Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study

Table 7 Pre-operative total knee replacement exercise programme delivery: Importance ratings summary

Pre-operative total knee replacement exercise delivery item^a	% Important or Very Important rating
	Round 1 (n = 60)	Round 2 (n = 57)	Round 3 (n = 55)
4.1.1 Delivered using an individual instruction session	52	53	44
4.1.2 Delivered using supervised exercise sessions	73	79	89
4.1.3 Delivered using unsupervised exercise sessions	58	72	91
4.1.4 Delivered using telephone-delivered sessions	5	9	5
4.1.5 Delivered using a booklet or other written format	87	93	93
4.2 Delivered using a combination of more than one format	87	96	91
4.3.1 Take place in the patient’s own home	53	46	36
4.3.2 Take place in a clinical setting	52	47	47
4.3.3 Take place in a community setting	52	40	33
4.4.1 Include high intensity exercises	33	14	22
4.4.2 Include low to moderate intensity exercises	75	91	98
4.5 Tailored to the patient’s ability	93	96	96
4.6 Be progressive	82	91	87
4.7 Each session should last a minimum of 15 min	63	63	80
4.8 Involve a minimum of 2 sessions per week	78	79	84
4.9 Ideally be performed for a minimum of 6 weeks	80	88	89
4.10 Tailored to each patient’s needs	N/A	88	93
4.11 Provide an opportunity for peer support	N/A	65	75
4.12 Include goal setting	N/A	79	87

N/A Not applicable because the item was not included in Round 1
^a Consensus was defined as at least 70% of respondents rating an item as ‘Important’ or ‘Very important’. Items in italics did not reach consensus in Round 3 and hence were excluded from the final list of recommendations. Items in plain text were prioritised as ‘Important’
Additional Files 2 and 7 provide the exact wording of each item

ISSN: 1471-2474