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| Name | Class |
|---|---|
| Brooke Army Medical Center | FED |
| Temple University | OTHER |
This study aims to compare the self-report functional outcome measures, medical readiness and healthcare utilization (overall cost of imaging, prescription medications for pain, and follow-up visits) of soldiers with musculoskeletal injuries first seen by a physical therapist versus primary care provider.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Physical Therapy route of entry | Experimental | The subject will see a physical therapist as their initial encounter into the healthcare system |
|
| Primary Care Provider rout of entry | Active Comparator | The subject will see a primary care provider as their initial encounter into the healthcare system |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| physical therapy vs. primary care interventions | Other | Subjects with acute (< 3 months onset) will be randomized to see either a physical therapist or a primary care provider as their initial entry into the healthcare system |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Specific Functional Scale | 3 months | |
| PROMIS physical function scale | 3 months | |
| Global Rating of Change (GROC) | 3 months | |
| Defense and Veterans Pain Rating Scale | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Self-Report Medical Readiness Questionnaire | This questionnaire consists of 6 questions that ask the patient to rate their ability to perform various soldier/deployment-related tasks. This will provide way of measuring the soldier's perceived status of medical readiness before and after episodes of medical care. | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Reynolds Army Community Hospitral | Fort Sill | Oklahoma | 73053 | United States |
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| Medical Profile Status |
The medical profile is the Army's assessment of a soldier's overall medical readiness, i.e.: deployability. A profile for musculoskeletal injury can be temporary (T) or permanent (P) and deployable (2) or non-deployable (3). The profile is used to limit the soldier's activities to accommodate their injury or complaint. Evaluating the medical profile status in this study will serve as a way to measure the subjects' medical readiness. |
| 3 months |
| Overall Healthcare Consumption | overall healthcare consumption as measured by the dollar-value of each medical encounter following the initial encounter | 12 months |
| Patient Satisfaction | Likert Scale 0-10, how satisfied is the patient with the care they received. | 3 months |
| Report of adverse events | 3 months |