Standardized Home Exercise Prescription Education

Standardized Home Exercise Prescription: Education of Family Medicine Residents

This project will encompass an evaluation of the educational value of having evidence based home exercise protocols available for family medicine residents in regard to the prescription of home exercise treatment for common musculoskeletal conditions. Investigators will be evaluating resident knowledge on home exercise prescription as well as their level of comfort in educating their patients before and after a series of didactic sessions and implementation of exercise protocols.

Study Overview

• Status: Withdrawn
• Conditions: Knowledge, Attitudes, Practice; Behavior
• Intervention / Treatment: Behavioral: Musculoskeletal (MSK) Prescription Didactic Lectures; Other: Musculoskeletal (MSK) home exercise hand-outs

Detailed Description

This study aims to fill the gap in this area of the literature pertaining to home exercise prescription. The justification of this study's scientific merit comes from the lack of literature and the need for research in this area. There have been multiple studies that have shown different exercise modality treatments for common musculoskeletal (MSK) complaints significantly improve both disability and overall quality of life. Despite the evidence of the short and long term effectiveness of exercise based therapies, there is a general lack of confidence of residents in prescribing and teaching patients rehab exercises.Additionally, many of the patients seen in the University of Florida (UF) Family medicine residency program cannot afford or do not have time to attend physical therapist led rehab sessions. This makes physician led education and the ability of prescribing exercise based treatments for musculoskeletal (MSK) complaints a very important component of patient care.

• Study Type: Interventional
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 90 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Resident of the Family Medicine Department at the University of Florida.

Exclusion Criteria:

• None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: Musculoskeletal (MSK) Exercise Prescription; Phase I: Residents will be surveyed as to their knowledge and confidence in both diagnosing specific musculoskeletal (MSK) issues and prescribing the correct home rehabilitation regimen.; In between phase 1 and phase 2 there will be a series of didactic lectures to educate resident on home exercise prescription and get them familiarized with the handouts.; Phase II: Residents will be surveyed again in May 2017 with the same multiple choice questions and Likert style confidence scales from phase 1 The survey will consist of multiple choice and short essay questions, focused on the most common musculoskeletal (MSK) injuries seen in the primary care setting.

Behavioral: Musculoskeletal (MSK) Prescription Didactic Lectures; In between phase 1 and phase 2 there will be a series of didactic lectures to educate resident on home exercise prescription and get them familiarized with the handouts.; Other: Musculoskeletal (MSK) home exercise hand-outs; In between phase 1 and phase 2, residents will use home exercise hand-outs readily available and educate their patients in regards to those.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Improvement in knowledge about Musculoskeletal (MSK) Exercises	Knowledge scores should be at least overall 80% regarding MSK rehabilitation exercises.	at 6 months
Confidence in educating patients about Musculoskeletal (MSK) Exercises	Improvement of at least 20% in Medical Residents' confidence regarding education of Musculoskeletal (MSK) to patients	at 6 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Confidence in prescribing Musculoskeletal (MSK) Exercises to patients	Improvement of at least 20% in Medical Residents' confidence regarding prescription of Musculoskeletal (MSK) exercises	at 6 months
Improvement in prescribing Musculoskeletal (MSK) Exercises to patients	Prescription scores should be at least overall 80% regarding MSK rehabilitation exercises	at 6 months

Collaborators and Investigators

• Sponsor: University of Florida
• Investigators: Principal Investigator: Charlie Michaudet, MD, University of Florida

Study record dates

Study Major Dates

• Study Start (Actual): March 15, 2017
• Primary Completion (Anticipated): September 30, 2017
• Study Completion (Anticipated): December 31, 2017

Study Registration Dates

• First Submitted: February 17, 2017
• First Submitted That Met QC Criteria: February 21, 2017
• First Posted (Actual): February 27, 2017

Study Record Updates

• Last Update Posted (Actual): November 21, 2017
• Last Update Submitted That Met QC Criteria: November 17, 2017
• Last Verified: November 1, 2017

More Information

Terms related to this study

• Keywords: Behavior; education; knowledge; confidence; medical residents; skills assessment
• Other Study ID Numbers: IRB201602626

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: No individual participant data (IPD) will be shared.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No