Thumb Osteoarthritis Prognosis for Supported Self-managment

NCT05932628 · Status: ACTIVE_NOT_RECRUITING · Type: OBSERVATIONAL · Enrollment: 150

Last updated 2025-02-27

No results posted yet for this study

Summary

Background Thumb base osteoarthritis (OA) is common in adults 40 years and over. It affects a person's ability to work, be independent and care for others. Sufferers complain of severe pain and difficulty in completing everyday tasks. The main treatment for the condition is advice on how a person can manage their condition (self-management), reduce their pain, strengthen their hands with exercises and practical tips on tackling painful tasks, sometimes providing a hand splint for support. The treatment is provided by occupational and physiotherapists. We know that this treatment helps suffers in the short term (up to three months). But the research was done in people with few other health problems and while self-management support helps provide pain relief for most people, there are some people who don't benefit. The aim of this research is to see how pain and other hand problems change over a period of six months after the start of treatment, to understand people's experience of care, and examine why some people improve, and some do not.

Research Plan In patients receiving treatment for thumb base OA at four NHS sites, who are willing to take part, this research will: -

1. Record changes in symptoms and quality of life at three and six months from when treatment began in a postal questionnaire/survey.
2. Discuss the experience of care and people's beliefs about what makes treatment a success by interviewing a small group of patients.
3. Analyse patient characteristics, to see if it is possible to determine how they will respond to treatment.
4. Develop recommendations for improving care.

Conditions

  • Osteoarthritis Thumb

Interventions

OTHER

This study will observe participants who receive a supported self management approach for thumb base osteoarthritis but it is not an interventional study.

Participants will receive an occupational or physiotherapist led supported self-management programme, which equates to normal NHS care, having been adopted by the sites involved. This involves education, progressive exercises and hand splints if required. The educational materials used, and a minimum number of appointments will be consistent across the study sites. Additional treatments for coexisting conditions will be provided, additional stepped care for thumb base osteoarthritis will also be recorded.

Sponsors & Collaborators

  • Keele University

    collaborator OTHER
  • University Hospitals of Derby and Burton NHS Foundation Trust

    lead OTHER

Eligibility

Min Age
30 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2023-08-08
Primary Completion
2025-03-01
Completion
2025-08-01

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 NCT05932628 on ClinicalTrials.gov