The HIP Self-management Study

NCT06297148 | Active Not Recruiting

• 1 other identifier: 2023/590816
• Study Type: interventional
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

The HIPS-study will be an observer blinded, single-centre, parallel-group randomized controlled trial (RCT). The main purpose of the study is:

• H0: There is no difference between a self-management program and usual care on pain and function in patients with GTPS.
• H1: There is a difference between a self-management program and usual care on pain and function in patients with GTPS.
• To investigate if self-management is more cost-effective than usual care in the treatment of patients with GTPS.

Conditions

Gluteal Tendinopathy; Trochanteric Bursitis; Lateral Hip Pain; GTPS - Greater Trochanteric Pain Syndrome

Keywords

Greater Trochanteric Pain Syndrome; Lateral hip pain; Gluteal tendinopathy; Trochanteric bursitis; Self-management

Outcome Measures

Primary Outcomes (1)

• Victorian Institute of Sport Assessment Gluteal Questionnaire (VISA-G)

  Pain and function. Total score ranges from 0-100, with higher scores representing less pain and disability.

  Baseline, 3 months, 6 months, 12 months

Secondary Outcomes (11)

• Numeric rating scale (NRS)

  Baseline, 3 months, 6 months, 12 months

• Painful sites

  Baseline, 3 months, 6 months, 12 months

• The Pain Self-Efficacy Questionnaire (PSEQ)

  Baseline, 3 months, 6 months, 12 months

• EuroQoL-5 dimensions-5 Level (Eq-5D-5L)

  Baseline, 3 months, 6 months, 12 months

• Hopkins Symptoms checklist-10 (HSCL-10)

  Baseline, 3 months, 6 months, 12 months

Study Arms (2)

Self-management

EXPERIMENTAL

The intervention will consist of 3-5 individual sessions over 12 weeks with a physiotherapist. There will be 3 physiotherapists delivering the self-management intervention.

Other: Self-management

Usual care

ACTIVE COMPARATOR

Given standardized information at baseline and free to choose further treatment in primary care.

Other: Usual care

Interventions

Usual care OTHER

Usual care at the department consists of general information about the condition and advice on pain management and exercise. For further treatment, patients are referred to primary care. Participation in the study will not affect how this is conducted.

Usual care

Self-management OTHER

Patients will have 3-5 sessions with a physiotherapist that include individually tailored education, and address physical, cognitive, and behavioral factors deemed as relevant according to the participant's concerns and challenges. Important aspects in this are: problem-solving, decision-making, resource utilization, therapeutic alliance and taking action (The 5 core skills of self-management). SMART goals and an activity plan between sessions will be used as an exposure to maintain, change, or create health behavior. Participants will have access to study material, including exercise alternatives and a podcast.

Self-management

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants between 18 and 70 years of age
• History of lateral hip pain \> 3 months
• Reported average pain intensity the last week ≥ 3 on a numeric rating scale
• Lateral hip pain is the main complaint
• Pain on palpation of the greater trochanter region
• In addition, lateral hip pain on at least one of the following tests:
• Single leg stance test: standing 30 seconds on the affected leg
• FADER: passive stretch/compression of gluteus medius/minimus
• FADER-R: static muscle test with resistance to internal hip rotation
• ADD: passive stretch to hip adduction in sidelying
• ADD-R: resisted hip abduction in sidelying
• FABER (Patrick's) test
• A positive test is defined as a spontaneous reproduction of the participant's lateral hip pain. In participants with bilateral lateral hip pain, the worst hip will be included, and the presence of bilateral pain will be documented.

You may not qualify if:

• Significant back pain causing referred pain to the lateral hip
• Clinical signs of radiculopathy
• Symptomatic osteoarthritis
• Other hip joint pathologies
• History of trauma or surgery on the affected side
• Pregnancy or post-partum pelvic pain (under 12 months since birth)
• Active cancer
• Not able to write, read, and comprehend Norwegian (without the use of an interpreter)

Sponsors & Collaborators

• Oslo University Hospital: lead
• Oslo Metropolitan University: collaborator
• Fysiofondet: collaborator
• University of Oslo: collaborator

Study Sites (1)

Oslo University Hospital, Ullevål

Oslo, 0450, Norway

Location

Related Publications (1)

• Morin Melas T, Bjorneboe J, Juel NG, Wefring ML, Skatteboe S, Killingmo RM, Engebretsen KB, Rathleff MS, Oiestad BE, Soberg HL, Pripp AH, Brox JI, Johnsen MB. Self-management versus usual care for greater trochanteric pain syndrome (the HIPS trial): study protocol for a randomised controlled trial. BMJ Open. 2025 Apr 5;15(4):e090688. doi: 10.1136/bmjopen-2024-090688.

