iPATH - Digital Home-Based Training for Physical Activity Promotion in Older Adults After Total Hip Arthroplasty: A Randomized Controlled Trial

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The goal of this clinical trial is to evaluate the efficacy of a 12-week digital home-based intervention program, consisting of a tablet-based exercise program with or without personal coaching, to promote physical activity (PA) in older adults after total hip arthroplasty (THA). The main question it aims to answer is: • Does the combination of the digital exercise program and personal coaching lead to higher PA six months after THA compared to usual care among older adults? Secondary questions are: * Does the digital exercise program alone lead to higher PA compared to usual care? * Does the digital exercise program combined with personal coaching lead to higher PA compared to the exercise program alone? Participants' PA will be objectively measured with a body-fixed sensor at 1 week before THA (T1), 6 weeks after THA (T2), and 6 months (i.e. after THA (T3). After the postoperative assessment at T2, participants will be randomly assigned to one of three groups: * 12-week tablet-based exercise program at home with virtual personal coaching for physical activity promotion * 12-week tablet-based exercise program at home * Usual care (control group, no additional intervention)

Eligibility
Participation Requirements
Sex: All
Minimum Age: 65
Healthy Volunteers: f
View:

• Age ≥65 years

• Coxarthrosis with indication for total hip arthroplasty

• Residence within a radius of ≤50 km from Heidelberg

• Ability to walk ≥10 m (with/without walking aid)

• Access to the internet (Wi-Fi) at home

• Written informed consent

Locations
Other Locations
Germany
Department of Orthopaedics, Heidelberg University Hospital
RECRUITING
Heidelberg
Contact Information
Primary
Tobias Eckert, PhD
tobias.eckert@med.uni-heidelberg.de
+49 (0)6221 319 1562
Backup
Christian Werner, PhD
christian.werner@med.uni-heidelberg.de
+49 (0)6221 319 1759
Time Frame
Start Date: 2025-09
Estimated Completion Date: 2028-01
Participants
Target number of participants: 213
Treatments
Experimental: Digital exercise program with personal coaching (Intervention Group 1)
Participants receive a tablet with the pre-installed training app KOKU, which delivers a 12-week standardized digital home-based strength and balance program. Participants are introduced to KOKU during an initial home visit and are encouraged to complete the program independently over the subsequent 12 weeks. In addition, they receive three individualized coaching sessions via video calls on the tablet during this period. To support self-monitoring and provide feedback on PA behavior - integrated into the BCTs used in the personal coaching - participants also receive a low-cost, easy-to-use wrist-worn activity tracker along with instructions on its use during the initial home visit.
Experimental: Digital exercise program without personal coaching (Intervention Group 2)
Participants receive a tablet with the pre-installed training app KOKU, which delivers a 12-week standardized digital home-based strength and balance program. Participants are introduced to KOKU during an initial home visit and are encouraged to complete the program independently over the subsequent 12 weeks. No personal coaching is provided.
No_intervention: Usual care (Control Group)
Participants receive a tablet without access to the KOKU app and do not receive any personal coaching sessions.
Related Therapeutic Areas
Sponsors
Collaborators: Heidelberg University - Institute of Medical Biometry (IMBI), Geriatric Center, Heidelberg University
Leads: Heidelberg University

This content was sourced from clinicaltrials.gov