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Trial registered on ANZCTR
Registration number
ACTRN12611000943943
Ethics application status
Approved
Date submitted
18/08/2011
Date registered
1/09/2011
Date last updated
8/05/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Evaluation of a new model of triage for community rehabilitation services
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Scientific title
Does a new model of access and triage involving protected assessment slots and early face to face clinical assessment improve waiting times for patients referred to community rehabilitation services, compared with a traditional "waitlist and triage" model?
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Secondary ID [1]
262874
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Waiting lists for community rehabilitation services
270590
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Condition category
Condition code
Physical Medicine / Rehabilitation
270762
270762
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Many community rehabilitation programs manage access by placing patients on waiting lists, with clinicians taking on new pateints as appointments become available. Triage categories are often assigned to guide clinicians as to who should be seen first.
This trial aims to evaluate an alternative model, in which all patients receive a face to face assessment within a few days of referral, through the use of protected assessment appointments. Clinicians then take responsibility for triaging patient needs within their own clinical caseload. The new model will be trialled for all new referrals received over a 6 month period.
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Intervention code [1]
269225
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Other interventions
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Comparator / control treatment
Traditional model of "waitlist and triage", in which patients are placed on a waitlist and referrals picked up by clinicians when spaces are available.
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Control group
Active
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Outcomes
Primary outcome [1]
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Waiting time (Days between referral date and first appointment)
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Assessment method [1]
279457
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Timepoint [1]
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Referral date and first appointment will be recorded prospectively. Waiting time for all subjects will be calculated at the end of the study.
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Secondary outcome [1]
287682
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Quality of life (EQ-5D)
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Assessment method [1]
287682
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Timepoint [1]
287682
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Admission and discharge
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Secondary outcome [2]
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Total length of stay (Days from first to last appointment)
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Assessment method [2]
287683
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Timepoint [2]
287683
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Measured between first and last appointment
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Secondary outcome [3]
287684
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Total number of treatment sessions from first to last appointment
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Assessment method [3]
287684
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Timepoint [3]
287684
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Number of sessions will be calculated at the time of discharge for each patient
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Secondary outcome [4]
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Staff satisfaction using qualitative semi structured interviews
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Assessment method [4]
287685
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Timepoint [4]
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At the end of the 6 month trial period
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Secondary outcome [5]
287686
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Patient satisfaction using qualitative semi structured interviews
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Assessment method [5]
287686
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Timepoint [5]
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Within 2 weeks of discharge from the program
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Eligibility
Key inclusion criteria
Patients referred to community rehabilition program at either Peter James Centre (all patients) or Wantirna Health (orthopaedic patients) from 1st February to July 31st 2011.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Nil for quantitative measures.
Qualitative data - patients must be able to converse in English and provide informed consent.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Very similar Community Rehabilitation Programs are in operation at two sites within Eastern Health. The new model of care is being trialled at one (the Peter James Centre), with the Wantirna Health site continuing to provide care via the usual model. Both also operate two teams, one for orthopaedic patients and one for neurology patients.
Patients referred to the orthopaedic team at the Peter James Centre are therefore in the intervention group, and those in the neurology team at Peter James or referred to Wantirna are in the control group. Comparisons will also be made with baseline data from both sites collected in a previous observational study in 2010.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
NA
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
This is a controlled before and after study, with comparisons being made between the intervention group before and after the change to the model, and also the control groups during the same periods.
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/02/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
750
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
4362
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3151
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Funding & Sponsors
Funding source category [1]
269691
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Self funded/Unfunded
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Name [1]
269691
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Katherine Harding
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Address [1]
269691
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Level 2, 5 Arnold Street
Box Hill 3129
VIC
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Country [1]
269691
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Australia
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Primary sponsor type
Hospital
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Name
Eastern Health
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Address
Allied Health Research Office
Eastern Health
Level 2, 5 Arnold St,
Box Hill, VICTORIA 3128
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Country
Australia
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Secondary sponsor category [1]
268728
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University
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Name [1]
268728
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La Trobe University
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Address [1]
268728
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Kingsbury Drive,
Bundoora,
VICTORIA 3086
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Country [1]
268728
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
271652
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Eastern Health Research and Ethics Committee
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Ethics committee address [1]
271652
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5 Arnold Street
Box Hill 3129
VIC
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Ethics committee country [1]
271652
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Australia
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Date submitted for ethics approval [1]
271652
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Approval date [1]
271652
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12/11/2010
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Ethics approval number [1]
271652
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LR33/1011
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Ethics committee name [2]
271653
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La Trobe University Faculty Research and Ethics Committe
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Ethics committee address [2]
271653
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Faculty of Health Sciences
La Trobe University
Kingsbury Drive,
Bundoora
VICTORIA 3086
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Ethics committee country [2]
271653
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Australia
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Date submitted for ethics approval [2]
271653
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Approval date [2]
271653
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21/12/2010
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Ethics approval number [2]
271653
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FHEC10/266
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Summary
Brief summary
Patients referred to the community rehabilitation programs (CRPs) at the Peter James Centre (PJC) and Wantirna Health (WH) have traditionally been placed on a waiting list and given a triage category, which guides clinicians as to who should be seen first when demand exceeds supply. This study is trialling an alternative model of triage within the orthopaedic team at the PJC CRP in which all patients are seen for a face to face assessment soon after referral, with a subsequent decision on priority and patient management made by the treating clinician. The aim of the trial is to compare the outcomes with the traditional model at WH, and determine whether the new model improves waiting times without negatively impacting on the quality of service received, patient outcomes or staff and patient satisfaction
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Trial website
Nil
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Trial related presentations / publications
Nil
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Public notes
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Contacts
Principal investigator
Name
33043
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Address
33043
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Country
33043
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Phone
33043
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Fax
33043
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Email
33043
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Contact person for public queries
Name
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Katherine Harding
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Address
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Level 2, 5 Arnold Street
Box Hioll, VIC 3128
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Country
16290
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Australia
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Phone
16290
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+61 3 9091 8880
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Fax
16290
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+61 3 9899 6810
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Email
16290
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[email protected]
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Contact person for scientific queries
Name
7218
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Katherine Harding
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Address
7218
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Level 2, 5 Arnold Street
Box Hioll, VIC 3128
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Country
7218
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Australia
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Phone
7218
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+61 3 9091 8880
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Fax
7218
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+61 3 9899 6810
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Email
7218
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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