NCT02218749TerminatedNot Applicable
The Effects of Triaging Patients With Musculoskeletal Disorders Directly to Physiotherapists at Primary Health Care Clinics: a Pilot Study and Randomized Controlled Trial.
Göteborg University3 sites in 1 country55 target enrollmentStarted: August 1, 2014Last updated:
Conditions
Interventions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Terminated
- Sponsor
- Enrollment
- 55
- Locations
- 3
- Primary Endpoint
- Number of physician visits
Study Overview
Brief Summary
The purpose of this study is to determine whether initial triaging to physiotherapists of patients with musculoskeletal disorders who seek health care from primary care clinics affects the patients health and/or health care utilization differently than initial consultation with a general practitioner.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Double (Care Provider, Outcomes Assessor)
Eligibility Criteria
- Ages
- 16 Years to 67 Years (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •seeking primary care clinic for musculoskeletal disorder
- •age 16-67 years
- •speaks enough Swedish or English to understand the patient information and complete the questionnaires
- •triage nurse judges it suitable to triage participant to physiotherapist
Exclusion Criteria
- •has received treatment at the clinic by physician or physiotherapist during the preceding month for the same problem
- •seeking for chronic musculoskeletal disorder with unchanged symptoms the latest 3 months and for which the patient has already tried physiotherapy
- •seeking for help with medical aids other than crutches
- •is in need of home care
- •has been included in the study earlier
Arms & Interventions
Initially triaged to physiotherapist
Experimental
Initially triaged to physiotherapist
Intervention: Initially triaged to physiotherapist (Other)
Initially triaged to physician
Active Comparator
Initially triaged to physician
Intervention: Initially triaged to physician (Other)
Outcomes
Primary Outcomes
Number of physician visits
Time Frame: 1 year
Change in self-evaluated level of pain latest week (0-10 scale)
Time Frame: 3 months
Secondary Outcomes
- Change in experience of functional difficulty measured with DRI scale(1 year)
- Prescriptions för analgesics for the actual musculoskeletal disorder(1 year)
- Number of physiotherapist visits(1 year)
- Number of days of sick-leave(1 year)
- Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale(1 year)
- Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire(1 year)
- Number of referrals for external examinations and to specialists(1 year)
- Changes in health-related quality of life measured with EQ-5D(1 year)
- Change in self-evaluated level of pain latest week (0-10 scale)(1 year)
- Changes in health-related quality of life measured with EQ-5D(3 months)
- Changes in health-related quality of life measured with EQ-5D(6 months)
- Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale(2 weeks)
- Changes in health-related quality of life measured with EQ-5D(2 weeks)
- Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale(3 months)
- Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale(6 months)
- Change in experience of functional difficulty measured with DRI scale(2 weeks)
- Change in experience of functional difficulty measured with DRI scale(3 months)
- Change in experience of functional difficulty measured with DRI scale(6 months)
- Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire(2 weeks)
- Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire(3 months)
- Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire(6 months)
- Change in self-evaluated level of pain latest week (0-10 scale)(2 weeks)
- Change in self-evaluated level of pain latest week (0-10 scale)(6 months)
- Prescriptions för analgesics for the actual musculoskeletal disorder(2 weeks)
- Prescriptions för analgesics for the actual musculoskeletal disorder(3 months)
- Prescriptions för analgesics for the actual musculoskeletal disorder(6 months)
Investigators
Study Sites (3)
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