ISRCTN ISRCTN78088278
DOI https://doi.org/10.1186/ISRCTN78088278
IRAS number 326583
Secondary identifying numbers OBF/FR-000023819, IRAS 326583, CPMS 56341
Submission date
10/05/2023
Registration date
18/05/2023
Last edited
17/01/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Osteoarthritis is a common joint condition mainly affecting older people. Hip and knee osteoarthritis may cause high levels of pain, social isolation and difficulty with daily activities. Osteoarthritis is more common in people experiencing socioeconomic disadvantage. In this study the researchers are developing and testing a new support programme that will involve trained volunteers with osteoarthritis (‘peer mentors’) helping other people with osteoarthritis learn how to manage their condition better. The support will be delivered remotely and tailored to people who feel disadvantaged by their finances, education or social circumstances.

Who can participate?
People over 18 years of age and diagnosed with hip and/or knee osteoarthritis; and experiencing socioeconomic disadvantage

What does the study involve?
To develop the peer-mentorship intervention, the researchers will carry out focus groups with people with osteoarthritis who are experiencing socioeconomic disadvantage to find out what could affect the success of the peer-mentorship programme when delivered remotely. Through public engagement activities the researchers will develop and finalise the peer-mentorship programme. They will then recruit and train volunteer peer mentors to deliver to study participants the 6-week peer-mentorship programme. The researchers will then evaluate the peer-mentorship programme with study participants to see what they thought of the programme and whether it affected their health behaviours. They will also interview peer mentors to explore their experiences of receiving training, support and delivering the programme.

What are the possible benefits and risks of participating?
This research is trying to find out whether remote peer mentorship for osteoarthritis is of any benefit to people with hip and/or knee osteoarthritis who are experiencing socioeconomic disadvantage. This study involves receiving weekly support sessions from a trained volunteer (peer mentor) to support the self-management of osteoarthritis. Receiving this type of support may help people learn how to manage their symptoms due to osteoarthritis. There are no direct risks to taking part in the study as the intervention is about supporting and educating people living with osteoarthritis to self-manage. Taking part in the study does not involve a change to routine care.

Where is the study run from?
The study is run from the University of Leeds, but open to NHS recruitment within Leeds Community NHS Trust and also Primary Care within Yorkshire & Humberside. Recruitment via social media will be UK-wide.

When is the study starting and how long is it expected to run for?
February 2023 to December 2024

Who is funding the study?
1. Nuffield Foundation (UK)
2. Versus Arthritis (UK)

Who is the main contact?
Prof. Gretl McHugh, g.a.mchugh@leeds.ac.uk

Contact information

Prof Gretl McHugh
Principal Investigator

University of Leeds
Baines Wing
Leeds
LS2 9JT
United Kingdom

ORCiD logoORCID ID 0000-0002-5766-5885
Phone +44 (0)113 3431365
Email G.A.McHugh@leeds.ac.uk

Study information

Study designMulti-centre pragmatic mixed-methods feasibility study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Community, Home
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleRemote osteoarthritis peer-mentorship for socioeconomically underserved people
Study acronymRaMIgO
Study objectivesTo develop and assess the feasibility and perceived usefulness of a remote osteoarthritis (OA) peer-mentorship intervention for people with hip and knee OA who are experiencing socioeconomic disadvantage
Ethics approval(s)Approved 02/06/2023, South Birmingham REC (South Birmingham Research Ethics Committee, Equinox House, City Link, Nottingham, NG2 4LA, UK; southbirmingham.rec@hra.nhs.uk), ref: 23/WM/0108
Health condition(s) or problem(s) studiedSelf-management of hip and/or knee osteoarthritis
InterventionPhase 1: intervention development of an OA peer-mentorship intervention using qualitative research and participatory approaches. The researchers will carry out group discussions with people with osteoarthritis who are experiencing socioeconomic disadvantage to find out what could affect the success of the peer-mentorship programme when delivered remotely. They will then carry out public engagement activities with community groups and people experiencing socioeconomic disadvantage to develop and finalise the programme.

Phase 2: intervention set-up which involves recruiting and training volunteer peer mentors to deliver the OA peer-mentorship intervention. The OA peer-mentorship intervention is supported by self-management education and guidance delivered to the study participants by trained Peer Mentors.

