The STavanger osteoARThritis Study

NCT02876120 | Completed

• 1 other identifier: 2016/1335
• Study Type: interventional
• Target: 330
• Locations: 0 countries
• Sites: N/A

Brief Summary

The START study will implement osteoarthritis (OA) treatment recommendations to increase the use of recommended treatment modalities and reduce non-desired events (e.g. unnecessary referrals to secondary care, unnecessary use of costly imaging modalities and use of treatment modalities supported by low quality of evidence). The purpose of the STavanger osteoARThritis (START) study is to improve the quality of OA care and increase the collaboration between health care professionals in primary health care and across health care levels.

Conditions

Knee Osteoarthritis; Hip Osteoarthritis

Outcome Measures

Primary Outcomes (1)

• Change in patient-reported quality of osteoarthritis care

  Using the "OsteoArthritis Quality Indicator questionnaire"

  8 weeks pre-implementation vs. 8 weeks post-implementation

Secondary Outcomes (4)

• Change in the number of PT discharge summaries to the referring GP

  8 weeks pre-implementation vs. 8 weeks post-implementation

• Change in the proportion of people with OA referred to orthopaedic surgeon in secondary care that has explored non-surgical treatment modalities beforehand

  8 weeks pre-implementation vs. 8 weeks post-implementation

• Change in the proportion of people with OA referred to orthopaedic surgeon in secondary care that has taken an MRI and/or conventional radiographs for OA assessment

  8 weeks pre-implementation vs. 8 weeks post-implementation

• Change in the proportion of people with OA referred to orthopaedic surgeon in secondary care that leads to scheduled joint surgery

  8 weeks pre-implementation vs. 8 weeks post-implementation

Study Arms (1)

Pre- and post-implementation phases

OTHER

Pre-implementation phase: during the pre-implementation period persons with hip or knee osteoarthritis will receive "usual care" as it is currently delivered by physiotherapists and general practitioners. Post-implementation phase: during the post-implementation phase the GPs and PTs will treat persons with hip or knee osteoarthritis according to the START treatment model including providing information/patient education program, supervised exercise and advice/support to loose weight and other non-surgical evidence based treatments modalities prior to being referred to an orthopaedic surgeon

Other: Implementation

Interventions

Implementation OTHER

Multifaceted implementation strategy to implement evidence based international osteoarthritis treatment recommendations among GPs and PTs in private practice, template for PT discharge reports to GP, patient osteoarthritis education programs, and facilitate multidisciplinary collaboration between the PTs and GPs.

Pre- and post-implementation phases

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• PT working in private practice in Stavanger Municipality
• GP working in Stavanger Municipality
• Person with complaints due to hip and/or knee osteoarthritis referred to physiotherapy in Stavanger Municipality
• Person with complaints due to hip and/or knee osteoarthritis referred for assessment of joint replacement at Stavanger University Hospital

You may not qualify if:

• Persons referred to physiotherapy after a total joint replacement
• Persons who do not understand the Norwegian language
• Persons with cognitive dysfunction

Sponsors & Collaborators

• Diakonhjemmet Hospital: lead
• Stavanger Municipality: collaborator
• Helse Stavanger HF: collaborator

Related Publications (1)

• Osteras N, Blaker IB, Hjortland T, Cottrell E, Quicke JG, Dziedzic KS, Blackburn S, Paulsen A. Improving osteoarthritis management in primary healthcare: results from a quasi-experimental study. BMC Musculoskelet Disord. 2021 Jan 14;22(1):79. doi: 10.1186/s12891-021-03959-6.

  PMID: 33446167 DERIVED

MeSH Terms

Conditions

Osteoarthritis, Knee; Osteoarthritis, Hip

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Officials

• Nina Østerås

  Diakonhjemmet Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior researcher

Study Record Dates

• First Submitted: August 15, 2016
• First Posted: August 23, 2016
• Study Start: September 1, 2016
• Primary Completion: November 1, 2017
• Study Completion: November 1, 2017
• Last Updated: February 1, 2018

Record last verified: 2018-01

Data Sharing

• IPD Sharing: Will not share