NCT02218749终止不适用
The Effects of Triaging Patients With Musculoskeletal Disorders Directly to Physiotherapists at Primary Health Care Clinics: a Pilot Study and Randomized Controlled Trial.
Göteborg University3 个研究点 分布在 1 个国家目标入组 55 人开始时间: 2014年8月1日最近更新:
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 55
- 试验地点
- 3
- 主要终点
- Number of physician visits
研究概览
简要总结
The purpose of this study is to determine whether initial triaging to physiotherapists of patients with musculoskeletal disorders who seek health care from primary care clinics affects the patients health and/or health care utilization differently than initial consultation with a general practitioner.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 16 Years 至 67 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •seeking primary care clinic for musculoskeletal disorder
- •age 16-67 years
- •speaks enough Swedish or English to understand the patient information and complete the questionnaires
- •triage nurse judges it suitable to triage participant to physiotherapist
排除标准
- •has received treatment at the clinic by physician or physiotherapist during the preceding month for the same problem
- •seeking for chronic musculoskeletal disorder with unchanged symptoms the latest 3 months and for which the patient has already tried physiotherapy
- •seeking for help with medical aids other than crutches
- •is in need of home care
- •has been included in the study earlier
研究组 & 干预措施
Initially triaged to physiotherapist
Experimental
Initially triaged to physiotherapist
干预措施: Initially triaged to physiotherapist (Other)
Initially triaged to physician
Active Comparator
Initially triaged to physician
干预措施: Initially triaged to physician (Other)
结局指标
主要结局
Number of physician visits
时间窗: 1 year
Change in self-evaluated level of pain latest week (0-10 scale)
时间窗: 3 months
次要结局
- Change in experience of functional difficulty measured with DRI scale(1 year)
- Prescriptions för analgesics for the actual musculoskeletal disorder(1 year)
- Number of physiotherapist visits(1 year)
- Number of days of sick-leave(1 year)
- Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale(1 year)
- Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire(1 year)
- Number of referrals for external examinations and to specialists(1 year)
- Changes in health-related quality of life measured with EQ-5D(1 year)
- Change in self-evaluated level of pain latest week (0-10 scale)(1 year)
- Changes in health-related quality of life measured with EQ-5D(3 months)
- Changes in health-related quality of life measured with EQ-5D(6 months)
- Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale(2 weeks)
- Changes in health-related quality of life measured with EQ-5D(2 weeks)
- Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale(3 months)
- Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale(6 months)
- Change in experience of functional difficulty measured with DRI scale(2 weeks)
- Change in experience of functional difficulty measured with DRI scale(3 months)
- Change in experience of functional difficulty measured with DRI scale(6 months)
- Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire(2 weeks)
- Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire(3 months)
- Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire(6 months)
- Change in self-evaluated level of pain latest week (0-10 scale)(2 weeks)
- Change in self-evaluated level of pain latest week (0-10 scale)(6 months)
- Prescriptions för analgesics for the actual musculoskeletal disorder(2 weeks)
- Prescriptions för analgesics for the actual musculoskeletal disorder(3 months)
- Prescriptions för analgesics for the actual musculoskeletal disorder(6 months)
研究者
研究点 (3)
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