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Completed

NCT Number: NCT03733847

Rehabilitation Trajectories

The main aim of this multicentre cohort study is to provide evidence that can be used to improve continuity and quality in rehabilitation practice and rehabilitation processes across health care levels for patients with rheumatic and musculoskeletal diseases (RMDs).

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Key information

Conditions

Musculoskeletal Disease Musculoskeletal Diseases

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Observational

About this study

There is an urgent need to develop rehabilitation trajectories that ensure coordination and communication between health care levels, support of self-management and self-monitoring, and follow-up tailored to patients' needs. Such trajectories should be based on evidence from current practice. The "Rehabilitation trajectories" project will systematically explore and describe current practice of planned and implemented follow-up and self-management strategies in primary health care during the first year after rehabilitation for patients with musculoskeletal diseases. Further, a newly developed core set of PROMs designed for evaluation of rehabilitation in RMDs and a self-monitoring web-based system will be tested for feasibility. Knowledge of patients' experiences and use of this self-monitoring system as a self-management and communication tool is needed in order to improve and integrate such e-technology in future care.

The Rehabilitation Trajectory study is a multi-centre study, led by the National Unit on Rehabilitation in Rheumatology and including participants at four rheumatology hospital departments and five specialized rehabilitation institutions. Participants will thus be included from all four health regions in Norway.

The study has five points of assessment. In an electronic portal, delivered by CheckWare, patients will log in with their Bank ID and complete the core set of PROMs at admission, discharge, and 4, 8 and 12 months following discharge.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Admitted to rehabilitation at one of the nine participating rehabilitation centres with one of the following groups of diagnosis: Inflammatory rheumatic disease, Osteoarthritis, Low back pain, Neck/shoulder pain, Generalized pain syndromes (including fibromyalgia), Osteoporosis, Connective tissue diseases (SLE, Lupus, Myositis etc.), Fractures with need of rehabilitation, or Rehabilitation after orthopaedic surgery. Good proficiency in oral and written Norwegian language. Access to internet and BankID.

Exclusion criteria

  • Cognitive impairment or severe mental illness.

Treatment and study plan

Primary outcomes

  1. Goal attainment

    Time frame: One year

    Goal attainment will be measures by the Patient Specific Functional Scale. Scale from 0 to 10, were 10 is the best score. Mean score is calculated from all activites scored.

Secondary outcomes

  1. Health-realted quality of life

    Time frame: One year

    Health-realted quality of life will be measured by the EQ5D

  2. Physical function

    Time frame: One year

    Physical function will be measured by the 30 seconds sit to stand test

Other outcomes

  1. General Pain

    Time frame: One year

    Pain will be measured on a numeric rating scale (NRS). Pain is measured on a subjective scale from 0 to 10, were 0 is no pain and 10 is the worst pain.

  2. Fatigue

    Time frame: One year

    Fatigue will be measured on a numeric rating scale (NRS). Fatigue is measured on a subjective scale from 0 to 10, were 0 is no fatiuge and 10 is the worst abount of fatigue.

  3. Motivation for goal attainment

    Time frame: One year

    Motivation for goal attainment will be measured on a numeric rating scale (NRS). Motivation is measured on a subjective scale from 0 to 10, were 0 is no motviation and 10 is the best and highest motivation.

  4. Function in daily acitvities

    Time frame: One year

    Daily activities will be measured by the Hannover Functional Ability Questionnair

  5. Coping

    Time frame: One year

    Coping will be measures by the Effective Musculoskeletal Consumer Scale. The scale goes from 0 to 4, were 0 stated "never" and 4 states "always".

  6. Mental health

    Time frame: One year

    Mental health will be measured by the Hopkins Symptoms Checklist

  7. Participation

    Time frame: One year

    Participation will be measured by the participation scale in COOP/WONKA

Sponsors and collaborators

Lead sponsor

National Resource Center for Rehabilitation in Rheumatology

Other

Collaborators

  • Betanien Hospital
  • Haugesund Rheumatism Hosptial AS
  • Innlandet HF Konsvinger Hospital
  • Meråker Rehabilitation Center
  • North Norway Rehabilitation Center
  • Rehab Vest Rehabilitation Hospital
  • Sorlandet Hospital HF
  • UniCare Jeløy
  • Vikersund Rehabilitation Center AS

Registry information

Official study title

Rehabilitation Trajectories. A Study of Rehabilitation Processes Across Health Care Levels in Patients With Rheumatic and Musculoskeletal Diseases

Important dates

Study start
2015
Primary completion
2017
Study completion
2017
First posted
Nov 7, 2018
Registry last updated
Oct 28, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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