Musculoskeletal conditions requiring physiotherapy in primary healthcare Musculoskeletal Diseases Unspecified musculoskeletal conditions
Conditions
Interventions
The unit of randomisation is the General Practice. The unit of analysis is the patient. The pilot study will involve developing the intervention, assessing rates of recruitment and retention, testing
Sponsors
University of Bristol (UK)
Eligibility
Inclusion criteria
Inclusion criteria: Adults consulting a General Practitioner (GP) in one of the general practices in the study and referred for musculoskeletal physiotherapy
Exclusion criteria
Exclusion criteria: 1. Children (aged under 18 years) 2. Patients referred to physiotherapy by a hospital consultant 3. Patients requiring domiciliary physiotherapy (indicated by their GP) 4. Patients excluded by the referring GP or the senior physiotherapist, based on the referral form. This includes patients who appear unlikely to be able to complete a questionnaire in English. This is likely to include people with severe learning difficulties, dementia, or where the referral form indicated the patient would need an interpreter. Reasons for exclusion will be recorded 5. Patients excluded by a senior physiotherapist because their problem is too urgent to allow time for recruitment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Designating primary and secondary outcomes is provisional since one aspect of this pilot study is to identify the best measures. Provisionally, the primary outcome is Measure Yourself Medical Outcome Profile (MYMOP2). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient health status (using Short Form health survey [SF-36] and EuroQoL instrument [EQ-5D]). 2. Patient perception of accessibility of care. 3. Patient perception of improvement in symptoms. 4. Patient satisfaction with care provided. 5. Time lost from work due to the health problems for which physiotherapy is indicated. 6. Patient preference for telephone or face-to-face assessment. 7. Waiting times for treatment, based on service data. 8. Did Not Attend (DNA) rates. | — |
Countries
United Kingdom
Outcome results
None listed