[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100627665":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":20,"centralContacts":25,"locations":30,"responsibleParty":62,"collaborators":65,"id":68,"slug":19,"hasResults":69,"nctId":70,"briefTitle":71,"officialTitle":72,"acronym":73,"eligibilityCriteria":74,"healthyVolunteers":69,"sex":75,"minAge":76,"maxAge":19,"enrollmentInfo":77,"targetDuration":19,"studyType":80,"phases":81,"briefSummary":83,"conditions":84,"keywords":90,"overallStatus":96,"whyStopped":19,"lastUpdateSubmitDate":97,"lastUpdatePostDateStruct":98,"startDateStruct":101,"completionDateStruct":103,"leadSponsor":105,"locationsCount":106},{"fullName":5,"class":6},"Universidad Autonoma de Madrid","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"GAP-421 Intervention","EXPERIMENTAL","All participants receive the GAP-421 (Personalized Care Management) organizational intervention. The GAP-421 is a time-limited 6-week window that reorganizes existing primary care resources for chronic pain management through four phases: activation (Day 0), characterization (Week 1), intervention with coordinated care (Weeks 2-4), and closure with sustainability plan (Weeks 4-6). No new clinical intervention is introduced; rather, the sequence, temporality, and coordination of actions already defined in the Service Portfolio are reorganized. The physiotherapist serves as the primary process manager. Three primary care centers implement the model in a staggered fashion.",[13],"Other: GAP-421 Personalized Care Management Model",[15],{"type":6,"name":16,"description":17,"armGroupLabels":18,"otherNames":19},"GAP-421 Personalized Care Management Model","It reorganizes existing resources through a 6-week window:\n\nPhase 1 - Activation (Day 0): The lead physiotherapist identifies 2 or more organizational mismatch signals. Documented in a standardized GAP Activation Form.\n\nPhase 2 - Characterization (Week 1): Comprehensive assessment in protected time slot (45-60 min). Establishment of shared clinical message across professionals.\n\nPhase 3 - Coordinated Intervention (Weeks 2-4): Therapeutic education, graded exercise, pharmacological adjustment if indicated Phase 4 - Closure (Weeks 4-6): Semi-annual plan with milestones, de-escalation criteria. Return to standard Service 421 circuit Key organizational features: The physiotherapist becomes the primary process manager for the chronic pain episode.",[9],null,[21],{"name":22,"affiliation":23,"role":24},"Raúl Ferrer-Peña, Dr","Gerencia Asistencial de Atención Primaria","PRINCIPAL_INVESTIGATOR",[26],{"name":22,"role":27,"phone":28,"phoneExt":19,"email":29},"CONTACT","+34607712148","raul.ferrer@salud.madrid.org",[31,47],{"facility":32,"status":19,"city":33,"state":34,"zip":19,"country":35,"cosmosGeoPoint":36,"geoPoint":41,"contacts":42},"CS Valleaguado","Coslada","Madrid","Spain",{"type":37,"coordinates":38},"Point",[39,40],-3.56129,40.42378,{"lat":40,"lon":39},[43],{"name":44,"role":27,"phone":45,"phoneExt":19,"email":46},"Patricia Moreno-Carrero","+34 617 77 90 96","pmcarrero@salud.madrid.org",{"facility":48,"status":19,"city":34,"state":34,"zip":19,"country":35,"cosmosGeoPoint":49,"geoPoint":53,"contacts":54},"Centro de Salud Buenos Aires - Physiotherapy Unit",{"type":37,"coordinates":50},[51,52],-3.70256,40.4165,{"lat":52,"lon":51},[55,59],{"name":56,"role":27,"phone":57,"phoneExt":19,"email":58},"Raqueñ Blázquez-Cembellin","+34 651 95 59 14","raquel.blazquezcem@salud.madrid.org",{"name":60,"role":61,"phone":19,"phoneExt":19,"email":19},"Raquel Blázquez-Cembellin","SUB_INVESTIGATOR",{"type":24,"investigatorFullName":63,"investigatorTitle":64,"investigatorAffiliation":5,"oldNameTitle":19,"oldOrganization":19},"Raúl Ferrer-Peña","Professor",[66],{"name":67,"class":6},"Colegio de Fisioterapeutas de la Comunidad de Madrid","100627665",false,"NCT07451587","Personalized Care Management Model (GAP-421) for Chronic Pain in Primary Care Physiotherapy","Multicenter Mixed-Methods Pilot Study Evaluating a Personalized Care Management Model (GAP-421) for Chronic Pain in Primary Care Physiotherapy: Feasibility, Care Coordination, and Patient-Reported Outcomes","GAP-421","Inclusion Criteria:\n\n* Adults aged 18 years or older\n* Enrolled in Service 421 of the Madrid Primary Care Service Portfolio (chronic non-cancer pain of at least 3 months duration)\n* Pain intensity NRS of 4 or higher in the last 2 weeks OR functional limitation score of 2 or higher (Annex 54, SERMAS Service Portfolio)\n* Ability to understand and sign informed consent\n* Ability to complete study questionnaires in Spanish\n\nExclusion Criteria:\n\n* Active cancer pain\n* Documented moderate-to-severe cognitive disorder (ICD-10 diagnosis or registered functional assessment)\n* Decompensated psychiatric disorder that, in the clinical judgment of the physiotherapist and\u002For family physician, interferes with study participation\n* Immediate clinical emergency at enrollment\n* Simultaneous participation in another clinical trial or organizational intervention study\n* Anticipated inability to complete 3-month follow-up (planned relocation, imminent institutionalization)\n* Explicit refusal to participate","ALL","18 Years",{"count":78,"type":79},66,"ESTIMATED","INTERVENTIONAL",[82],"NA","This multicenter pilot study evaluates the feasibility, implementation fidelity, and preliminary effects of the GAP-421 (Personalized Care Management) model for chronic pain management in primary care physiotherapy. The GAP model is a time-limited organizational modality that reconfigures schedules, resources, and professional roles during a defined 6-week window to organize care around the individual patient and their trajectory, formalizing coordination work that previously occurred informally.\n\nThe study uses a convergent mixed-methods design across three primary care health centers in the Southeast Healthcare District (DASE) of the Community of Madrid, Spain. The quantitative component is a prospective multicenter pre-post case series with 3-month follow-up (n=66 patients, 22 per center). The qualitative component includes semi-structured interviews (n=12) and focus groups (3 groups, n=6 each). Integration occurs through Joint Display, Pillar Integration Process, and a 9-type legitimation framework.\n\nThe primary outcome is patient-perceived care coordination measured on a 0-10 numerical scale (PREM). Secondary outcomes span five domains: patient-reported outcomes (EQ-5D-5L, Graded Chronic Pain Scale, pain intensity), professional outcomes (coordination burden, role clarity), system sustainability (avoidable re-consultations, emergency department use), implementation fidelity, and feasibility indicators.\n\nResults will generate feasibility parameters, intraclass correlation coefficient estimates, and process indicators essential for designing definitive cluster-randomized trials testing organizational interventions in primary care physiotherapy.",[85,86,87,88,89],"Chronic Pain","Chronic Non-cancer Pain","Care Coordination","Primary Health Care","Musculoskeletal Pain",[91,85,92,87,93,94,95],"Physiotherapy Management","Primary Care","Invisible Work","Organizational Model","Mixed Methods","NOT_YET_RECRUITING","2026-02-28",{"date":99,"type":100},"2026-03-05","ACTUAL",{"date":102,"type":79},"2026-09",{"date":104,"type":79},"2029-08",{"name":5,"class":6},2]