NCT07112508 PRISM: The PRimary Care Individual Social Norms MSK Data Dashboard: a Feasibility Trial
| NCT ID | NCT07112508 |
| Status | Recruiting |
| Phase | — |
| Sponsor | University College, London |
| Condition | Musculoskeletal Disorders |
| Study Type | INTERVENTIONAL |
| Enrollment | 60 participants |
| Start Date | 2026-04-01 |
| Primary Completion | 2026-06-01 |
Eligibility & Interventions
Eligibility Fast-Check
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What to Expect as a Participant
You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.
This trial targets 60 participants in total. It began in 2026-04-01 with a primary completion date of 2026-06-01.
⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.
Brief Summary
Background: 20 million people in UK have musculoskeletal (MSK) aches and pains. They commonly see their GP about this problem, but practices are so busy that it can mean a long wait for appointments. First Contact Practitioner (FCPs) are now working in the GP practices to see patients with MSK problems instead of their GP. A national evaluation has found this to be working well. For FCPs working in GP practices there is more clinical risk. The patients have not been previously screened by a doctor to ensure there is no medical cause for their pain. The Chartered Society of Physiotherapists (CSP) has advised that all FCPs be clinicians with the highest level of experience, known as Advanced Practitioners. However the demand for FCPs far outweighs the number of Advanced Practitioners available so physiotherapists being hired have less experience. Evidence shows that clinicians of different experience levels have different decision-making strategies which may cause unwarranted variation in care. A new method is needed for oversight and support of the FCPs. Clinical supervision is commonly utilised in the NHS and in physiotherapy teams. It is a space to reflect on a clinician's performance and create learning opportunities. This research suggests an individual data dashboard, shared only with individuals and their supervisor, that feeds back a clinician's own decision-making data to them, relative to their peers. For example, the participant is "in the top 20% of MRI requesters" or "in the top 20% of those referring to social prescribing". This type of feedback is known as 'social norms' feedback. It has been proven to be an effective way to change healthcare workers behaviour. The intervention will be called PRISM: Primary Care Individual Social Norms MSK Data Dashboard. Aims To explore the feasibility of a randomised clinical trial comparing the clinical decision-making behaviour of FCP services using the PRISM Dashboard and a usual service with no clinician feedback. Design \& Methods: This research is a feasibility trial, a process to assess whether a future full scale clinical trial within the NHS would work. It will take place across 4 different Primary Care commissioning areas to determine the possibility of recruitment, retention, outcome collection and whether people will use the intervention. PPIE for this research included one primary care PPI rep, one digital interventions PPI rep and 3 Healthwatch PPI reps. Engaging different PPI sources enabled participation from different social , cultural and ethnic backgrounds. Dissemination I will communicate research updates and outputs in conferences, via social media, blogs, newsletters and podcasts. I will use my own network as well as the reach of collaborators in this work, ie. Healthwatch, NHS England/Improvement, The (CSP), the physiotherapy digital network, Keele University and UCL research networks.
Eligibility Criteria
Inclusion and Exclusion Criteria for Sites and Individual FCPs Site Inclusion Criteria * FCPs (First Contact Physiotherapists) must have regular clinical supervision by a more experienced physiotherapist. * Health Care Professionals Council (HCPC) registered Physiotherapists. * Provide physiotherapy to NHS patients. * Able to send monthly data uploads to the UCL Data Safe Haven to be added to the PRISM dashboard. Patient Inclusion Criteria * 18 years of age and above. * Registered with a GP practice that is a Participant Identification Centre for this study. * Consented to provide outcome measures as part of the trial process. Site Exclusion Criteria * No clinical supervision by a more experienced physiotherapist available currently or in practice for the FCPs. * Community service physiotherapy. * Unable to send data to the UCL Data Safe Haven monthly. Patient Exclusion Criteria * Non-musculoskeletal (MSK) problem. * Insufficient level of English understanding and expression to allow independent completion of assessment instruments. * Lacking capacity or unwilling to consent. * Patients who attended FCP but were not treated as they were found to have been an inappropriate referral.
Contact & Investigator
Jonathan Hill, Prof PhD
STUDY CHAIR
Keele University
Frequently Asked Questions
Who can join the NCT07112508 clinical trial?
This trial is open to participants of all sexes, aged 18 Years or older, studying Musculoskeletal Disorders. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.
Is NCT07112508 currently recruiting?
Yes, NCT07112508 is actively recruiting participants. Contact the research team at emma.dunphy@ucl.ac.uk for enrollment information.
Where is the NCT07112508 trial being conducted?
This trial is being conducted at London, United Kingdom, Newcastle upon Tyne, United Kingdom.
Who is sponsoring the NCT07112508 clinical trial?
NCT07112508 is sponsored by University College, London. The principal investigator is Jonathan Hill, Prof PhD at Keele University. The trial plans to enroll 60 participants.