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Table 1 STEMS pilot trial process measures

From: A pilot cluster randomised controlled trial to investigate the addition of direct access to physiotherapy to usual GP-led primary care for adults with musculoskeletal pain: the STEMS pilot trial protocol (ISRCTN23378642)

Engagement of GP practices and PT services
Physiotherapy site recruitment rate to participate in STEMS study
GP Practice recruitment rate to participate in STEMS study
Research evaluation
Recruitment rate to the research evaluation—all adults with musculoskeletal conditions
Recruitment rate to the research evaluation—‘true self-referral’a patients
Recruitment rate to the research evaluation—‘recommended self-referral’b patients
Retention rates to research evaluation at 2, 6 and 12 months follow-up
GP practice characteristics
Number of GPs and nurse practitioners per practice
Number of patients and number of adults registered at practice
GP consultation rates for adults with musculoskeletal conditions (before and during study)
Physiotherapy team characteristics
Number of physiotherapists working in the physiotherapy service (in total and STEMS trained)
Seniority of physiotherapists in the physiotherapy service (in total and STEMS trained)
Physiotherapy service
Physiotherapy service GP referral rate (before and during study)
Physiotherapy service ‘true self-referral’a rate
Physiotherapy service ‘recommended self-referral’b rate
Non-attendance rates at physiotherapy site for GP referrals (before and during study) and for self-referrals during study
Number of physiotherapy consultations for GP referrals, ‘true self-referral’ and ‘recommended self-referral’ patients in the intervention practices
Number of self-referring patients deemed unsuitable at each stage in the direct access pathway
Onward referral rate from physiotherapy (to GP, other services) for GP referrals, ‘true self-referral’ and ‘recommended self-referral’
Physiotherapy waiting time (month-by-month) from 12 months prior to introduction of direct access to end of study
Number of patient complaints about direct access at physiotherapy site
Monitoring of safety
Number of cases of missed serious pathology in patients directly accessing physiotherapy
Number of adverse events in GP-referred, ‘true self-referral’ ‘recommended self-referral’
  1. aThose who are prompted by their GP or practice nurse to access physiotherapy care
  2. bThose who directly access physiotherapy care without prompting by their GP or practice nurse