Antibiotic stewardship: prescribing social norms.
Ian M Gould, Timothy Lawes
https://pubmed.ncbi.nlm.nih.gov/26898851Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
ID07112508
PRISM: The Primary Care Individual Social Norms MSK Data Dashboard Cluster Randomised Feasibility Trial in Clinician Management of Musculoskeletal Patients
Led by University College, London · Updated on 2026-06-04
60
Participants Needed
2
Research Sites
74 weeks
Total Duration
On this page
Sponsors
U
University College, London
Lead Sponsor
H
Homerton University Hospital NHS Foundation Trust
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are investigating musculoskeletal (MSK) disorders, which affect over 20 million people in the UK and account for a significant portion of general practice visits. The study aims to explore the feasibility of a clinical trial comparing decision-making by First Contact Practitioners (FCPs) who use a new feedback tool called the PRISM Dashboard with those who continue usual care. This dashboard provides individual clinicians with data on their clinical behaviors compared to their peers, potentially helping to reduce variations in care and improve practice through social norms feedback. The study involves FCPs and their supervisors in a cluster randomized trial across multiple UK primary care sites. The intervention group will receive monthly access to the password-protected PRISM Dashboard via email, which displays visual feedback on clinical decisions such as imaging requests and referrals. They will also receive a guidance document and review the dashboard regularly during clinical supervision sessions. The control group will continue with usual care without feedback during the trial. Data collection includes monthly uploads of clinical activity data from participating sites. Participants will be involved over a period with baseline, 3-month, and 6-month follow-ups. Patients who see an FCP will be invited to participate and complete outcome and experience measures digitally or by phone. The study will assess recruitment, retention, outcome collection, and engagement with the dashboard. Clinical supervision logs and patient-reported measures will be used to evaluate feasibility. The trial is designed to inform a future larger study on the clinical and cost-effectiveness of the PRISM Dashboard.
CONDITIONS
Brief Title
PRISM: The PRimary Care Individual Social Norms MSK Data Dashboard: a Feasibility Trial
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- First Contact Physiotherapists (FCPs) must have regular clinical supervision by a more experienced physiotherapist
- Must be Health Care Professionals Council (HCPC) registered physiotherapists
- Provide physiotherapy services to NHS patients
- Able to send monthly data uploads to the UCL Data Safe Haven for the PRISM dashboard
- Patients must be 18 years or older
- Patients registered with a participating GP practice acting as a Participant Identification Centre
- Patients must consent to provide outcome measures as part of the trial
You will not qualify if you...
- FCPs without clinical supervision by a more experienced physiotherapist currently or in practice
- Physiotherapists working in community services
- Unable to send monthly data to the UCL Data Safe Haven
- Patients with non-musculoskeletal problems
- Patients who do not understand or express English sufficiently to complete assessments independently
- Patients lacking capacity or unwilling to consent
- Patients who attended FCP but were not treated due to inappropriate referral
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or remote) to provide consent and receive trial information
Treatment
Duration - Up to 6 months
Participants receive usual care for musculoskeletal conditions. Those in the intervention group will receive the PRISM dashboard monthly to review their clinical decision-making compared to social norms with their supervisor during clinical supervision sessions.
Baseline visit within 14 days of First Contact Practitioner appointment, followed by 3-month and 6-month follow-up visits
Follow-up
Duration - Up to 6 months
Participants are followed up to assess retention, collect patient-reported outcomes and experience measures, and monitor engagement with the dashboard and clinical supervision.
3-month and 6-month follow-up visits for outcome assessments
Trial Site Locations
Total: 2 locations
1
City & Hackney Primary Care
London, United Kingdom
Actively Recruiting
2
South Tyneside Integrated Primary Care
Newcastle upon Tyne, United Kingdom
Actively Recruiting
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Research Team
E
Emma L Dunphy, PhD
I
Irwin Nazareth, Prof. PhD MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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