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The goal of this clinical trial is to learn if a brief, reassuring pre-visit message affects patients' expectations and planned follow-up care in adults with common musculoskeletal conditions. The main questions it aims to answer are:
Researchers will compare participants who receive the pre-visit reassurance message to those who receive usual care to see if the message changes patients' enthusiasm for care or their follow-up decisions.
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Arm (Nudge / Reassurance Message) | Experimental | Participants randomized to the intervention group will read a brief, easy-to-understand message (generated by a Large Language Model) before their musculoskeletal clinic visit. The message explains that many musculoskeletal symptoms are common, often related to normal body changes, and can improve with simple self-care. It emphasizes that visits, tests, injections, and treatments are often optional, and patients can decide how much care they wish to pursue. After reading the message, participants will complete a short questionnaire rating their interest in follow-up visits, tests, injections, and surgery. Clinicians providing care will be blinded to participants' group assignment. |
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| Control arm (Usual Care) | No Intervention | Participants randomized to the control group will receive usual care prior to their musculoskeletal clinic visit, without any pre-visit reassurance message. They will complete the same questionnaire rating their interest in follow-up visits, tests, injections, and surgery. Clinicians providing care will be blinded to participants' group assignment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nudge intervention | Behavioral | The intervention involves reading a brief, easy-to-understand message prior to a musculoskeletal clinic visit. The message explains that many musculoskeletal symptoms are common, often related to normal age-related changes, and can improve with simple self-care. It emphasizes that visits, tests, injections, and treatments are often optional, and patients can choose how much care to pursue. |
| Measure | Description | Time Frame |
|---|---|---|
| Pre-visit enthusiasm for additional care | The primary outcome is pre-visit enthusiasm for additional care, measured as participants' self-reported interest in pursuing a return visit, diagnostic tests, physical therapy, injections, or surgery. Participants rate each item on a 0-10 scale, where 0 indicates "not at all interested" and 10 indicates "definitely want it." This outcome is assessed immediately after the intervention (or usual care) and before the clinic visit. | Immediately after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Actual scheduled follow-up care | The secondary outcomes are actual scheduled follow-up care after the musculoskeletal clinic visit, including return visits, diagnostic tests, physical therapy, injections, and surgery. These outcomes are recorded as yes/no for each type of care and are collected from the patient's medical record after the visit. | Immediately following clinic visit |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Musculoskeletal Institute, UT Health Austin | Austin | Texas | 78712 | United States |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Dec 28, 2025 | Dec 29, 2025 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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