The STarT MSK cluster trial

Not Applicable

Completed

• Conditions: Adult consulters in primary care with back, neck, knee, shoulder or multisite pain; Signs and Symptoms

• Registration Number: ISRCTN15366334
• Lead Sponsor: Arthritis Research UK Primary Care Centre, Keele University

Brief Summary

2020 Other publications in https://www.ncbi.nlm.nih.gov/pubmed/32046656 qualitative findings (added 13/02/2020) 2020 Results article in https://www.ncbi.nlm.nih.gov/pubmed/32046647 results (added 13/02/2020) 2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/32442141/ protocol (added 25/05/2020) 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/36386549/ (added 18/11/2022) 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/36522640/ qualitative findings (added 16/12/2022) 2023 Results article in https://pubmed.ncbi.nlm.nih.gov/37490570/ (added 03/05/2024)

Detailed Description

Not available

Study Timeline

• Study Start: 2016-04-26
• Study Completion: 2020-06-01
• Last Update Posted: 13 May 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 1237

Inclusion Criteria

Current inclusion criteria as of 31/08/2017:
1. Aged 18 years and over
2. Registered with a participating GP practice at the time of the specified study period
3. Read-coded relevant musculoskeletal consultation within the specified study period (this may be the first, or a repeat consultation)
4. Provided consent for the research team to have information from their GP medical records
5. A completed study template in the GP consultation
6. Consent to monthly follow-up
7. GP confirmation that the index pain is in the back, neck, shoulder, knee or is multi-site pain
8. Completion of the initial postal questionnaire within 4 weeks of their initial mailing date

Previous inclusion criteria:
1. Aged 18 years and over
2. Registered with a participating GP practice at the time of the specified study period
3. Read-coded relevant musculoskeletal consultation within the specified study period (termed the index consultation”; this may be the first, or a repeat consultation)
4. Provided consent for the research team to have information from their GP medical records
5. A completed study template in the GP consultation
6. Consent to monthly follow-up
7. GP confirmation that the index pain is in the back, neck, shoulder, knee or is multi-site pain
8. Completion of the initial postal questionnaire within 4 weeks of their initial mailing date

Exclusion Criteria

1. Indications of serious ‘red flag’ pathology – for example, recent trauma with significant injury; acute, red, hot swollen joint; suspected fracture, joint infection or cancer; inflammatory arthropathy; crystal disease; spondyloarthropathy; polymyalgia rheumatic
2. Urgent care needs (e.g. Cauda Equina Syndrome)
3. Vulnerable patients, including any patients on the ‘Severe and enduring mental health register’ that GPs feel are not stable, or those who have a diagnosis of dementia, or those with a terminal illness, or those who have experienced recent trauma or bereavement
4. Those unable to communicate in English (both in reading and speaking)

Study & Design

• Study Type: Interventional
• Study Design: Not specified