Osteoarthritis leads to reduced independence and quality of life. Total hip replacement is a successful and cost-effective surgical intervention to relieve pain and improve functioning in patients with osteoarthritis. Research has shown that preoperative health status strongly predicts outcomes including physical function and hospitalization length after hip replacement surgery. Frail patients, in particular, are at greater risk of poor postoperative outcomes and could potentially benefit from interventions targeting an improvement in their health status prior to undergoing a hip or knee replacement surgery. Partnering with the YMCA and a multi-disciplinary team of healthcare providers, this pilot trial will examine the feasibility of a multi-modal intervention for frail patients that includes a supervised exercise program, vitamin D and protein supplementation, and a medication review. The results of this feasibility study will guide the design of a future multi-centre study, which if successful, could be developed into a routine model of care that is implemented in joint replacement programs across Ontario and ultimately improving the lives of frail seniors undergoing hip or knee replacement.
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Recruitment Rate
Timeframe: Through study completion, an average of two years
Retention Rate
Timeframe: Through study completion, an average of two years
Data Collection completion
Timeframe: Through study completion, an average of two years
Proportion of recruited patients
Timeframe: Through study completion, an average of two years
Refusal Rate
Timeframe: Baseline, 1 week pre-op, 6 weeks post-op, 6 months post-op