Osteoarthritis Musculoskeletal Diseases Osteoarthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 or older 2. Accessing their GP practice with an episode of foot pain 3. Have clinician diagnosed OA (ie OA documented as a medical condition affecting their knees, hips, hands or feet). 4. Be literate in English and able to complete the questionnaires and pain diary used in this study 5. Be willing to complete follow up questionnaires at 3 months 6. Living in the Wessex region
Exclusion criteria
Exclusion criteria: 1. Inflammatory arthritis (e.g. rheumatoid arthritis) 2. Foot and/or ankle ulceration 3. Currently under the care of a foot and ankle surgeon or awaiting foot and ankle surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Referral rates and patterns assessed by the total number of referrals, where/who the referrals were to and tests related to foot pain requested by GPs/practice staff throughout the study period. 2. The measurement properties (responsiveness, minimal important difference) of different candidate outcome measures for foot pain, to identify and select the most suitable primary outcome measure for the main trial. Measured using participant self-report questionnaires 3. The acceptability of the ‘optimal foot health services information pack’ intervention, assessed by telephone interview with a subsample (n=2-3) of participants at 6 months (i.e. end of study period) 4. The acceptability of participating GPs delivering the ‘optimal foot health services information pack’ intervention as intended, assessed by debrief study evaluation at end of study period 5. The length of time to run the trial will be evaluated. Three-month follow-up was chosen in this feasibility study to allow sufficient time for referrals to be established, however it may be that 3-months is not long enough to assess clinically meaningful change in foot pain | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The effect of an ‘optimal foot health services information pack’ on foot symptom reduction measured by a self-reported questionnaire at baseline, four weeks and twelve weeks 2. Foot pain and disability measured using the Manchester Foot Pain and Disability Index (MFPDI) at baseline, four weeks and twelve weeks 3. Referral to other clinicians, referral time to be seen, self-reported early life and current foot and knee alignment, footwear type and footwear habits assessed by self-reported questionnaire at baseline, four weeks and twelve weeks 4. Levels of physical activity, effect of osteoarthritis (joint site/s, history, surgical history, and current medications), and any other medical conditions assessed by self-reported questionnaire at baseline, four weeks and twelve weeks | — |
Countries
England, United Kingdom