NCT04806191

Simple and Evidence-based Examination and Treatment of Shoulder Pain in General Practice

Making Shoulder Pain Simple in General Practice-implementing an Evidenced Based Guideline for Shoulder Pain, a Hybrid Design Cluster Randomised Study

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 250 (estimated)
• Sponsor: University of Oslo · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Previous research suggests that general practitioners find handling patients with shoulder pain difficult and that the current care for shoulder pain is not in line with the best available evidence (1).This project aims to assess the effectiveness, costs and implementation of an evidence-based guideline for shoulder pain in general practice.

Detailed description

A simplified and evidence-based algorithm for examination and treatment of patients with shoulder pain will be developed and implemented in general practice. The purpose is to improve quality of care and provide GPs with a simplified and efficient tool to handle patients with common shoulder- related pain. The study is a stepped-wedge, cluster-randomized trial with a hybrid design including a effectiveness, cost and implementation assessment of a guideline-based intervention in clinical practice (2). General practitioners in Norway will be recruited and the GP offices will be randomized to the time of crossover from current treatment as usual (TAU) to the implementation of the intervention. The intervention is a tailored strategy that includes workshops for general practitioners covering information and access to a decision support tool, an education program where the general practitioner learn an evidence-based approach to shoulder pain and access to patient information materials. Outcomes will be measured at patient and GP levels, using self-report questionnaires, focus group interviews and register based data.

Conditions

• Shoulder Pain
• Frozen Shoulder
• Rotator Cuff Tendinosis
• Myalgia
• Rotator Cuff Impingement Syndrome
• Rotator Cuff Tear or Rupture, Not Specified as Traumatic

Interventions

Type	Name	Description
OTHER	Evidence based treatment strategy	Evidence-based clinical examination and treatment plan
OTHER	Targeted patient information package	GPs will in cooperation with the patients tailor a information package targeted to the patients needs regarding their clinical shoulder diagnosis and individual implications and needs (Pain, sleep, exercises etc.).
OTHER	Treatment as usual (TAU)	Usual care as provided by the GP

Timeline

• Start date: 2021-03-11
• Primary completion: 2023-05-30
• Completion: 2023-12-30
• First posted: 2021-03-19
• Last updated: 2022-11-03

Locations

2 sites across 1 country: Norway