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Digital Assessment Routing Tool (DART): Pilot Study

NCT04904029 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 78

Last updated 2023-01-23

No results posted yet for this study

Summary

In the pilot study, we aim to explore trial design, assess procedures, and collect exploratory data to inform the design of a future Randomised Controlled Trial.

The intervention involves a Digital Assessment Routing Tool (DART) that provides triage outcomes with recommended management pathways for participants with musculoskeletal problems. Participants complete DART either before or after their consultation with usual care clinicians (Physiotherapy-led remote triage). The triage outcome dispositions between DART and usual care clinicians will be compared.

A panel will be formed to provide consensus on disagreements that may result in adverse triage outcomes, as well as on a sample of agreements between DART and usual care clinicians.

Conditions

  • Musculoskeletal Diseases or Conditions

Interventions

OTHER

Digital Assessment Routing Tool [DART]

DART is a first contact web-based and mobile health system that uses clinical algorithms to triage patients and recommend management pathways. Participants complete an online web-based questionnaire that follows a clinical reasoning process commonly observed in face-to-face physiotherapy consultations. Based on the participant's answers, the clinical algorithm generates sets of questions, leading up to a triage disposition with recommended management pathway. The triage outcomes with management pathways are classified; 1. Medical care * A\&E referral * Urgent GP * Routine GP * Consultant review 2. Physiotherapy care * Post-fracture or surgery physiotherapy * Physiotherapy referral * Physiotherapy referral plus psychosocial support 3. Self-management * Self-management with SOS * Continue self-management advice

OTHER

Physiotherapy-led remote triage (usual care)

Participants will receive usual physiotherapy-led remote triage services by a registered health care professional. This service is either a telephone or video consult and includes any diagnostic procedure (e.g. patient history, remote assessments) and treatment, such as management advise or home-based exercise therapy. Participants may seek help elsewhere or opt-out the study at any point, which will not affect their usual physiotherapy-led remote care

Sponsors & Collaborators

  • Optima Health

    collaborator UNKNOWN

  • Queen Mary University of London

    lead OTHER

Principal Investigators

  • Dylan Morissey, PhD · Queen Mary University of London

Study Design

Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Model
CROSSOVER

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2022-05-30
Primary Completion
2022-07-25
Completion
2022-07-25

Countries

  • United Kingdom

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT04904029 on ClinicalTrials.gov