Table 2.
Moving Well peer coach arm schedule
| Session | Objectives | PALS Questions & Answers |
|---|---|---|
| 1. Introduction to the Moving Well Program |
1. Introduce the Moving Well program 2. Introduce the Patient Activated Learning System (PALS) 3. Discuss the rules and responsibilities of the program 4. Discuss daily exercises |
• None |
| 2. Total Knee Replacement, the Relationship Between Mood and Pain, and Daily Exercise |
1. Discuss the impact of pain and stress on living a healthy life and the goals of the Moving Well program 2. Discuss the 3 Steps to achieve positive thinking that facilitate living a healthy life 3. Discuss the relationship between mood and pain 4. Discuss daily exercises |
• What is osteoarthritis (OA)? • What is a total knee replacement (TKR)? • What is physical therapy? • What are the benefits of exercise? • What is the connection between pain and mood? |
| 3. Negative Thoughts, Stress Reduction, and the Daily Exercise Program |
1. Discuss negative thoughts and how to manage them 2. Practice stress reduction techniques 3. Discuss daily exercises |
• What can I do about difficult emotions? • What is guided imagery and how can it help me? • How does mindfulness work? • How can I reduce stress? • Review the “Deep Breathing” exercise • Review the “Muscle Relaxation” exercise |
| 4. “Awfulizing”, Physical Activity, Stress, and Pain |
1. Introduce “Awfulizing” or “Spiral of Doom” 2. Discuss relationship between physical activity, stress, and pain 3. Discuss daily exercises |
• How can I exercise when I’m in pain? • Does exercise help my pain from osteoarthritis (OA)? |
| 5. Social Support and the Daily Exercise Program |
1. Discuss social support and the importance of family and friends 2. Discuss daily exercises |
• How can family and friends help me recover from total knee replacement (TKR)? • How can I have a better recovery after total knee replacement (TKR)? |
| 6. Keeping Up with the Moving Well Steps |
1. Discuss monitoring of mood, pain, and exercises 2. Prepare for knee replacement 3. Discuss the study visit 4. Discuss daily exercises |
• What can I do about muscle tension? |
| 7. The Safe Use of Opioids and Physical Therapy After Surgery |
1. Discuss how to use opioids responsibly 2. Understand the importance of physical therapy after surgery 3. Discuss daily exercises |
• How long should I expect to take opioids after my total knee replacement (TKR)? • How important is physical therapy after total knee replacement (TKR)? • How long does it take to recover from total knee replacement (TKR)? |
| Surgery | ||
| 8. Post-TKR Recovery and Planning for the Future |
1. Discuss plans for knee replacement recovery 2. Discuss Moving Well plans for the rest of the program |
• None |
| 9. Post-TKR Recovery and Planning for the Future |
1. Monitor progress with physical therapy 2. Discuss monitoring of pain, mood, and the 3 steps to achieve positive thinking |
• None |
| 10. Post-TKR Recovery and Planning for the Future |
1. Monitor progress with physical therapy 2. Discuss monitoring of pain, mood, and the 3 steps to achieve positive thinking |
• None |
| 11. Post-TKR Recovery and Planning for the Future |
1. Monitor progress with physical therapy 2. Discuss monitoring of pain, mood, and the 3 steps to achieve positive thinking |
• None |
| 12. Post-TKR Recovery, Questions, and Closure |
1. Monitor progress with physical therapy 2. Discuss monitoring of pain, mood, and the 3 steps to achieve positive thinking 3. Close off the Moving Well program and discuss your next steps |
• None |