Outreach management of people with chronic neurological disability.
ISRCTN | ISRCTN85664035 |
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DOI | https://doi.org/10.1186/ISRCTN85664035 |
Secondary identifying numbers | NYRHA WJML r135/05292 |
- Submission date
- 23/01/2004
- Registration date
- 23/01/2004
- Last edited
- 17/09/2012
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Nervous System 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 Michael Barnes
Scientific
Scientific
Newcastle City Health NHS Trust
Hunters Moor Rehabilitation Centre
Hunters Road
Newcastle upon Tyne
NE2 4NR
United Kingdom
Phone | +44 (0)191 261 0895 |
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m.p.barnes@ncl.ac.uk |
Study information
Study design | Randomised controlled trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Scientific title | |
Study objectives | A properly trained outreach nurse practitioner can provide a service that is as good as or better than that provided at a hospital outpatient clinic for people with chronic neurological disability. The pilot population that is to be used to test this hypothesis is individuals with Parkinson's disease and dystonia attending Hunters Moor Regional Rehabilitation Centre in Newcastle upon Tyne. All patients attending the movement disorder clinic at Hunters Moor will be eligible for participation in the study. We anticipate the hypothesis will be proven and that a properly trained nurse practitioner is able to provide a more satisfactory support service for people with the pilot condition both from the patients and general practitioners perspectives. If the hypothesis is proven the project will benefit the NHS as the patient will not need to make unnecessary journeys to hospital, the primary care team will be involved more effectively in the management of the individual, the specialist will see individuals at the time when such referral is required and the purchaser should get better value for money. |
Ethics approval(s) | Not provided at time of registration |
Health condition(s) or problem(s) studied | Parkinson's disease |
Intervention | After informed consent patients will be randomly divided into two groups with approximately 75 individuals in each group. 1. Standard attendance of outpatients This group will continue to attend regular outpatient assessment at Hunters Moor as previously. 2. Visited at home by an outreach nurse practitioner This group will not attend outpatients but will be visited at home by an outreach nurse practitioner. The group will have regular access to the nurse practitioner who will act a primary contact point for the disabled person and the family. The nurse practitioner will be responsible for liaison with the general practitioner and primary care team and for referral to the hospital consultant and members of the multi-disciplinary rehabilitation team as necessary. The consultant and multi-disciplinary team members will be able to assess the client and carer either at home or in the hospital. The nurse practitioner, within agreed protocols, would advise the patient on adjusting drug dosages and be responsible for the administration of botulinum toxin injections for individuals with dystonia. The practitioner will provide educational material, advice and ongoing support for the patient and carer. |
Intervention type | Other |
Primary outcome measure | The effectiveness of this model of care will be assessed by a number of means including 1. Assessment of disability status measured by a number of appropriate scales 1.1. general practitioner and primary care team satisfaction questionnaires 1.2. comparison of attendances at hospital and general practitioner 1.3. record of complications 1.4. record of drug and other medical management employed during the study period 2. Satisfaction questionnaires will be administered to the patient and carer and their psychological status will also be measured using the General Health Questionnaire. 3. A brief questionnaire will be designed that records the extent and level of knowledge and understanding of the disease and associated disabilities. This questionnaire will be administered to the client and carer. 4. An economic analysis will also be undertaken of the costs involved in both arms of the study. |
Secondary outcome measures | Not provided at time of registration |
Overall study start date | 08/01/1995 |
Completion date | 31/07/1997 |
Eligibility
Participant type(s) | Patient |
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Age group | Not Specified |
Sex | Not Specified |
Target number of participants | Not provided at time of registration |
Key inclusion criteria | 1. Patients attending the movement disorder clinic at Hunters Moor 2. Being treated for Parkinson's and dystonia 3. Informed consent |
Key exclusion criteria | Does not match inclusion criteria |
Date of first enrolment | 08/01/1995 |
Date of final enrolment | 31/07/1997 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Newcastle City Health NHS Trust
Newcastle upon Tyne
NE2 4NR
United Kingdom
NE2 4NR
United Kingdom
Sponsor information
NHS R&D Regional Programme Register - Department of Health (UK)
Government
Government
The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom
Phone | +44 (0)20 7307 2622 |
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dhmail@doh.gsi.org.uk | |
Website | http://www.doh.gov.uk |
Funders
Funder type
Government
NHS Executive Northern and Yorkshire (UK)
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
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Results article | results | 01/04/2001 | Yes | No |