Validation and Implementation of a Digital Assessment Routing Tool (DART) as an Alternative to Physiotherapy-led Remote Triage for Musculoskeletal Disorders: Protocol for a Pilot Randomised Crossover Non-inferiority Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 78
- 试验地点
- 2
- 主要终点
- The agreement rate between triage outcomes with management pathways from physiotherapy-led and DART triage assessments.
研究概览
简要总结
In the pilot study, we aim to explore trial design, assess procedures, and collect exploratory data to inform the design of a future Randomised Controlled Trial.
The intervention involves a Digital Assessment Routing Tool (DART) that provides triage outcomes with recommended management pathways for participants with musculoskeletal problems. Participants complete DART either before or after their consultation with usual care clinicians (Physiotherapy-led remote triage). The triage outcome dispositions between DART and usual care clinicians will be compared.
A panel will be formed to provide consensus on disagreements that may result in adverse triage outcomes, as well as on a sample of agreements between DART and usual care clinicians.
详细描述
The Digital Assessment Routing Tool (DART) is a first-contact web-based and mobile health system that uses clinical algorithms to triage patients with musculoskeletal disorders and recommend management pathways. This is achieved by completing an online web-based questionnaire that follows a clinical reasoning process commonly observed in face-to-face physiotherapy consultations. Based on the participant's answers, the clinical algorithm will generate sets of questions, leading up to a final triage disposition with a recommended management pathway. The triage outcomes with recommended management pathways are classified as follows;
- Medical care
- A&E referral
- Urgent GP
- Routine GP
- Consultant review
- Physiotherapy care
- Post-fracture or surgery physiotherapy
- Physiotherapy referral
- Physiotherapy referral plus psychosocial support
- Self-management
- Self-management with SOS
- Continue self-management advice
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Other
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
盲法说明
The investigator will be blinded for group intervention and outcomes data-analysis.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •A current musculoskeletal injury for which they are seeking treatment
- •Over 18 years old
- •Able to read and speak English
- •Live in the UK
- •Able to access the internet
排除标准
- •Cognitive impairments or learning disabilities that limits the participants to follow study- related procedures
- •Unwillingness or inability to follow protocol-related procedures
- •Optima Health employees
- •Has an assessment from a health care professional for the same condition within the last 7 days
结局指标
主要结局
The agreement rate between triage outcomes with management pathways from physiotherapy-led and DART triage assessments.
时间窗: Immediately after the intervention.
The primary outcome measure will be the agreement rate of triage decisions made by both the clinician and the Digital Assessment Routing Tool (DART). The possible triage outcomes with management pathways are classified in three categories, namely 1) Medical care, 2) Physiotherapy care, and 3) Self-management. 1. Medical care * A\&E referral * Urgent GP * Routine GP * Consultant review * Physiotherapy care 2. Post-fracture or surgery physiotherapy * Physiotherapy referral * Physiotherapy referral plus psychosocial support * Self-management 3. Self-management * Self-management with SOS * Continue self-management advice
次要结局
未报告次要终点