nctId: NCT06358521 id: 6040471 briefTitle: Determining the Impact of a Physiotherapist-led Primary Care Model for Hip and Knee Pain - A Cluster Trial overallStatus: RECRUITING date: 2023-10-02 date: 2025-11-01 date: 2025-11-01 date: 2024-04-10 date: 2024-04-10 name: Queen's University class: OTHER name: Canadian Institutes of Health Research (CIHR) name: The Arthritis Society, Canada briefSummary: This is a cluster randomized controlled trial to to evaluate the individual and health system impacts of implementing a new physiotherapist-led primary care model for hip and knee pain in Canada. conditions: Hip Osteoarthritis conditions: Knee Osteoarthritis studyType: INTERVENTIONAL phases: NA allocation: RANDOMIZED interventionModel: PARALLEL interventionModelDescription: This is a cluster randomized controlled trial randomizing 14 sites to the PT-led primary care model for hip/knee pain or to the usual physician/nurse practitioner-led care model primaryPurpose: TREATMENT masking: NONE maskingDescription: Due to the nature of the new model of care and comparison, it is not possible to blind the patient participants or health care providers. Since the primary outcomes are self-reported outcome measures, the assessor is also not blind to the intervention. count: 728 type: ESTIMATED name: Physiotherapist-led primary care model for hip and knee pain name: Usual physician-led primary care model for hip and knee pain measure: Self-Reported Functioning measure: Self-Reported Pain Intensity measure: Health-Related Quality of Life measure: Pain Self Efficacy measure: Catastrophic Thinking measure: Fear of Movement measure: Depression Subscale measure: Global Rating of Change measure: Satisfaction with Health Care measure: Adverse Events measure: Health-Care Utilization - Consultations in Electronic Medical Record (EMR) measure: Health-Care Utilization Survey - Visits to health professionals measure: Health-Care Utilization Survey - Medications measure: Health-Care Utilization Survey - Walk-In Clinic Visits measure: Health-Care Utilization Survey - Emergency Department Visits measure: Health-Care Utilization Survey - Inpatient Hospital Stays measure: Health-Care Utilization Survey - Surgeries, Procedures, Injections measure: Health-Care Utilization Survey - Specialist Visits measure: Health-Care Utilization Survey - Diagnostic Imaging measure: Process Outcome - Medications prescribed measure: Process Outcome - Diagnostic Imaging Ordered measure: Process Outcome - Exercises Prescribed measure: Process Outcome - Education Provided measure: Process Outcome - Referrals to other health care providers (HCPs) measure: Process Outcome - Primary Care Visits measure: Process Outcome - Notes to Employers or Insurers measure: Self-Report Time Lost measure: Assistance Needed measure: Extra Expenses measure: Cost outcomes measure: Health Care Accessibility measure: Baseline Characteristics measure: Comorbidities measure: Chronicity of Pain measure: Participant Treatment Fidelity sex: ALL minimumAge: 19 Years stdAges: ADULT stdAges: OLDER_ADULT facility: Queen's University status: RECRUITING city: Kingston state: Ontario zip: K7L3N6 country: Canada name: Jordan Miller role: CONTACT lat: 44.22976 lon: -76.48101 hasResults: False