Clinical trial NCT04375007: Factors Related to the Number of Visits to PT in PHC
Official title: Correlation Between Self-efficacy, Fear of Movement, Empowerment, Enablement and Number of Visits to Physiotherapist for Patients With Musculoskeletal Disorders in Primary Health Care: A Feasibility Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Musculoskeletal Diseases or Conditions
Keywords: Physiotherapy
Musculoskeletal disorders
Self-efficacy
Empowerment
Enablement
Lead sponsor: Lund University
Sponsor class: OTHER
First posted: 2020-05-05
Enrollment: 19
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients, visiting physiotherapist in primary health care in Sweden

Brief summary: Musculoskeletal disorders can be a large burden on individuals, health care and social care systems. The aim was to assess the feasibility of performing a prospective study investigating whether self-efficacy, fear of movement, empowerment or enablement has any relation to the number of visits to physiotherapists among patients with a musculoskeletal disorder in primary health care. Design was apProspective study with consecutively selection including patients seeking physiotherapist for the first time for a musculoskeletal disorder. Primary outcome measure included operational and practical feasibility regarding recruitment of participants, use of questionnaires and key variables to be collected as part of the study.

Detailed description: Background: Musculoskeletal disorders can be a large burden on individuals, health care and social care systems. Patients with musculoskeletal disorders are often treated by physiotherapists in primary health care. Psychosocial variables can be a significant obstacle to recover from musculoskeletal injuries.

The primary aim of this pilot study was to assess the feasibility of performing a prospective study investigating whether self-efficacy, fear of movement, empowerment or enablement has any relation to the number of visits to physiotherapist among patients with a musculoskeletal disorder in primary health care.

Methods: Prospective study with consecutively selection including patients seeking physiotherapist for the first time for a musculoskeletal disorder. Primary outcome measure included operational and practical feasibility regarding recruitment of participants, use of questionnaires and key variables to be collected as part of the study. Secondary outcomes included correlation between self-efficacy (Exercise Self-Efficacy Scale (ESES-S)), fear of movement (Tampa Scale for Kinesiophobia (TSK-SV)), empowerment (Making Decisions Scale ), enablement (Patient Enablement Instrument (PEI)) and number of visits to physiotherapist. Statistical analysis was done using IBM SPSS statistics version 24 with analysis of correlation using Spearman's rank correlation coefficient.

Eligibility criteria: Inclusion Criteria:

* Patients, who seek physiotherapist for the first time for a musculoskeletal disorder, are over 18 years of age and are able to read, write and understand Swedish.

Exclusion Criteria:

* Patients, who have visited physiotherapist previous for the same musculoskeletal disorder and/or are diagnosed with malignant diseases. Patients, who suffer from dementia, severe mental illness or other conditions making them not able to understand the information about the study and not able to fill in the questionnaires.

Primary outcomes:
measure: Recruitment
timeFrame: Through study completion, an average of 5 months
measure: Number of visits
timeFrame: Through study completion, an average of 5 months
Secondary outcomes:
measure: Exercise self-efficacy
timeFrame: At baseline
measure: Kinesiophobia
timeFrame: At baseline
measure: Empowerment
timeFrame: At baseline
measure: Enablement
timeFrame: At baseline
Other outcomes:
Locations:
city: Tyringe
country: Sweden
facility: Primary Health Care Centre Åparken.
Study officials:
affiliation: Lund University
name: Eva Ekvall Hansson, PhD
role: PRINCIPAL_INVESTIGATOR
References: