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Triaging Patients With Musculoskeletal Disorders Directly to Physiotherapists at Primary Health Care Clinics.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02218749
Recruitment Status : Terminated (Organizational barriers)
First Posted : August 18, 2014
Last Update Posted : April 26, 2019
Sponsor:
Collaborator:
Närhälsan Primary care Research and Development
Information provided by (Responsible Party):
Göteborg University

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Musculoskeletal Disorders Other: Initially triaged to physiotherapist Other: Initially triaged to physician Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 55 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Care Provider, Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: The Effects of Triaging Patients With Musculoskeletal Disorders Directly to Physiotherapists at Primary Health Care Clinics: a Pilot Study and Randomized Controlled Trial.
Actual Study Start Date : August 2014
Actual Primary Completion Date : March 2018
Actual Study Completion Date : March 2019

Arm Intervention/treatment
Experimental: Initially triaged to physiotherapist
Initially triaged to physiotherapist
Other: Initially triaged to physiotherapist
Active Comparator: Initially triaged to physician
Initially triaged to physician
Other: Initially triaged to physician



Primary Outcome Measures :
  1. Number of physician visits [ Time Frame: 1 year ]
  2. Change in self-evaluated level of pain latest week (0-10 scale) [ Time Frame: 3 months ]

Secondary Outcome Measures :
  1. Number of physiotherapist visits [ Time Frame: 1 year ]
  2. Number of days of sick-leave [ Time Frame: 1 year ]
  3. Number of referrals for external examinations and to specialists [ Time Frame: 1 year ]
  4. Changes in health-related quality of life measured with EQ-5D [ Time Frame: 2 weeks ]
  5. Changes in health-related quality of life measured with EQ-5D [ Time Frame: 3 months ]
  6. Changes in health-related quality of life measured with EQ-5D [ Time Frame: 6 months ]
  7. Changes in health-related quality of life measured with EQ-5D [ Time Frame: 1 year ]
  8. Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale [ Time Frame: 2 weeks ]
  9. Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale [ Time Frame: 3 months ]
  10. Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale [ Time Frame: 6 months ]
  11. Changes in attitudes regarding responsibility for musculoskeletal disorders measured with ARM scale [ Time Frame: 1 year ]
  12. Change in experience of functional difficulty measured with DRI scale [ Time Frame: 2 weeks ]
  13. Change in experience of functional difficulty measured with DRI scale [ Time Frame: 3 months ]
  14. Change in experience of functional difficulty measured with DRI scale [ Time Frame: 6 months ]
  15. Change in experience of functional difficulty measured with DRI scale [ Time Frame: 1 year ]
  16. Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire [ Time Frame: 2 weeks ]
  17. Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire [ Time Frame: 3 months ]
  18. Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire [ Time Frame: 6 months ]
  19. Risk for developing chronic pain measured with the Örebro Musculoskeletal Pain Screening Questionnaire [ Time Frame: 1 year ]
  20. Change in self-evaluated level of pain latest week (0-10 scale) [ Time Frame: 2 weeks ]
  21. Change in self-evaluated level of pain latest week (0-10 scale) [ Time Frame: 6 months ]
  22. Change in self-evaluated level of pain latest week (0-10 scale) [ Time Frame: 1 year ]
  23. Prescriptions för analgesics for the actual musculoskeletal disorder [ Time Frame: 2 weeks ]
    Received any prescriptions. Number of prescriptions. Number of occasions prescriptions were received. Type of prescription(s) received.

  24. Prescriptions för analgesics for the actual musculoskeletal disorder [ Time Frame: 3 months ]
    Received any prescriptions. Number of prescriptions. Number of occasions prescriptions were received. Type of prescription(s) received.

  25. Prescriptions för analgesics for the actual musculoskeletal disorder [ Time Frame: 6 months ]
    Received any prescriptions. Number of prescriptions. Number of occasions prescriptions were received. Type of prescription(s) received.

  26. Prescriptions för analgesics for the actual musculoskeletal disorder [ Time Frame: 1 year ]
    Received any prescriptions. Number of prescriptions. Number of occasions prescriptions were received. Type of prescription(s) received.



Information from the National Library of Medicine

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Ages Eligible for Study:   16 Years to 67 Years   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 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

Exclusion Criteria:

  • 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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02218749


Locations
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Sweden
Närhälsan Eriksberg Health centre
Gothenburg, Sweden, 417 64
Närhälsan Biskopsgården Health centre
Gothenburg, Sweden, 418 33
Närhälsan Kyrkbyn Health centre
Gothenburg, Sweden, 418 73
Sponsors and Collaborators
Göteborg University
Närhälsan Primary care Research and Development
Investigators
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Principal Investigator: Lena Bornhöft, MSc, RPT Göteborg University
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Göteborg University
ClinicalTrials.gov Identifier: NCT02218749    
Other Study ID Numbers: 148611
VGFOUGSB-421881 ( Other Grant/Funding Number: FoU primärvård Göteborg och Södra Bohuslän )
First Posted: August 18, 2014    Key Record Dates
Last Update Posted: April 26, 2019
Last Verified: April 2019
Additional relevant MeSH terms:
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Musculoskeletal Diseases