary recall)
- be English-speaking and able to read consent and study materials written in English
- be willing to attend 4 in-person assessments.
Exclusion Criteria:
- have any contraindications to diet or weight loss
- undergo simultaneous bilateral knee replacement or have a scheduled or anticipated knee replacement for the contralateral knee within the next 18 months
- have a mobility limiting comorbidity unrelated to knee replacement (e.g. spinal stenosis, fibromyalgia, peripheral vascular disease, stroke)
- are taking anti-obesity medications
- are enrolled in a formal weight loss program
- had or are planning to have bariatric/gastric/lap band surgery
- are planning to relocate out of the Columbia or Greenville, SC areas in the next 18 months.
Sites / Locations
- University of South CarolinaRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Sham Comparator
PACE Weight Loss Program
Chronic Disease Self-Management Program
Participants randomized to this arm will receive personalized diet, activity, and weight loss goals as well as tools to self-monitor behaviors and weight. To facilitate changes, participants will receive coaching calls weekly during months 1-4, biweekly during months 5-6, and monthly during months 7-12.
Participants randomized to this arm will receive a chronic disease self-management program including a self-management book. Participants will receive regular calls weekly during months 1-4, biweekly during months 5-6, and monthly during months 7-12.