Innovations
The innovations of this study include 1) the heavy emphasis on patient-centeredness and a multi-stakeholder participatory model for the design and development of all materials; 2) the use of peer coaches for patients scheduled to undergo TKR; 3) the use of principles of CBT (positive thinking) to prepare for and recover from TKR; 4) A pre-surgery at-home exercise program; 5) employment of cost-effective personnel (peer coaches), overcoming a significant barrier for the scale-up of physical therapist-delivered interventions.The intervention will be designed to be patient friendly as it is being developed with the direct input of the peer coaches who have a history of knee OA and TKR. These innovative aspects of this project could change the current treatment paradigm for patients undergoing TKR.