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Effectiveness of Two Different Entry Portal Pathways Into Primary Care for Musculoskeletal Injury

NCT ID: NCT02726802

Last Updated: 2017-11-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2018-08-31

Brief Summary

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This study aims to compare the self-report functional outcome measures, medical readiness and healthcare utilization (overall cost of imaging, prescription medications for pain, and follow-up visits) of soldiers with musculoskeletal injuries first seen by a physical therapist versus primary care provider.

Detailed Description

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Conditions

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Physical Therapy Direct Access Physical Therapy Primary Care

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors

Study Groups

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Physical Therapy route of entry

The subject will see a physical therapist as their initial encounter into the healthcare system

Group Type EXPERIMENTAL

physical therapy vs. primary care interventions

Intervention Type OTHER

Subjects with acute (\< 3 months onset) will be randomized to see either a physical therapist or a primary care provider as their initial entry into the healthcare system

Primary Care Provider rout of entry

The subject will see a primary care provider as their initial encounter into the healthcare system

Group Type ACTIVE_COMPARATOR

physical therapy vs. primary care interventions

Intervention Type OTHER

Subjects with acute (\< 3 months onset) will be randomized to see either a physical therapist or a primary care provider as their initial entry into the healthcare system

Interventions

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physical therapy vs. primary care interventions

Subjects with acute (\< 3 months onset) will be randomized to see either a physical therapist or a primary care provider as their initial entry into the healthcare system

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults over age 18
* Musculoskeletal injury or complaint \< 3 months since onset
* Active duty service member, reachable by phone/e-mail within 3 months of initial encounter

Exclusion Criteria

* Subject currently has a permanent profile for any reason OR subject has a temporary profile for a body part in the same half of the body as the current complaint OR solider is pending physical examination board (PEB) or undergoing/pending medical examination board (MEB)
* Individuals undergoing PEB/MEB are made aware that the end-state of the process includes a certain percentage of government monetary compensation based on their physical or mental disability, i.e, higher disability equates to greater pay. Because of this, individuals may be motivated to demonstrate worse outcomes as it may result in a higher disability "rating". For this reason, these individuals will be excluded from the study.
* Subject has been treated previously for the same condition within the past 3 months
* Subject has history of surgery for the same body part within the past 24 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Brooke Army Medical Center

FED

Sponsor Role collaborator

Temple University

OTHER

Sponsor Role collaborator

Reynolds Army Community Hospital

FED

Sponsor Role lead

Responsible Party

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Kathryn M. O'Bright (Finn)

DPT, OCS

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Reynolds Army Community Hospitral

Fort Sill, Oklahoma, United States

Site Status

Countries

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United States

Other Identifiers

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413803-1

Identifier Type: -

Identifier Source: org_study_id