Feasibility of a Cross-sectorial Management Program in Hand Osteoarthritis

NCT06254105 | Recruiting DMC

• 1 other identifier: Parker Instituttet
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

To support the referral of people with Hand Osteoarthritis (HOA) to evidence-based occupational therapy addressing decreased ADL ability, a cross-sectorial management program for people with HOA, named HANDY, was developed. The HANDY program includes procedures for needs evaluation and referral, and a group-based occupational therapy program. The development was based on the United Kingdom's Medical Research Councils recommendations. A core element is involvement of stakeholders. Therefore, the research group has worked closely with GPs, OTs, people with HOA and specialist within rheumatology. Through a co-productional process the HANDY program was developed based on theories, research evidence, current best practice and the preferences of people with HOA. The aim of this study is to evaluate the feasibility of the HANDY

Conditions

Hand Osteoarthritis

Keywords

Feasibility; Occupational therapy; Hand Osteoarthritis

Outcome Measures

Primary Outcomes (1)

• Participant flow

  Counts of participant flow

  up to 6 months

Secondary Outcomes (6)

• Registration forms from GP

  up to 6 months

• Registration forms from OT

  up to 6 months

• Registration forms from people with hand osteoarthritis

  up to 2 months

• Observation based ADL motor ability

  up to 2 months

• Observation based ADL process ability

  up to 2 months

Study Arms (1)

Intervention group

EXPERIMENTAL

Receive the HANDY programme

Other: HANDY programme

Interventions

HANDY programme OTHER

The manualised HANDY program includes descriptions of procedures related to the GP's evaluation of the client's need for referral to occupational therapy, procedures for referral from the GP to community-based occupational therapy, the group-based occupational therapy programme, and recommendations related to collaboration and communication between GP and occupational therapist.

Intervention group

Eligibility Criteria

• Age: 18 Years - 105 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• People diagnosed with hand OA, \> 18 years and motivated to participate in a group program focusing on improvement in ADL task performance
• General practitioners (GPs) working in a clinic with agreement with the Danish health insurance receiving patients with all kinds of everyday symptoms and illnesses, who express interest in contributing to development and evaluation of a program for people with hand OA.
• Occupational therapists (OTs) working with community-based rehabilitation and with six months of community-based working experience

Sponsors & Collaborators

• Parker Research Institute: lead
• University of Southern Denmark: collaborator

Study Sites (1)

Parker Institute

Frederiksberg, Capital Region, 2000, Denmark

RECRUITING

Related Publications (23)

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  BACKGROUND

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  BACKGROUND

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  PMID: 28647322 BACKGROUND

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  PMID: 21630479 BACKGROUND

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  PMID: 21834458 BACKGROUND

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  BACKGROUND

• Waehrens EE, Nielsen KT. ADL-Interview (ADL-I). Klinisk version 1.0 - Introduktion, ADL-I og administration [Clinical version 1.0 - Introduction, ADL-I, and administration]. Copenhagen; 2020.

  BACKGROUND

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• Fisher AG, Jones KB. Assessment of motor and process skills : Volume 1: Development, standardization, and administration manual. 7. ed., Re. Fisher AG, Jones KB, editors. Fort Collins, Colo: Three Star Press; 2012.

  BACKGROUND

• Fisher AG, Jones KB. Assessment of motor and process skills : Volume 2: User Manual. 7. ed. Fisher AG, Jones KB, editors. Fort Collins, Colo: Three Star Press; 2014.

  BACKGROUND

• Waehrens EE. Measuring quality of occupational performance based on self-report and observation : development and validation of instruments to evaluate ADL task performance. Sweden, Umeå; 2010.

  BACKGROUND

• Bard-Pondarre R, Villepinte C, Roumenoff F, Lebrault H, Bonnyaud C, Pradeau C, Bensmail D, Isner-Horobeti ME, Krasny-Pacini A. Goal Attainment Scaling in rehabilitation: An educational review providing a comprehensive didactical tool box for implementing Goal Attainment Scaling. J Rehabil Med. 2023 Jun 14;55:jrm6498. doi: 10.2340/jrm.v55.6498.

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  PMID: 40375091 DERIVED

Study Officials

• Eva Elisabet Ejlersen Wæhrens, PhD

  Parker Institute, Copenhagen University Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ulla Andersen, MScOT

CONTACT

+4520286578; ulla.andersen.03@regionh.dk

Eva Elisabet Ejlersen Wæhrens, PhD

CONTACT

+4538164166; eva.elisabet.waehrens@regionh.dk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Cohort design involving people with hand OA, general practitioners and occupational therapist employing a mixed-method approach

Study Record Dates

• First Submitted: January 22, 2024
• First Posted: February 12, 2024
• Study Start: January 5, 2024
• Primary Completion: May 3, 2024
• Study Completion: June 28, 2024
• Last Updated: February 28, 2024

Record last verified: 2024-02

Locations

DK (1)