Grant: Project Grant - Priority Announcement: Patient-Oriented Research

People who are waiting for total joint replacement surgery are experiencing prolonged delays to surgery due to the current pandemic. This may be particularly difficult for those living with depression or anxiety. We intend to use a virtual class-based approach to help these people manage their physical and mental health while preparing for their surgery. Participants will attend 4 classes over 8 weeks in groups of 10 to discuss pain management, mental health, activity, nutrition and surgical preparation. We will perform a randomized (like a flip of a coin) feasibility trial to determine how this preoperative program offered either early (offered within 10-12 months of surgery) or late (offered within 3 to 4 months of surgery) compared to usual care affects participants' ability to self-manage their physical and mental health and prepare for their surgery. We will assess the impact the program has on self-reported outcomes (patient activation, pain, function, depression and/or anxiety) both preoperative and at 6 months postoperative.