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Trial registered on ANZCTR
Registration number
ACTRN12620000214932
Ethics application status
Approved
Date submitted
7/02/2020
Date registered
21/02/2020
Date last updated
29/10/2021
Date data sharing statement initially provided
21/02/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
Tasmanian Community HIp Pain (TasCHIP) Cohort Study
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Scientific title
Tasmanian Community HIp Pain (TasCHIP) Cohort Study
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Secondary ID [1]
298842
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PG18-BH001
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Universal Trial Number (UTN)
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Trial acronym
TasCHIP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hip pain
313795
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Groin pain
316274
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Condition category
Condition code
Musculoskeletal
312208
312208
0
0
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Other muscular and skeletal disorders
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Physical Medicine / Rehabilitation
312299
312299
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0
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Physiotherapy
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Hip and/or groin pain is common in young and middle-aged people, and may represent arthritis in its early stages. These people have persistent pain, difficulty participating in work and functional activity and have worse quality of life compared to healthy people. This is at a time of peak work and family commitments. Improving the capacity of these individuals to participate fully in work and functional activity will have large positive personal and societal benefits.
100 people aged 18-55 years with hip and/or groin pain will be recruited. Participants will undergo baseline radiographs, clinical and demographic assessment and complete patient-reported outcome measures. Participants will be followed up at 6 and 12 (primary endpoint) months. Modifiable risk factors at baseline that predict increase in pain and worsening of quality of life (primary outcome) and changes in physical activity, sports participation, work participation and progression to hip surgery (secondary outcomes) at 6 and 12 months will be determined.
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Intervention code [1]
315108
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
320842
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Change over 12 months in hip and/or groin pain using the Copenhagen Hip and Groin Outcome Score (HAGOS) pain subscale. The HAGOS-Pain subscale provides a single score from 0-100 points, where zero represents extreme hip and/or groin problems and 100 represents no hip and/or groin problems
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Assessment method [1]
320842
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Timepoint [1]
320842
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12 months after completion of baseline assessment
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Primary outcome [2]
320843
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Change over 12 months in hip-related Quality of Life using the IHOT-33. This is a single score 0-100 points, where a score of zero represents worst quality of life and a score of 100 indicates best quality life .
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Assessment method [2]
320843
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Timepoint [2]
320843
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12 months after completion of baseline assessment
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Secondary outcome [1]
373017
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Hip and/or groin pain using the Copenhagen Hip and Groin Outcome Score (HAGOS) pain subscale.
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Assessment method [1]
373017
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Timepoint [1]
373017
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Baseline, 1 week and 6 months after completion of baseline assessment
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Secondary outcome [2]
373018
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Hip-related Quality of Life using the IHOT-33.
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Assessment method [2]
373018
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Timepoint [2]
373018
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Baseline, 1 week and 6 months after completion of baseline assessment
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Secondary outcome [3]
373021
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Work participation using the Workplace Activity Limitations Scale (WALS).
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Assessment method [3]
373021
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Timepoint [3]
373021
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Baseline, 6 and 12 months after completion of baseline assessment
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Secondary outcome [4]
373394
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Patient specific functional scale (PSFS)
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Assessment method [4]
373394
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Timepoint [4]
373394
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Baseline, 6 and 12 months after completion of baseline assessment
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Secondary outcome [5]
373395
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Health-related quality of life using the EQ-5D
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Assessment method [5]
373395
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Timepoint [5]
373395
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Baseline, 6 and 12 months after completion of baseline assessment
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Secondary outcome [6]
373396
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Progression to hip arthroscopy surgery, total hip arthroplasty (THA) or other hip surgeries.
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Assessment method [6]
373396
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Timepoint [6]
373396
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Baseline, 6 and 12 months after completion of baseline assessment
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Secondary outcome [7]
373397
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Illness perception questionnaire
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Assessment method [7]
373397
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Timepoint [7]
373397
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Baseline, 6 and 12 months after completion of baseline assessment
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Secondary outcome [8]
373398
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Keele STarT MSK Screening Tool
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Assessment method [8]
373398
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Timepoint [8]
373398
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Baseline, 6 and 12 months after completion of baseline assessment
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Secondary outcome [9]
373399
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Hip and/or groin pain specific questionnaire. Hip and/or groin pain over previous week and month measured using a 11-point Numerical Pain Rating Scale; Hip and/or groin pain characteristics.
