Administrative information
Title {1} | Advanced practice physiotherapy care in emergency departments for patients with musculoskeletal disorders: a pragmatic cluster randomized controlled trial and cost analysis |
Trial registration {2a and 2b}. | ClinicalTrials.gov identifier: NCT05545917 |
Protocol version {3} | Version16, issue date: October 10, 2021 |
Funding {4} | This research is funded by the Canadian Institutes of Health Research (CIHR) (202010PJT-451693-CIB-CFCC-130299). |
Author details {5a} | Matifat, E.: Maisonneuve-Rosemont Hospital Research Center, University of Montreal Affiliated Research Center, Montréal, Québec, Canada. Berger Pelletier, E.: Faculty of Medicine, Université Laval Québec, Québec, Canada Brison, R.: Department of Emergency Medicine, Queen’s University, Kingston, Ontario, Canada. Hébert, L.J.: Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris); Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, Québec, Canada. Roy, J.-S.: Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris); Department of Rehabilitation, Faculty of Medicine, Université Laval Québec, Québec, Canada. Woodhouse, L.: Tufts University School of Medicine, Public Health and Community Medicine, Arizona, USA. Berthelot, S.: Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Laval University, Québec, Québec, Canada. Daoust, R.: Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Montreal University, Montréal, Québec, Canada. Sirois, M.-J. : Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, Québec, Canada. Booth, R.: School of Rehabilitation Therapy, Faculty of Health Sciences, Queen’s University, Kingston, Ontario, Canada. Gagnon, R.: Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Québec, Québec, Canada; Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, Québec, Canada. Miller, J. : School of Rehabilitation Therapy, Faculty of Health Sciences, Queen’s University, Kingston, Ontario, Canada. Tousignant-Laflamme, Y. : School of Rehabilitation, Faculty of Medicine and Health Sciences, Sherbrooke University, Sherbrooke, Québec, Canada. Emond, M. : Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Laval University, Québec, Québec, Canada. Perreault, K.: Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Québec, Québec, Canada; Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, Québec, Canada. Desmeules, F.: Maisonneuve-Rosemont Hospital Research Center, University of Montreal Affiliated Research Center, Montréal, Québec, Canada; School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada. |
Name and contact information for the trial sponsor {5b} | N/A, no sponsor |
Role of sponsor {5c} | N/A, no sponsor |
Introduction
Background and rationale {6a}
Objectives {7}
Trial design {8}
Methods: participants, interventions, and outcomes
Study setting {9}
Eligibility criteria {10}
Who will take informed consent? {26a}
Additional consent provisions for collection and use of participant data and biological specimens {26b}
Interventions
Explanation for the choice of comparators {6b}
Intervention description {11a}
Criteria for discontinuing or modifying allocated interventions {11b}
Strategies to improve adherence to interventions {11c}
Relevant concomitant care permitted or prohibited during trial {11d}
Provisions for post-trial care {30}
Outcomes {12}
Baseline data collection
Primary outcome measure
Other patient-related outcomes
Health care resource utilization outcomes
Health care costs
Wait to initial assessment and ED length of stay measures
Follow-up measures
Study period | ||||||
---|---|---|---|---|---|---|
Enrolment | Allocation | Post-allocation | Close out | |||
Time point | −t1 | 0 | t1(post-eval) | t2(4 weeks) | t3(12 weeks) | t4(26 weeks) |
Enrollment | ||||||
Eligibility screen | X | |||||
Informed consent | X | |||||
Sociodemographic data | X | |||||
Allocation | Stepped-wedge design: randomization according to time periods across all sites (3 steps of 6 weeks periods—2 sites switching to experimental arm at each step) | |||||
Interventions | ||||||
Usual ED physician care | ||||||
PT-led APP care | ||||||
Assessments | ||||||
BPI | X | X | X | X | ||
Disability questionnaires (NDI, ODI, LEFS, quickDASH) | X | X | X | X | ||
EQ-5D-5L | X | X | X | X | ||
PHQ-9 | X | |||||
Numerical Pain Scale | X | |||||
Standardized evaluation form (PT/MD) | X | |||||
VSQ-9 | X | |||||
Health care resources utilization and health care costs: Treatment diary Patients’ medical file | X | X | X |