Standardized Home Exercise Prescription Education

Not Applicable

Withdrawn

• Conditions: Behavior; Knowledge, Attitudes, Practice
• Interventions: Behavioral: Musculoskeletal (MSK) Prescription Didactic Lectures; Other: Musculoskeletal (MSK) home exercise hand-outs

• Registration Number: NCT03065296
• Lead Sponsor: University of Florida

Brief Summary

This project will encompass an evaluation of the educational value of having evidence based home exercise protocols available for family medicine residents in regard to the prescription of home exercise treatment for common musculoskeletal conditions. Investigators will be evaluating resident knowledge on home exercise prescription as well as their level of comfort in educating their patients before and after a series of didactic sessions and implementation of exercise protocols.

Detailed Description

This study aims to fill the gap in this area of the literature pertaining to home exercise prescription. The justification of this study's scientific merit comes from the lack of literature and the need for research in this area. There have been multiple studies that have shown different exercise modality treatments for common musculoskeletal (MSK) complaints significantly improve both disability and overall quality of life. Despite the evidence of the short and long term effectiveness of exercise based therapies, there is a general lack of confidence of residents in prescribing and teaching patients rehab exercises.Additionally, many of the patients seen in the University of Florida (UF) Family medicine residency program cannot afford or do not have time to attend physical therapist led rehab sessions. This makes physician led education and the ability of prescribing exercise based treatments for musculoskeletal (MSK) complaints a very important component of patient care.

Study Timeline

• Study First Submitted: 2017-02-17
• Study First Submitted QC: 2017-02-21
• Study First Posted: 2017-02-27
• Study Start: 2017-03-15
• Primary Completion: 2017-09-30
• Status Verified: 2017-11
• Last Update Submitted: 2017-11-17
• Last Update Posted: 2017-11-21
• Study Completion: 2017-12-31

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Resident of the Family Medicine Department at the University of Florida.

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Exclusion Criteria

• None

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Musculoskeletal (MSK) Exercise Prescription	Musculoskeletal (MSK) home exercise hand-outs	* Phase I: Residents will be surveyed as to their knowledge and confidence in both diagnosing specific musculoskeletal (MSK) issues and prescribing the correct home rehabilitation regimen. * In between phase 1 and phase 2 there will be a series of didactic lectures to educate resident on home exercise prescription and get them familiarized with the handouts. * Phase II: Residents will be surveyed again in May 2017 with the same multiple choice questions and Likert style confidence scales from phase 1 The survey will consist of multiple choice and short essay questions, focused on the most common musculoskeletal (MSK) injuries seen in the primary care setting.
Musculoskeletal (MSK) Exercise Prescription	Musculoskeletal (MSK) Prescription Didactic Lectures	* Phase I: Residents will be surveyed as to their knowledge and confidence in both diagnosing specific musculoskeletal (MSK) issues and prescribing the correct home rehabilitation regimen. * In between phase 1 and phase 2 there will be a series of didactic lectures to educate resident on home exercise prescription and get them familiarized with the handouts. * Phase II: Residents will be surveyed again in May 2017 with the same multiple choice questions and Likert style confidence scales from phase 1 The survey will consist of multiple choice and short essay questions, focused on the most common musculoskeletal (MSK) injuries seen in the primary care setting.

Primary Outcome Measures

Name	Time	Method
Improvement in knowledge about Musculoskeletal (MSK) Exercises	at 6 months	Knowledge scores should be at least overall 80% regarding MSK rehabilitation exercises.
Confidence in educating patients about Musculoskeletal (MSK) Exercises	at 6 months	Improvement of at least 20% in Medical Residents' confidence regarding education of Musculoskeletal (MSK) to patients

Secondary Outcome Measures

Name	Time	Method
Confidence in prescribing Musculoskeletal (MSK) Exercises to patients	at 6 months	Improvement of at least 20% in Medical Residents' confidence regarding prescription of Musculoskeletal (MSK) exercises
Improvement in prescribing Musculoskeletal (MSK) Exercises to patients	at 6 months	Prescription scores should be at least overall 80% regarding MSK rehabilitation exercises