Effectiveness of Two Different Entry Portal Pathways Into Primary Care for Musculoskeletal Injury: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 53
- 试验地点
- 1
- 主要终点
- Defense and Veterans Pain Rating Scale
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
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
- •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
排除标准
- •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
研究组 & 干预措施
Physical Therapy route of entry
The subject will see a physical therapist as their initial encounter into the healthcare system
干预措施: physical therapy vs. primary care interventions (Other)
Primary Care Provider rout of entry
The subject will see a primary care provider as their initial encounter into the healthcare system
干预措施: physical therapy vs. primary care interventions (Other)
结局指标
主要结局
Defense and Veterans Pain Rating Scale
时间窗: 3 months
PROMIS physical function scale
时间窗: 3 months
Global Rating of Change (GROC)
时间窗: 3 months
Patient Specific Functional Scale
时间窗: 3 months
次要结局
- Medical Profile Status(3 months)
- Self-Report Medical Readiness Questionnaire(3 months)
- Report of adverse events(3 months)
- Patient Satisfaction(3 months)
- Overall Healthcare Consumption(12 months)
研究者
Kathryn M. O'Bright (Finn)
DPT, OCS
Brooke Army Medical Center