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Assessment method [9]
373399
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Timepoint [9]
373399
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Baseline, 6 and 12 months after completion of baseline assessment
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Secondary outcome [10]
373400
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Hip Sport Activity Scale
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Assessment method [10]
373400
0
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Timepoint [10]
373400
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Baseline, 6 and 12 months after completion of baseline assessment
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Secondary outcome [11]
373401
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International Physical Activity Questionnaire
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Assessment method [11]
373401
0
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Timepoint [11]
373401
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Baseline, 6 and 12 months after completion of baseline assessment
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Secondary outcome [12]
373402
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Global Rating of Change
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Assessment method [12]
373402
0
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Timepoint [12]
373402
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1 Week, 6 and 12 months after completion of baseline assessment
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Secondary outcome [13]
373403
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Short Form-36 (which will assess health-related quality of life)
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Assessment method [13]
373403
0
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Timepoint [13]
373403
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Baseline
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Secondary outcome [14]
373404
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Hip flexion active and passive range of movement (range of movement will be measured with an inclinometer at the end of active and passive movement range)
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Assessment method [14]
373404
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Timepoint [14]
373404
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Baseline
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Secondary outcome [15]
373405
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Hip internal and external passive range of movement in 90 degrees of hip flexion (range of movement will be measured with an goniometer at the end of passive movement range)
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Assessment method [15]
373405
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Timepoint [15]
373405
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Baseline
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Secondary outcome [16]
373406
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Bent knee fall out (range of movement will be measured with a measurement ruler at the end of active movement range)
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Assessment method [16]
373406
0
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Timepoint [16]
373406
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Baseline
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Secondary outcome [17]
373407
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Hip flexion muscle strength measured using a hand held dynamometer
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Assessment method [17]
373407
0
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Timepoint [17]
373407
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Baseline
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Secondary outcome [18]
379714
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Hip extension muscle strength measured using a hand held dynamometer
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Assessment method [18]
379714
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Timepoint [18]
379714
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baseline
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Secondary outcome [19]
379715
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Hip abduction muscle strength measured using a hand held dynamometer
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Assessment method [19]
379715
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Timepoint [19]
379715
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Baseline
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Secondary outcome [20]
379716
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Hip adduction muscle strength measured using a hand held dynamometer
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Assessment method [20]
379716
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Timepoint [20]
379716
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Baseline
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Secondary outcome [21]
379718
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Intra-articular hip pain (will be evaluated by using the Flexion-Adduction-Internal-Rotation (FADIR test)
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Assessment method [21]
379718
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Timepoint [21]
379718
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Baseline
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Secondary outcome [22]
379719
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Greater trochanteric pain syndrome examination (will be evaluated by using the Single leg stance for 30
seconds, Flexion-Adduction-External Rotation-Resisted (FADDER-R) test, Adduction-Resisted (ADD-R) test and palpation)
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Assessment method [22]
379719
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Timepoint [22]
379719
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Baseline
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Secondary outcome [23]
379720
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Groin pain clinical entity examination (will be performed to determine the presence of adductor-related, iliopsoas-related, pubic-related and inguinal-related groin pain)
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Assessment method [23]
379720
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Timepoint [23]
379720
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Baseline
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Secondary outcome [24]
379721
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Single leg repeated rise test (measuring how many repetitions of a single leg sit to stand movement can
be repeated)
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Assessment method [24]
379721
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Timepoint [24]
379721
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Baseline
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Secondary outcome [25]
379722
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Bony hip morphology (evaluated with anteroposterior pelvic and Dunn 45 degree view radiographs)
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Assessment method [25]
379722
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Timepoint [25]
379722
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Baseline
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Secondary outcome [26]
380104
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Hip and/or groin symptoms using the HAGOS-symptoms subscale.
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Assessment method [26]
380104
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Timepoint [26]
380104
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Baseline, 1 week, 6 and 12 months after completion of baseline assessment
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Secondary outcome [27]
380105
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Function in daily living (ADL) using the HAGOS-ADL subscale
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Assessment method [27]
380105
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Timepoint [27]
380105
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Baseline, 1 week, 6 and 12 months after completion of baseline assessment
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Secondary outcome [28]
380106
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Function in sport and recreation (Sports/Rec) using the HAGOS-Sports/Rec subscale
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Assessment method [28]
380106
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Timepoint [28]
380106
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Baseline, 1 week, 6 and 12 months after completion of baseline assessment
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Secondary outcome [29]
380107
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Participation in Physical Activities (PA) using the HAGOS-PA subscale
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Assessment method [29]
380107
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Timepoint [29]
380107
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Baseline, 1 week, 6 and 12 months after completion of baseline assessment
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Secondary outcome [30]
380108
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hip and/or groin-related Quality of Life (QOL) using the HAGOS-QOL subscale
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Assessment method [30]
380108
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Timepoint [30]
380108
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Baseline, 1 week, 6 and 12 months after completion of baseline assessment
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Eligibility
Key inclusion criteria
Patients must:
(i) be aged 18-55 years;
(ii) Self-reported hip and/or groin pain for greater than 6 weeks;
(iii) Self-reported average hip and/or groin pain over previous month of >3/10 on a 11-point numerical pain rating scale
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients will be excluded if they meet any of the following criteria:
(i) inability to understand English;
(ii) prior history of significant hip and/or groin condition such as congenital dislocation of the hip, Legg-Calve Perthes’ disease, slipped capital femoral epiphysis, avascular necrosis, acetabular fracture, hip dislocation or femoral neck fracture
(iv) prior history of hip and/or groin surgery (i.e. hip arthroscopy)
(v) physical inability to undertake testing procedures
(vi) expected increased likelihood of non-compliance such as a result of cognitive impairment, drug abuse or similar.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
A sample size of 90 participants will provide 80% power to detect a partial correlation coefficient of at least 0.30 or greater between the specified predictor of interest and change in pain or QOL in a regression model adjusted for confounding covariates at a=0.05 (Stata/IC 13.1). 100 participants will allow for a drop-out rate of 10%. The use of multilevel models of the outcome repeated over time will allow nonbiased estimates of the one year change in the presence of missing data and allow increased precision of estimates of association.