  PMID: 40187788 DERIVED

Related Links

• Grimaldi A, Mellor R, Hodges P, Bennell K, Wajswelner H, Vicenzino B. Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management. Sports Med 2015;45(8):1107-19. (In eng). DOI: 10.1007/s40279-015-0336-5
• Pianka MA, Serino J, DeFroda SF, Bodendorfer BM. Greater trochanteric pain syndrome: Evaluation and management of a wide spectrum of pathology. SAGE Open Med 2021;9:20503121211022582. (In eng). DOI: 10.1177/20503121211022582
• Klontzas ME, Karantanas AH. Greater trochanter pain syndrome: a descriptive MR imaging study. Eur J Radiol 2014;83(10):1850-5. (In eng). DOI: 10.1016/j.ejrad.2014.06.009.
• Fearon AM, Scarvell JM, Neeman T, Cook JL, Cormick W, Smith PN. Greater trochanteric pain syndrome: defining the clinical syndrome. Br J Sports Med 2013;47(10):649-53. (In eng). DOI: 10.1136/bjsports-2012-091565.
• Lievense A, Bierma-Zeinstra S, Schouten B, Bohnen A, Verhaar J, Koes B. Prognosis of trochanteric pain in primary care. Br J Gen Pract 2005;55(512):199-204. (In eng).
• Plinsinga ML, Coombes BK, Mellor R, et al. Psychological factors not strength deficits are associated with severity of gluteal tendinopathy: A cross-sectional study. Eur J Pain 2018;22(6):1124-1133. (In eng). DOI: 10.1002/ejp.1199.
• Stephens G, O'Neill S, Mottershead C, Hawthorn C, Yeowell G, Littlewood C. "It's just like a needle going into my hip, basically all of the time". The experiences and perceptions of patients with Greater Trochanteric Pain syndrome in the UK National Hea
• Stephens G, O'Neill S, French HP, et al. A survey of physiotherapy practice (2018) in the United Kingdom for patients with greater trochanteric pain syndrome. Musculoskelet Sci Pract 2019;40:10-20. (In eng). DOI: 10.1016/j.msksp.2019.01.004.
• French HP, Woodley SJ, Fearon A, O'Connor L, Grimaldi A. Physiotherapy management of greater trochanteric pain syndrome (GTPS): an international survey of current physiotherapy practice. Physiotherapy 2020;109:111-120. (In eng). DOI: 10.1016/j.physio.20
• Cowan RM, Ganderton CL, Cook J, Semciw AI, Long DM, Pizzari T. Does Menopausal Hormone Therapy, Exercise, or Both Improve Pain and Function in Postmenopausal Women With Greater Trochanteric Pain Syndrome? A 2 × 2 Factorial Randomized Clinical Trial. Am
• Ganderton C, Semciw A, Cook J, Moreira E, Pizzari T. Gluteal Loading Versus Sham Exercises to Improve Pain and Dysfunction in Postmenopausal Women with Greater Trochanteric Pain Syndrome: A Randomized Controlled Trial. J Womens Health (Larchmt) 2018;27(
• Mellor R, Bennell K, Grimaldi A, et al. Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial. Br J Sports
• Kjeldsen T, Hvidt KJ, Bohn MB, et al. Exercise compared to a control condition or other conservative treatment options in patients with Greater Trochanteric Pain Syndrome: a systematic review and meta-analysis of randomized controlled trials. Physiother
• Lorig KR, Holman H. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med 2003;26(1):1-7. (In eng). DOI: 10.1207/s15324796abm2601\_01.

MeSH Terms

Interventions

Self-Management

Intervention Hierarchy (Ancestors)

Rehabilitation; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: February 29, 2024
• First Posted: March 7, 2024
• Study Start: March 12, 2024
• Primary Completion (Estimated): July 1, 2026
• Study Completion (Estimated): October 1, 2026
• Last Updated: January 21, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ANALYTIC CODE
• Time Frame: Beginning 3 months and ending 5 years following publication.
• Access Criteria: To gain access, data requestors will need to sign a data access agreement.

Locations

NO (1)