Effectiveness of Two Different Entry Portal Pathways Into Primary Care for Musculoskeletal Injury

Not Applicable

• Conditions: Physical Therapy Primary Care; Physical Therapy Direct Access
• Interventions: Other: physical therapy vs. primary care interventions

• Registration Number: NCT02726802
• Lead Sponsor: Reynolds Army Community Hospital

Brief Summary

This study aims to compare the self-report functional outcome measures, medical readiness and healthcare utilization (overall cost of imaging, prescription medications for pain, and follow-up visits) of soldiers with musculoskeletal injuries first seen by a physical therapist versus primary care provider.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-01
• Study First Submitted: 2016-01-11
• Study First Submitted QC: 2016-04-01
• Study First Posted: 2016-04-04
• Primary Completion: 2017-08
• Status Verified: 2017-11
• Last Update Submitted: 2017-11-27
• Last Update Posted: 2017-11-29
• Study Completion: 2018-08

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 53

Inclusion Criteria

• Adults over age 18
• Musculoskeletal injury or complaint < 3 months since onset
• Active duty service member, reachable by phone/e-mail within 3 months of initial encounter

Exclusion Criteria

• Subject currently has a permanent profile for any reason OR subject has a temporary profile for a body part in the same half of the body as the current complaint OR solider is pending physical examination board (PEB) or undergoing/pending medical examination board (MEB)
• Individuals undergoing PEB/MEB are made aware that the end-state of the process includes a certain percentage of government monetary compensation based on their physical or mental disability, i.e, higher disability equates to greater pay. Because of this, individuals may be motivated to demonstrate worse outcomes as it may result in a higher disability "rating". For this reason, these individuals will be excluded from the study.
• Subject has been treated previously for the same condition within the past 3 months
• Subject has history of surgery for the same body part within the past 24 months

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Physical Therapy route of entry	physical therapy vs. primary care interventions	The subject will see a physical therapist as their initial encounter into the healthcare system
Primary Care Provider rout of entry	physical therapy vs. primary care interventions	The subject will see a primary care provider as their initial encounter into the healthcare system

Primary Outcome Measures

Name	Time	Method
Defense and Veterans Pain Rating Scale	3 months
PROMIS physical function scale	3 months
Global Rating of Change (GROC)	3 months
Patient Specific Functional Scale	3 months

Secondary Outcome Measures

Name	Time	Method
Self-Report Medical Readiness Questionnaire	3 months	This questionnaire consists of 6 questions that ask the patient to rate their ability to perform various soldier/deployment-related tasks. This will provide way of measuring the soldier's perceived status of medical readiness before and after episodes of medical care.
Report of adverse events	3 months
Medical Profile Status	3 months	The medical profile is the Army's assessment of a soldier's overall medical readiness, i.e.: deployability. A profile for musculoskeletal injury can be temporary (T) or permanent (P) and deployable (2) or non-deployable (3). The profile is used to limit the soldier's activities to accommodate their injury or complaint. Evaluating the medical profile status in this study will serve as a way to measure the subjects' medical readiness.
Patient Satisfaction	3 months	Likert Scale 0-10, how satisfied is the patient with the care they received.
Overall Healthcare Consumption	12 months	overall healthcare consumption as measured by the dollar-value of each medical encounter following the initial encounter

Trial Locations

Locations (1)

Reynolds Army Community Hospitral; 🇺🇸 Fort Sill, Oklahoma, United States