Phase 3: Process evaluation using mixed methods which will investigate the acceptability appropriateness, feasibility, fidelity and adoption of the intervention. The volunteer peer mentors will deliver the programme to 25 participants with hip or knee osteoarthritis. The researchers will collect information about the participants’ health/wellbeing via questionnaires at the start of the programme. They will interview the participants immediately after they have completed the programme and again at 6 months. The interviews will explore areas such as what the participants thought of the programme and whether it affected their health behaviours. The researchers will also interview the peer mentors to explore their experiences of receiving training, support and delivering the programme. Finally, they will carry out two Stakeholder Discussion Forums to explore how we could put the mentorship programme into practice.
Intervention typeOther
Primary outcome measureCompletion of mentorship sessions assessed using completed data summary sheets at 6 weeks (at least 80% of peer mentor/participant matches complete six mentorship sessions)
Secondary outcome measures1. Demonstration that the osteoarthritis peer-mentorship can be delivered remotely, assessed using completed data summary sheets at 6 weeks
2. Acceptability of the intervention assessed using qualitative interviews post-intervention at 6 weeks and 6 months
3. Feasible solutions for addressing potential barriers to implementation of the intervention in practice, identified using two stakeholder discussion forums at the end of data collection (month 22)
Overall study start date01/02/2023
Completion date31/12/2024

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit95 Years
SexBoth
Target number of participantsPhase 1: focus groups - 15 participants; process evaluation: 30 participants (Phase 3)
Total final enrolment52
Key inclusion criteria1. Over 18 years of age
2. Diagnosed with hip/knee osteoarthritis by a health professional
3. Consider themselves to be experiencing socioeconomic disadvantage
Key exclusion criteria1. Inflammatory arthritis (including gout and rheumatoid arthritis)
2. Serious health condition that would prevent participation
3. Unable to participate in remote (telephone, video call) peer-mentorship
Date of first enrolment12/06/2023
Date of final enrolment14/05/2024

Locations

Countries of recruitment

  • England
  • Northern Ireland
  • Scotland
  • United Kingdom
  • Wales

Study participating centre

Leeds Community Healthcare NHS Trust
Stockdale House
8 Victoria Road
Leeds
LS6 1PF
United Kingdom

Sponsor information

University of Leeds
University/education

Secretariat
Woodhouse Lane
Leeds
LS2 9JT
England
United Kingdom

Phone +44 (0)113 343 7587
Email governance-ethics@leeds.ac.uk
Website http://www.leeds.ac.uk/
ROR logo "ROR" https://ror.org/024mrxd33

Funders

Funder type

Charity

Nuffield Foundation
Private sector organisation / Trusts, charities, foundations (both public and private)
Location
United Kingdom
Versus Arthritis
Private sector organisation / Other non-profit organizations
Location
United Kingdom

Results and Publications

Intention to publish date30/06/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in publicly available repository, Not expected to be made available
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal

The researchers will share their findings with professionals and community stakeholders, including patients, through a written report, lay summary and infographic. This research is important and timely as people experiencing socioeconomic disadvantage are underserved by health services/research and may benefit most from self-management support.
IPD sharing planAs some of the project data will include in-depth information about participants’ experiences and perspectives of receiving peer mentorship, and experiences of peer mentors involved in delivery mentorship (Phase 3), this data will not be made available as this will help ensure that participants’ identities remain confidential. The dataset from Phase 1: Focus Groups analysed during the current study will be stored in a publicly available repository: Research Data Leeds Repository (https://archive.researchdata.leeds.ac.uk).

The type of data stored: anonymised qualitative data.
The process for requesting access (if non-publicly available): Request access via a link provided in the repository file.
Dates of availability: 01/06/2025
Whether consent from participants was required and obtained: Consent is required and will be obtained.
Comments on data anonymization: Pseudonyms for names have been used; and any identifiable information anonymised.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol file 19/04/2023 17/05/2023 No No
HRA research summary 20/09/2023 No No

Additional files

43630_PROTOCOL_V.1.0_19Apr23.pdf

Editorial Notes

17/01/2025: The ethics approval was added.
30/12/2024: The following changes were made to the study record:
1. The recruitment end date was changed from 31/12/2024 to 14/05/2024.
2. The overall study end date was changed from 30/04/2025 to 31/12/2024.
3. Total final enrolment added.
20/09/2023: A link to the HRA research summary was added.
08/06/2023: The recruitment start date was changed from 01/06/2023 to 12/06/2023.
05/06/2023: Internal review.
19/05/2023: Internal review.
17/05/2023: Study's existence confirmed by the Nuffield Foundation.