WEB-Based Physiotherapy for People With Axial Spondyloarthritis
1 other identifier
interventional
50
1 country
1
Brief Summary
Regular exercise is a core component of the long-term management of people with axial spondyloarthritis (axial SpA). However, delivering long-term exercise programmes is unrealistic and unsustainable using traditional NHS services. Web-based physiotherapy, has been developed, a possible alternative service model to support people with axial SpA to exercise regularly however long-term compliance to the programme (12 months) needs to be established. The aim of this prospective cohort study is to assess the feasibility, sustainability and acceptability of a 12 month individualised web-based physiotherapy programme in people with axial SpA. Fifty people with established axial SpA, will receive 12 months of individualised, remotely monitored, web-based physiotherapy. The primary outcome will be four weekly compliance rates with the programme over the 12 month period. Secondary outcomes (baseline, 6 and 12 months) will include function, disease activity, spinal mobility, quality of life, attitudes and motivations towards exercise, fitness, health status, employment, physical activity. The number of interactions with health care professionals and changes in medication will be documented. A subsample of the cohort will be interviewed at 6 and 12 months to gather participants' views of the web-based physiotherapy programme and factors influencing compliance with the programme.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Nov 2015
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2015
CompletedFirst Submitted
Initial submission to the registry
January 20, 2016
CompletedFirst Posted
Study publicly available on registry
January 28, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2017
CompletedOctober 25, 2016
October 1, 2016
1.9 years
January 20, 2016
October 24, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Number of exercise sessions completed
based on the number of times the participants complete their exercise diary each week; as recorded on the website. The physiotherapist will record the number of completed exercise sessions each week and, from this, the mean number of sessions completed every four weeks will be calculated. Compliance will be analysed for each four-week period and for each 3-month period.
One year
Secondary Outcomes (10)
Functional Ability
One year
Level of Physical Activity
One year
Disease Activity
One Year
Spinal Mobility
One year
Employment and Productivity
One year
- +5 more secondary outcomes
Interventions
The physiotherapist will select exercises which are appropriate to that participant. Participants will complete online exercise diaries which are reviewed remotely by the physiotherapist. Depending on progress, exercises can be progressed, added or removed from the patient's individualised programme. Participants will be encouraged to undertake their exercise programme, according to evidence base guidelines, five days/week for 30 minutes/day. Participants will receive weekly phone calls for the first two weeks of the programme. Thereafter, every two weeks the physiotherapist will review the exercise diary of each participant and remotely alter the participant's exercise programme as appropriate, by changing any combination of exercises, level of difficulty or number of repetitions.
Eligibility Criteria
You may qualify if:
- Confirmed diagnosis of axial SpA (made by a Rheumatology consultant and fulfilling the ASAS criteria) (Rudwaleit et al. 2009)
- Under the care of a Rheumatology consultant in NHS Greater Glasgow and Clyde
- Minimum of 1 year since diagnosis
- Access to a personal computer/tablet or smart television with an email address and internet connection
- Over 18 years old
- A good understanding of English language
You may not qualify if:
- Have had joint replacement surgery or spinal surgery within the last 6 months
- Other significant co-morbidity which would preclude taking part in a regular exercise programme
- Currently taking part in regular exercise (three times per week or more) and/or a regular physiotherapy programme
- Currently participating in another clinical trial (rehabilitation or pharmacological)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Dr Lorna Paullead
- NHS Greater Glasgow and Clydecollaborator
Study Sites (1)
NHS Greater Glasgow and Clyde
Glasgow, G51 4TF, United Kingdom
Related Publications (1)
Paul L, Coulter EH, Cameron S, McDonald MT, Brandon M, Cook D, McConnachie A, Siebert S. Web-based physiotherapy for people with axial spondyloarthritis (WEBPASS) - a study protocol. BMC Musculoskelet Disord. 2016 Aug 24;17(1):360. doi: 10.1186/s12891-016-1218-1.
PMID: 27553492DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Lorna Paul, PHD
University of Glasgow
- PRINCIPAL INVESTIGATOR
Stefan Siebert, MD
University of Glasgow
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Reader in Rehabilitation
Study Record Dates
First Submitted
January 20, 2016
First Posted
January 28, 2016
Study Start
November 1, 2015
Primary Completion
October 1, 2017
Study Completion
October 1, 2017
Last Updated
October 25, 2016
Record last verified: 2016-10