Video-based First-contact Physiotherapy in Primary Care
ConditionMusculoskeletal Diseases
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorVastra Gotaland Region
About this trial
This study aims to evaluate the effects and implications of using video-based first-contact consultation in primary care physiotherapy, compared with traditional in-person consultation for musculoskeletal symptoms. The participants with musculoskeletal symptoms will receive either a video-based first contact physiotherapy consultation or an in-person first-contact physiotherapy consultation and will be followed for up to two years. The project addresses clinical effectiveness, healthcare utilisation, cost-effectiveness, and carbon footprint, according to the following specific aims.
Objectives
* To evaluate whether a video-based first-contact consultation with a physiotherapist is not clinically inferior to an in-person first-contact consultation, using the Patient-Specific Functional Scale (PSFS) as the primary outcome measure and multiple secondary outcomes assessed over time. * To analyse healthcare utilisation in primary and specialist care at 12 and 24 months following a video-based first-contact consultation, compared with an in-person first contact consultation. * To evaluate whether a video-based first-contact consultation with a physiotherapist is cost-effective from a healthcare perspective and in terms of environmental impact compared with an in-person first contact consultation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 years or older.
Musculoskeletal complaints.
Sufficient linguistic and cognitive ability to read, understand, and complete a web-based application form and provide informed consent in Swedish.
Willing to attend the clinic in person.
Disqualifiers
Ongoing treatment for the current condition with planned follow-up by a physiotherapist.
Lack of access to technology capable of supporting video consultations (e.g., smartphone, computer, or tablet).
Trial design
Design model
Parallel
Treatments tested in this trial
Video-based first-contact physiotherapy consultation
Other interventionParticipants receive a video-based first-contact physiotherapy consultation. Following the assessment, individualised standard physiotherapy treatment is provided as needed. During the video-based assessment, participants will be in a setting of their choice and will meet a physiotherapist via video. The physiotherapists will be trained in a structured model for conducting video-based physiotherapeutic assessments. The rehabilitation clinic's standard platform for real-time audio and video healthcare visits will be used. The estimated time will be approximately 30-45 minutes.
In-person first-contact physiotherapy consultation
Other interventionParticipants receive an in-person physiotherapy consultation at a primary care rehabilitation clinic. Following the assessment, individualised standard physiotherapy treatment is provided as needed. The traditional in-person consultation will be conducted at a rehabilitation clinic within the public healthcare system in Region Västra Götaland. The estimated time will be approximately 30-45 minutes.
Treatment groups
208 Participants
are divided into 2 treatment groupsGroup A: Video-based first-contact physiotherapyExperimental treatment 1 intervention
Group B: Traditional in-person first-contact physiotherapyActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Patient-Specific Functional Scale (PSFS) at 6 weeks
Evaluates treatment outcomes by having the patient identify three activities limited by their condition and rate them on a scale from 0 to 10, where 0 = "unable to perform activity" and 10 = "able to perform activity at the same level as before injury or problem" (Stratford et al., 1995).
Time frame
6 weeksSecondary outcomes
1
Patient-Specific Functional Scale (PSFS) at baseline
Evaluates treatment outcomes by having the patient identify three activities limited by their condition and rate them on a scale from 0 to 10, where 0 = "unable to perform activity" and 10 = "able to perform activity at the same level as before injury or problem" (Stratford et al., 1995).
Time frame
Baseline2
Patient-Specific Functional Scale (PSFS) at 3 months
Evaluates treatment outcomes by having the patient identify three activities limited by their condition and rate them on a scale from 0 to 10, where 0 = "unable to perform activity" and 10 = "able to perform activity at the same level as before injury or problem" (Stratford et al., 1995).
Time frame
3 months3
Patient-Specific Functional Scale (PSFS) at 6 months
Evaluates treatment outcomes by having the patient identify three activities limited by their condition and rate them on a scale from 0 to 10, where 0 = "unable to perform activity" and 10 = "able to perform activity at the same level as before injury or problem" (Stratford et al., 1995).
Time frame
6 months4
Patient-Specific Functional Scale (PSFS) at 12 months
Evaluates treatment outcomes by having the patient identify three activities limited by their condition and rate them on a scale from 0 to 10, where 0 = "unable to perform activity" and 10 = "able to perform activity at the same level as before injury or problem" (Stratford et al., 1995).
Time frame
12 monthsOther outcomes
1
Demographic data
Background information such as age, sex, level of education and occupation.
Time frame
Baseline2
General self-efficacy
One question regarding participants general self-efficacy before the first-contact consultation (Di et al., 2023).
Time frame
Baseline3
Trust in digital care using Patient Trust Assessment Tool (PATAT)
To measure trust in telemedicine the Patient trust Assessment Tool (PATAT) will be used. PATAT is a self-reported instrument developed to measure patients' trust in healthcare services in the context of telemedicine or digital care. The instrument consists of 25 items, where the patient rate statements on a five-point Likert scale ranging from disagree (1) to agree (5). The questionnaire consisting of one question in each of five domains: trust in the healthcare organization, healthcare personnel, treatment, technology, and telemedicine (Van Velsen et al., 2017).
Time frame
Baseline4
Total travel time to the clinic
Total travel time to the clinic for the participant's first-contact consultation, or the estimated travel time to the clinic where an in-person visit would otherwise have taken place in the case of a video consultation. For participants receiving a video consultation, the travel time represents the time they would have spent travelling to an in-person consultation.
Time frame
Day 1Locations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Vastra Gotaland Region
Lead sponsor
The Swedish Research Council
Collaborator
Source ClinicalTrials.gov
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