Impacts of an Advanced Practice Physiotherapy Model of Care for Adults With a Peripheral Musculoskeletal Disorders Referred to an Orthropaedic Outpatient Clinic: a Prospective Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 104
- 试验地点
- 1
- 主要终点
- Brief pain inventory severity
研究概览
简要总结
The goal of this prospective observational study is to evaluate advanced practice physiotherapy and orthopedic surgeon care and clinical outcomes for new patients with a peripheral musculoskeletal disorders consulting at the orthopedic outpatient clinic of the Hôpital Jean-Talon.
The main questions it aims to answer are: 1. To describe the models of care at the Hôpital Jean-Talon orthopedic outpatient clinic; 2. To assess change in pain, disability, quality of life and pain catastrophizing at 6, 12 and 26 weeks after the initial evaluation; 3. To assess interprofessional collaboration between the advanced practice physiotherapists and orthopedic surgeons; 4. To assess patient satisfaction with care; 5. To assess waiting time before an initial consultation.
Researchers will compare patients cared in the advanced practice physiotherapy and orthopedic surgeon group and the orthopedic surgeon only group.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults with peripheral musculoskeletal disorders
- •New consultation at the Hôpital Jean-Talon orthopedic outpatient clinic
- •Legally able to consent
- •Understand and speak French or English
- •Beneficiaries of the provincial universal health insurance coverage (RAMQ)
排除标准
- •Patients directly referred from the emergency department (not considered as patients referred to the outpatient clinic).
结局指标
主要结局
Brief pain inventory severity
时间窗: 26 weeks (change from baseline)
Pain questionnaire (0-10; higher score=worse)
Brief pain inventory inventory
时间窗: 26 weeks (change from baseline)
Pain interference (disability) questionnaire (0-10; higher score=worse)
次要结局
- Shortened Disability of the Arm, Shoulder and Hand (QuickDASH)(26 weeks (change from baseline))
- Pain Catastrophizing Scale (PCS)(26 weeks (change from baseline))
- modified validated version of the 9-item visit-specific satisfaction questionnaire (VSQ-9)(0 week (post initial consultation))
- Waiting time(Pre-intervention)
- Hip disability and Osteoarthritis Outcomes Score (HOOS)(26 weeks (change from baseline))
- Knee injury and Osteoarthritis Outcomes Score (KOOS)(26 weeks (change from baseline))
- Foot and Ankle Ability Measure (FAAM)(26 weeks (change from baseline))
- Modified MedRisk(26 weeks)
- EQ-5D-5L(26 weeks (change from baseline))
- EQ-5D-VAS(26 weeks (change from baseline))
- Patient perceptions of team effectiveness (Patient-PTE)(0 week (post initial consultation))
- Adverse events(26 weeks)
- Treatment and compliance(26 weeks)
- Provider perceptions of team effectiveness (Prodiver-PTE)(Through study completion (once))