An information campaign was developed targeting early-stage KHOA patients and healthcare professionals (HCPs) to optimise timing of referral to secondary care.
ID
Source
Brief title
Condition
- Joint disorders
Health condition
Knee and Hip OsteoArthritis, KHOA
Research involving
Sponsors and support
Intervention
- Life style intervention
Outcome measures
Primary outcome
The primary endpoint will be the difference in health care use (Treatment for KHOA restricted to primary care (yes / no)) as reported by patients (standardized questionnaire on health care use) over a period of 18 months between the intervention and the control group.
Secondary outcome
• Quality of care (OA Quality Indicators (Østerås et al., 2013) and Consumer Quality Index (Nivel, 2019)); • Beliefs about physical activity, physical therapy, and pain medication for OA (subscales of Treatment beliefs in knee and hip OA questionnaire)(Selten, Vriezekolk, Schers, et al., 2017); • Self-management behavior (Patient Activation Measure)(Hibbard, Mahoney, Stockard, & Tusler, 2005); • Physical activity (International Physical Activity Questionnaire Short Form)(van Poppel, Chin A Paw, & Mechelen, 2004); • Pain coping by resting (subscale of PCI questionnaire)(Kraaimaat & Evers, 2003); • General health status (EQ5D)(Rabin, Gudex, Selai, & Herdman, 2014); • Pain (at rest and during activity, standardized NRS); • Daily functioning (LEFS)(Binkley, Stratford, Lott, & Riddle, 1999); • Cost-effectiveness of promotional campaign compared to usual care (Dutch costing manual)(Kanters, Bouwmans, van der Linden, Tan, & Hakkaart-van Roijen, 2017); • Barriers and facilitators for network collaboration as perceived by health care providers (semi-structured interview). • Referral rates to OA health care services.
Background summary
Despite recommendations, non-surgical treatment modalities in knee and/or hip osteoarthritis (KHOA) are underused.
Study objective
An information campaign was developed targeting early-stage KHOA patients and healthcare professionals (HCPs) to optimise timing of referral to secondary care.
Study design
The Behaviour Change Wheel (BCW) was used as a theoretical framework for the campaign design. After an inventory of the literature, a selection was made of factors influencing healthcare use. Effectiveness will be evaluated with a cluster RCT. The study aims to recruit 300 patients in 24 general practices, randomly allocated to intervention or usual care (ratio 1:1). General practitioners (GPs) and affiliated HCPs are invited to participate in the trial and recruit patients. Patients are eligible to participate if they are Dutch speaking, aged 50 to 75, registered with KHOA at the general practice, without joint replacement nor having considerable walking impairment. The main endpoint is the difference in rate of referral to hospital care as reported by patients over a period of 18 months. Secondary parameters include quality of care, beliefs about KHOA treatment modalities, physical activity (PA), self-management behavior, and referral rates to secondary care. Patients receive online questionnaires at baseline, 6, 12, and 18 months. Online questionnaires are sent to HCPs at baseline and after 12 months to assess (changes in) beliefs about KHOA treatment modalities.
Intervention
n.a.
Study burden and risks
All methods are carried out in accordance with relevant guidelines and regulations and ethical approval was waived (file number 2020-7246).
Age
Inclusion criteria
In order to be eligible to participate in this study, general practices must meet the following criteria: - Located in Nijmegen - ≥ 12 registered patients eligible to participate - Willing to provide access to health information system - Having connections with physical therapist(s) In order to be eligible to participate in this study, health care professionals must be one of the following: - A GP working in one of the included practices - A practice assistant or practice nurse working in one of the included practices - A physical therapist to whom patients are regularly referred in an included practice In order to be eligible to participate in this study, patients must meet all of the following criteria: - known to the GP for having knee and/or hip complaints - Age > 50 years - having a painful knee and/or hip for at least the past three months - having a painful knee and/or hip > 15 days of the past month - morning stiffness < 30 minutes (knee) and/or < 60 minutes (hip) - having an e-mail address
Exclusion criteria
Patients meeting any of the following criteria will be excluded from participation in this study: - Age > 75 years; - unable to communicate and complete online questionnaires in Dutch. - wheelchair bound or a walking distance of less than 100 meters - either scheduled or having one or more replacements of hip and/or knee
Design
Recruitment
IPD sharing statement
Plan description
p/a Radboudumc, huispost 628,
Postbus 9101
6500 HB Nijmegen
024 361 3154
commissiemensgebondenonderzoek@radboudumc.nl
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL9140 |
| Other | METC Radboudumc : 2020-7246 |