Management of osteoarthritis in consultations study: the development of a complex intervention in primary care

Not Applicable

Completed

• Conditions: Topic: Primary Care Research Network for England, Musculoskeletal; Subtopic: Not Assigned, Musculoskeletal (all Subtopics); Disease: Musculoskeletal, All Diseases; Musculoskeletal Diseases; Osteoarthritis

• Registration Number: ISRCTN06984617
• Lead Sponsor: Keele University (UK)

Brief Summary

2014 protocol in: http://www.ncbi.nlm.nih.gov/pubmed/25209897 2015 results in: http://www.ncbi.nlm.nih.gov/pubmed/25336538 2016 results in: http://www.ncbi.nlm.nih.gov/pubmed/28003026 2017 results in: http://www.ncbi.nlm.nih.gov/pubmed/28591564 2017 results in: http://www.ncbi.nlm.nih.gov/pubmed/29037845 2017 results in: http://www.ncbi.nlm.nih.gov/pubmed/29289942 2018 results in: http://www.ncbi.nlm.nih.gov/pubmed/30048076

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2011-07-04
• Study Completion: 2014-02-13
• Last Update Posted: 20 August 2018

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 15000

Inclusion Criteria

General Practitioners (GP) practices
1. Member of West Midlands North PCRN or a Keele Research Network Practice
2. At least two GPs willing to undertake the study as per protocol i.e. act as a control or intervention practice
3. Willing, and able, to allow one (or for preference two - to allow for cross cover) of their practice nurses to be trained to deliver MOAC 2 and then deliver it in the practice
4. Willing, and able, to allow a PCRN employed nurse trained to deliver MOAC 2 working in their practice
5. Uses the EMIS GO computerised consultation system
6. For the implementation study and evaluation studies additional inclusion criteria are:
As above plus
6.1. GP who has received training and has delivered MOAC 1
6.2. Nurse who has received training and has delivered MOAC 2
6.3. Nurse consenting to observation and audio recording of the MOAC 2 consultation
6.4. Members of the multidisciplinary team who have delivered the MOAC 3 intervention
6.5. Practice Manager in intervention practices
6.6. Administrators in intervention practices

Patients
1. Males and females
2. 45 years and over
3. Registered with a MOSAICS study practice
4. Consenting to further contact from the study team and medical record review from their response in the Population Survey
5. For the evaluation studies additional criteria are:
5.1. Patients from the intervention practices who have consulted a GP, been given a diagnosis of OA and received the model OA consultation (MOAC)
5.2. To be invited to take part in an individual or group interview participants must have completed the MOSAICS Consultations Questionnaires
5.3. Audio recording and observation of MOAC 2 consultations will only be carried out if a patient has given prior consent to do so

Target Gender: Male & Female ; Lower Age Limit 45 years

Exclusion Criteria

GP Practices
1. Single handed GP practices
2. Single handed practice nurse
3. Unable to physically accommodate MOAC 2 consultations

Patients
Excluded via GP screen of practice list.
1. Unable to give fully informed consent e.g. learning difficulties or dementia
2. Resident in a care or nursing home
3. History of serious disease e.g. malignancy, terminal illness
4. Unable to consult in the general practice surgery
6. Inflammatory arthritis (e.g. rheumatoid arthritis, psoriatic arthritis)
7. Pregnancy

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Test the feasibility of using quality indicators for OA as the primary outcome measure; Timepoint(s): At 21 months