A pragmatic randomised controlled trial in primary care to determine the effectiveness of active physiotherapy treatment and enhanced pharmacy review for knee pain

ISRCTN ISRCTN55376150
DOI https://doi.org/10.1186/ISRCTN55376150
Secondary identifying numbers S0646
Submission date
03/01/2003
Registration date
03/01/2003
Last edited
06/03/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr EM Hay
Scientific

Primary Care Sciences Research Centre
Keele University
Keele
ST5 5BG
United Kingdom

Phone +44 (0)1782 583908
Email e.m.hay@cphc.keele.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typeTreatment
Scientific title
Study acronymTOPIK (Treatment Options for Pain In the Knee)
Study objectivesThe primary objective of this trial is to examine the clinical effectiveness, of two innovative interventions: enhanced pharmacy review and active physiotherapy, compared with a control group receiving an advice and information booklet reinforced with telephone support.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedKnee pain
Intervention1. Pharmacy review of medication
2. Active physiotherapy management
3. Advice leaflet
Intervention typeOther
Primary outcome measureChange in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at 6 months.
Secondary outcome measuresAnxiety and Depression (HADS); Confidence in managing pain, function, and other symptoms associated with arthritis (Arthritis Self-Efficacy Scale); Overall health status (EuroQoL).
Overall study start date01/05/2001
Completion date31/03/2005

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants325
Key inclusion criteria1. Male and female patients aged 55 years and above
2. Pain with or without stiffness in one or both knees
3. Considered suitable for primary care management by GP
4. Able to read English
5. Available for telephone contact
6. Able and willing to consent to participation
Key exclusion criteria1. Patients with potentially serious pathology (e.g. inflammatory arthritis, malignancy) on the basis of GP diagnosis or past medical history
2. Patients with severe disability: WOMAC Physical Function score ³ 40
3. Patients already on a surgical waiting list
4. Patients who have already had an exercise programme for their knee problem within the previous 3 months (normal recreational involvement in sport or exercise will not be an exclusion)
5. Patients who have received an intra-articular injection to the knee in the last 6 months
6. Patients who have a knee replacement
7. Patients unable or unwilling to receive the study interventions, or for whom the interventions are contraindicated
8. Patients with acute trauma
9. Knee pain due to malignancies
Date of first enrolment01/05/2001
Date of final enrolment31/03/2005

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Primary Care Sciences Research Centre
Keele
ST5 5BG
United Kingdom

Sponsor information

Arthritis Research Campaign (ARC) (UK)
Charity

Copeman House
St Mary's Court
St Mary's Gate
Chesterfield
Derbyshire
S41 7TD
United Kingdom

Email info@arc.org.uk
Website http://www.arc.org.uk
ROR logo "ROR" https://ror.org/02jkpm469

Funders

Funder type

Charity

Arthritis Research Campaign

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article Results 11/11/2006 Yes No