Content and delivery of pre-operative interventions for patients undergoing total knee replacement: a rapid review

Table 7 Lifestyle intervention components and delivery approaches

Category	Intervention component or delivery approach	Rittharomya et al. [57]^a	Aunger et al. (2020) [72]	Plenge et al. (2018) [93]	Snowden et al. (2020) [86]	Westby et al. (2018) [30]
Component	Diet control	O
	Information on knee OA progression and the benefits of quadriceps exercise and diet control	O
	Weight management information					V
	Weight management program					V
	Smoking cessation			V
	Alcohol cessation			V
	Alcohol specialist service				V
	Alcohol consumption advice/behavior change counselling				V
	Alcohol screening questionnaire completion				V
	Sedentary behavior reduction		V
	Goal setting		V
	Environmental modifications		V^b
	Social support		V^b
	Opportunity to ask questions	O
	Positive feedback, encouragement and compliments from a researcher	O
	Remote monitoring by a researcher	O
	Self-monitoring with a pedometer/health app		V
Provider	Researcher	O	V^b
	Healthcare professionals in the pre-operative assessment clinic				V
	Pre-operative assessment nurses				V
Delivery mode	>1 format	O
	Information/instruction sessions with a poster and DVD	O
	Remote monitoring via telephone calls/a mobile application	O
	Visual aids e.g. infographics or poster	O			V
	Booklet		V^b
Setting	Pre-operative assessment clinic				V
Setting	Home and unspecified location for information/instructions	O
Schedule	12-week program	O
	Additional protected time in pre-operative assessment clinic				V
	Booster session				V
Tailoring	Tailored to each individual’s circumstances/needs		V		V

BMI body mass index, O intervention component/delivery approach included in an intervention investigated in an outcomes study, OA osteoarthritis, V participants’ experiences/perspectives of the intervention component/delivery approach reported in a views study
^a Outcomes study in which a statistically significant difference in favor of the intervention group was identified for at least one outcome at one or more follow-up time points (alpha=0.05)
^b Finding is from a study with a mixed population and is not supported with evidence specifically for participants who met the review eligibility criteria

ISSN: 2046-4053