Coordinating Teams in Primary Health Care.

• Sponsor: Norwegian University of Science and Technology (Other)
• Overall Status: Completed
• CT.gov ID: NCT02020772
• Collaborator: (none)
• Enrollment: 969
• Locations: 4
• Arms: 4
• Actual Duration (Months): 56
• Patients Per Site: 242.3
• Patients Per Site Per Month: 4.3

Study Details

Study Description

Brief Summary

Patients who suffer from musculoskeletal pain often have more than one diagnosis. These patients mostly have to wait a long time for the doctor's examination and treatment, and they also often have a sick leave for a long period of time. The investigators expect that treatment and follow-up by an coordinating interdisciplinary team can improve these patients opportunity to function, increase their quality of life, and decrease their pain. The purpose of this study is to investigate if use of a coordinating interdisciplinary team in primary health care will result in reduced sick leave compared with practice as usual, and give fewer referrals to specialized health services and private rehabilitation centers. Research data will be obtained from the patients journals, questionnaires, and clinical examinations..

Condition or Disease	Intervention/Treatment	Phase
Musculoskeletal Diseases	Other: coordinating primary health care; Other: usual primary health care	N/A

Study Design

• Study Type: Interventional
• Actual Enrollment: 969 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Participant)
• Primary Purpose: Health Services Research
• Official Title: Coordination Between General Practitioners and Physical Therapists in Primary Health Care for Musculoskeletal Pain: Effect on Sick Leave and Referral to Specialist Care.
• Actual Study Start Date: Dec 1, 2013
• Actual Primary Completion Date: Aug 1, 2018
• Actual Study Completion Date: Aug 1, 2018

Arms and Interventions

Arm	Intervention/Treatment
Experimental: coordinating primary health care 1 musculoskeletal pain care by a coordinating team of one general practitioner and two physical therapists	Other: coordinating primary health care
Active Comparator: usual primary health care 1 usual care of musculoskeletal pain in general practice	Other: usual primary health care
Experimental: coordinating primary health care 2 musculoskeletal pain care by a coordinating team of one general practitioner and two physical therapists	Other: coordinating primary health care
Active Comparator: usual primary health care 2 usual care of musculoskeletal pain in general practice	Other: usual primary health care

Outcome Measures

Primary Outcome Measures

1. change in sick leave [3 years]

   average number of days sick leave during 3 years pre-intervention and during the first, second and third year of the study

2. referrals to specialist care [3 years]

   number of referrals to specialist care including private rehabilitation centers

Eligibility Criteria

Criteria

• Ages Eligible for Study: 21 Years to 58 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• patient in one of the participating general practices

• musculoskeletal complaints in 3 years before start of this study

• informed consent

Exclusion Criteria:

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Stjørdal Legesenter	Stjørdal		Norway
2	Persaunet Legesenter	Trondheim		Norway
3	Rosten Legesenter	Trondheim		Norway
4	Sjøsiden Legesenter	Trondheim		Norway

Sponsors and Collaborators

• Norwegian University of Science and Technology

Investigators

• Study Director: Siv Mørkved, prof phd, Norwegian University of Science and Technology

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Norwegian University of Science and Technology
• ClinicalTrials.gov Identifier: NCT02020772
• Other Study ID Numbers: 2012/1232
• First Posted: Dec 25, 2013
• Last Update Posted: Oct 27, 2021
• Last Verified: Oct 1, 2021

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by Norwegian University of Science and Technology: primary health care; Physical Therapy Specialty; General Practitioners; General Practice
• Additional relevant MeSH terms: Musculoskeletal Diseases

Study Results

No Results Posted as of Oct 27, 2021