The Southern Adelaide waiting list project: a regional Partners in Health approach with a call-centre support system

ISRCTN	ISRCTN45043887
DOI	https://doi.org/10.1186/ISRCTN45043887
Protocol serial number	1.06
Sponsor	Flinders University (Australia)
Funder	Arthritis and Musculoskeletal Quality Improvement Program (AMIQuIP) (Australia) (ref: 1.06)

Submission date: 24/06/2008
Registration date: 21/08/2008
Last edited: 20/04/2010

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

Prof Maria Crotty
Scientific

Department of Rehabilitation and Aged Care
Flinders University
GPO Box 2100
Adelaide
5001
Australia

Phone	+61 (0)8 8275 1103
Email	maria.crotty@flinders.edu.au

Study information

Primary study design	Interventional
Study design	Interventional, randomised controlled trial
Secondary study design	Randomised controlled trial
Scientific title	A randomised controlled trial to determine the effectiveness of chronic disease self management in people with osteoarthritis awaiting joint replacement surgery to improve their health related quality of life
Study objectives	The management of disability of patients on joint replacement waiting lists will be improved through the introduction of a regional Partners in Health model promoting self management supported by a telephone call-centre.
Ethics approval(s)	Ethics approval received from: 1. The Flinders Clinical Research Ethics Committee on the 27th July 2005 2. The Repatriation General Hospital Research and Ethics Committee on the 17th August 2005 (ref: 36/05)
Health condition(s) or problem(s) studied	Osteoarthritis
Intervention	Partners in Health chronic disease self management is a clinician focused approach which provides health professionals with the tools to work in partnership with individuals with chronic illness to maximise their self management capacity. The generic patient-centred assessment using a Partners in Health scale, Cue and Response interview and Problems/goal identification results in a care plan that describes which services and self-management goals will be addressed over a 6-month period. Partners in Health will be linked to a telephone support system manned by trained non-medical personnel (and managed by Arthritis South Australia). Participants allocated to the control group received the usual standard of care for patients on orthopaedic waiting lists. Participants in the control group were able to access the "Moving Towards Wellness" course run by Arthritis SA (as is the case for all people who are added to the orthopaedic waiting list). Participants in the control group did not receive any additional educational material.
Intervention type	Other
Primary outcome measure(s)	Health education impact was measured using the Health Education Impact Questionnaire (HEI-Q) at baseline and six months.
Key secondary outcome measure(s)	1. Quality of life, measured using the Assessment of Quality of Life (AQoL), at baseline and six months 2. Depression, measured using the Centre for Epidemiological Studies Depression Scale (CES-D) at baseline and six months 3. Medications beliefs were measured using the Beliefs about Medicines which is a patient-centred measure that captures individuals general beliefs about use of prescription and non-prescription medicines, at baseline and six months 4. The Western Ontario and McMaster Universities (WOMAC) Arthritis Index was used to capture the pain, stiffness and function associated with osteoarthritis at baseline and six months
Completion date	31/05/2008

Eligibility

Participant type(s)	Patient
Age group	Adult
Sex	All
Target sample size at registration	250
Key inclusion criteria	1. Confirmed allocation as non-urgent status to a southern region 2. Joint replacement waiting list 3. Adult patients, either sex
Key exclusion criteria	1. Mini-mental state examination score less than 24 2. Unable to read and speak English 3. Unable to complete the six-month follow-up 4. Significant frailty or illness that will make protocol completion unlikely 5. Living outside the southern region of Adelaide 6. Urgent or semi-urgent category status
Date of first enrolment	03/10/2005
Date of final enrolment	31/05/2008

Locations

Countries of recruitment

Australia

Study participating centre

Department of Rehabilitation and Aged Care

Adelaide
5001
Australia

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results	01/11/2009		Yes	No