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A pragmatic observational feasibility study on integrated treatment for musculoskeletal disorders: design and protocol

A pragmatic observational feasibility study on integrated treatment for musculoskeletal disorders: design and protocol
A pragmatic observational feasibility study on integrated treatment for musculoskeletal disorders: design and protocol
BACKGROUND: Musculoskeletal disorders (MSD) comprise a wide range of conditions, associated with an enormous pain and impaired mobility, and are affecting people's lives and work. Management of musculoskeletal disorders typically involves a multidisciplinary team approach. Positive findings have been found in previous studies evaluating the effectiveness of complementary therapies, though little attention has been paid to evaluating of the effectiveness of integrated packages of care combining conventional and complementary approaches for musculoskeletal conditions in a National Health Service (NHS) setting. OBJECTIVE: To determine the feasibility of all aspects of a pragmatic observational study designed: (1) to evaluate the effectiveness and cost effectiveness of integrated treatments for MSDs in an integrated NHS hospital in the UK; (2) to determine the acceptability of the study design and research process to patients; (3) to explore patients' expectation and experience of receiving integrated treatments. METHODS: This is an observational feasibility study, with 1-year recruitment and 1-year follow-up, conducted in Royal London Hospital for Integrated Medicine, University College London Hospital Trust, UK. All eligible patients with MSDs newly referred to the hospital were included in the study. Interventions are integrated packages of care (conventional and complementary) as currently provided in the hospital. SF-36 Health Survey, short form Brief Pain Inventory, Visual Analogue Scale, and modified Client Service Receipt Inventory will be assessed at 4/5 time points. Semi-structured interview/focus group will be carried out before treatment, and 1 year after commence of treatment. DISCUSSION: We intend to conduct a pragmatic observational study of integrated medical treatment of MSDs at a public sector hospital. It will inform the design of a future trial including recruitment, retention, suitability of the outcome measures and patients experiences.
Data Collection Feasibility Studies Humans Musculoskeletal Diseases/*therapy Outcome Assessment (Health Care) Statistics as Topic feasibility study integrated medicine mixed method musculoskeletal disorders
1672-0415
88-95
Hu, Xiao-Yang
65904b24-3775-4b14-9532-eb703a056655
Hughes, John
5dbdaa46-9925-4722-a993-6db53eb7b178
Fisher, Peter
31d9dd1c-b702-498b-b892-ee1eb55bbffb
Lorenc, Ava
104e5188-dac3-48e6-8ace-2d31fe9a30ee
Purtell, Rachel
895f79e6-431f-490f-8c3d-4b2548e92bd9
Park, A-La
7aff832b-4f1f-49b3-8e8c-6478ce86f4bf
Robinson, Nicola
a8d33c29-e61a-4829-aeff-be596e37342f
Hu, Xiao-Yang
65904b24-3775-4b14-9532-eb703a056655
Hughes, John
5dbdaa46-9925-4722-a993-6db53eb7b178
Fisher, Peter
31d9dd1c-b702-498b-b892-ee1eb55bbffb
Lorenc, Ava
104e5188-dac3-48e6-8ace-2d31fe9a30ee
Purtell, Rachel
895f79e6-431f-490f-8c3d-4b2548e92bd9
Park, A-La
7aff832b-4f1f-49b3-8e8c-6478ce86f4bf
Robinson, Nicola
a8d33c29-e61a-4829-aeff-be596e37342f

Hu, Xiao-Yang, Hughes, John, Fisher, Peter, Lorenc, Ava, Purtell, Rachel, Park, A-La and Robinson, Nicola (2016) A pragmatic observational feasibility study on integrated treatment for musculoskeletal disorders: design and protocol. Chinese Journal of Integrated Medicine, 22 (2), 88-95. (doi:10.1007/s11655-013-1557-9).

Record type: Article

Abstract

BACKGROUND: Musculoskeletal disorders (MSD) comprise a wide range of conditions, associated with an enormous pain and impaired mobility, and are affecting people's lives and work. Management of musculoskeletal disorders typically involves a multidisciplinary team approach. Positive findings have been found in previous studies evaluating the effectiveness of complementary therapies, though little attention has been paid to evaluating of the effectiveness of integrated packages of care combining conventional and complementary approaches for musculoskeletal conditions in a National Health Service (NHS) setting. OBJECTIVE: To determine the feasibility of all aspects of a pragmatic observational study designed: (1) to evaluate the effectiveness and cost effectiveness of integrated treatments for MSDs in an integrated NHS hospital in the UK; (2) to determine the acceptability of the study design and research process to patients; (3) to explore patients' expectation and experience of receiving integrated treatments. METHODS: This is an observational feasibility study, with 1-year recruitment and 1-year follow-up, conducted in Royal London Hospital for Integrated Medicine, University College London Hospital Trust, UK. All eligible patients with MSDs newly referred to the hospital were included in the study. Interventions are integrated packages of care (conventional and complementary) as currently provided in the hospital. SF-36 Health Survey, short form Brief Pain Inventory, Visual Analogue Scale, and modified Client Service Receipt Inventory will be assessed at 4/5 time points. Semi-structured interview/focus group will be carried out before treatment, and 1 year after commence of treatment. DISCUSSION: We intend to conduct a pragmatic observational study of integrated medical treatment of MSDs at a public sector hospital. It will inform the design of a future trial including recruitment, retention, suitability of the outcome measures and patients experiences.

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More information

e-pub ahead of print date: 13 December 2013
Published date: February 2016
Keywords: Data Collection Feasibility Studies Humans Musculoskeletal Diseases/*therapy Outcome Assessment (Health Care) Statistics as Topic feasibility study integrated medicine mixed method musculoskeletal disorders

Identifiers

Local EPrints ID: 412844
URI: https://eprints.soton.ac.uk/id/eprint/412844
ISSN: 1672-0415
PURE UUID: 000eb100-8070-4de7-963e-40dd724bdc92
ORCID for Xiao-Yang Hu: ORCID iD orcid.org/0000-0002-3143-7999

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Date deposited: 02 Aug 2017 16:31
Last modified: 19 Jul 2019 18:26

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