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
Participant recruitment difficulties
Safety concerns
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Date of first participant enrolment
Anticipated
28/02/2020
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Actual
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Date of last participant enrolment
Anticipated
28/02/2022
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Actual
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Date of last data collection
Anticipated
28/02/2023
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
TAS
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Recruitment postcode(s) [1]
29250
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7000 - Hobart
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Funding & Sponsors
Funding source category [1]
303391
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Charities/Societies/Foundations
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Name [1]
303391
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Physiotherapy Research Foundation
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Address [1]
303391
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201 Fitzroy St, St Kilda VIC 3182
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Country [1]
303391
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Australia
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Primary sponsor type
University
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Name
La Trobe University
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Address
La Trobe Sport and Exercise Medicine Research Centre
School of Allied Health, La Trobe University
Bundoora VIC 3086
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Country
Australia
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Secondary sponsor category [1]
303431
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University
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Name [1]
303431
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Curtin University
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Address [1]
303431
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Department of Physiotherapy,
Curtin University
Kent St, Bentley WA 6102
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Country [1]
303431
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Australia
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Other collaborator category [1]
281178
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Commercial sector/Industry
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Name [1]
281178
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Bodysystem Physiotherapy
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Address [1]
281178
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38 Collins ST
Hobart, TAS 7000
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Country [1]
281178
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Australia
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Other collaborator category [2]
281179
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Commercial sector/Industry
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Name [2]
281179
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Radiology Tasmania
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Address [2]
281179
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314 Macquarie Street
Hobart, Tas 7004
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Country [2]
281179
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303920
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La Trobe University Human Research Ethics Committee
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Ethics committee address [1]
303920
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La Trobe University Human Research Ethics Committee David Myers Central 230 Cnr Plenty Rd and Kingsbury Dve Bundoora, Vic 3086
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Ethics committee country [1]
303920
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Australia
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Date submitted for ethics approval [1]
303920
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24/05/2019
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Approval date [1]
303920
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02/09/2019
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Ethics approval number [1]
303920
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HEC19246
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Summary
Brief summary
Research Question Hip and/or groin pain is common in young and middle-aged people, and may represent hip osteoarthritis (OA) in its early stages. These people have persistent pain, difficulty participating in work and functional activity and have worse quality of life compared to healthy people. This is at a time of peak work and family commitments. Improving the capacity of these individuals to participate fully in work and functional activity will have large positive personal and societal benefits. If modifiable risk factors associated with pain, quality of life, functional and work participation limitations are identified in the early stages of hip OA, the impact of the disease could be reduced. This study aims to establish modifiable risk factors associated with worsening of pain and quality of life in people aged 18-55 years with hip and/or groin pain Methodology This prospective longitudinal cohort study will be conducted in Tasmania, Australia. 100 people aged 18-55 years with hip and/or groin pain, fulfilling eligibility criteria will be recruited. Participants will undergo baseline radiographs, clinical and demographic assessment and complete patient-reported outcome measures. Participants will be followed up at 6 and 12 (primary endpoint) months. Modifiable risk factors at baseline that predict increase in pain and worsening of quality of life (primary outcome) and changes in physical activity, sports participation, work participation and progression to hip surgery (secondary outcomes) at 6 and 12 months will be determined. Signficance of the project to physiotherapy This information will assist physiotherapists and other health professionals in providing targeted rehabilitation programs, and will enable informed decisions regarding resource provision to optimise future health care.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Joanne Kemp
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Address
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Latrobe Sport and Exercise Medicine Research Centre
School of Allied Health
La Trobe University
Bundoora VIC 3086
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Country
95254
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Australia
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Phone
95254
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+61 3 9479 1428
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Fax
95254
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Email
95254
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[email protected]
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Contact person for public queries
Name
95255
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Joshua Heerey
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Address
95255
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Latrobe Sport and Exercise Medicine Research Centre
School of Allied Health
La Trobe University
Bundoora VIC 3086
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Country
95255
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Australia
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Phone
95255
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+61 419 508 647
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Fax
95255
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Email
95255
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[email protected]
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Contact person for scientific queries
Name
95256
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Joanne Kemp
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Address
95256
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Latrobe Sport and Exercise Medicine Research Centre
School of Allied Health
La Trobe University
Bundoora VIC 3086
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Country
95256
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Australia
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Phone
95256
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+61 3 9479 1428
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Fax
95256
0
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Email
95256
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF