Keele STarT MSK Tool©2017

Keele STarT MSK Tool©2017

Please enter your details below to register your request to download the Keele STarT MSK Tool©2017. Importantly please read the statement about the use of the tool below.
The Keele STarT MSK Tool©2017 will be freely available to public bodies (e.g. practitioners within the NHS), and to non-commercial research groups. License agreements will be developed with commercial users on a case by case basis.

Copyright

The copyright (©2017) of the Keele STarT MSK Tool (Self-Report and Clinician-completed versions) and associated materials is owned by Keele University, the development of which was funded by a grant from the National Institute for Health Research (NIHR; RP-PG-1211-20010), Arthritis Research UK (13413) and an NIHR research professorship (NIHR-RP-011-015).

i) the tool is designed for use by healthcare practitioners, with appropriate treatment packages for each of the stratified groups; ii) the tool is not intended to recommend the use of any particular product. This is a licensed tool (©2017 Keele University) that may not be modified or copied.

ii) The clinical and cost-effectiveness of using the tool to match patients to treatment is the focus of a full randomised controlled trial, as such Keele University reserve the right to withdraw, amend and update the tool in future.
Name *

Prefix First Name Last Name
Email *
example@example.com
Organisation Name *
Address *

Street Address

Street Address Line 2

City Country

Postal / Zip Code
What is your role within the organisation? *
Please state which tool you require: *

Self-Report version (designed for patients to self-administer) Clinician-Completed version (designed for clinicians to administer) Both
After evaluating the tool, would you consider working with Keele University to implement and evaluate it in your clinical setting? *

Yes No
Where did you hear about the tool? *
How do you intend to use the tool? *

Clinical Practice within the NHS (e.g. General Practice, Family Practice, Orthopeadics, Rheumatology, Physiotherapy, Chiropractic, Osteopathy etc.) Clinical Practice outside of the NHS or UK Research Purposes Commercial Use

Clinical Practice
Please specify the clinical population you will use the tool with (General Practice/Family Practice/Orthopeadics/Rheumatology/Physiotherapy/Chiropractic/Osteopathy/Other). *
Please indicate whether you intend to use the tool as part of a stratified approach and do you have the appropriate matched treatments in place? *

Academic/Research
Please specify your intended research use for this tool (e.g. translation, cultural adaptation, external validation, other) *

Commercial
Brlefly describe your commercial operation and how you intend to use the tool (.e.g. workers compensation, health insurance, other) *

Terms and Conditions

This agreement is between your organisation and the University of Keele, a university established by the University of Keele Act 1962 (10&11 Eliz.2 Ch Xv) and the granting of a Royal Charter in 1962 of Keele, Staffordshire ST5 5BG ("Keele") and sets out terms that the parties have agreed upon to cover the licensing arrangements for the STarT MSK Tool which is owned by Keele.

The License Agreement shall be effective until August 31st 2021. It may be terminated by either party upon one (1) months' written notice to the other Party.

Keele University may also collect personal information supplied through the use of web-based forms. This information will not be supplied to any third party, and will only be used for subsequent communications. The data will be kept for no longer than is required and in compliance with DPA. In submitting your personal information online, you are agreeing that University staff may use your details for the sole purpose of conducting the business of the University. If at any time you no longer wish to receive information from Keele University, please respond to any email and state that you wish to 'unsubscribe'.
I have read, understood and agree that my organisation will adhere to these terms *

I agree I do not agree
Once you have agreed to these terms and conditions, you will receive an email confirming receipt of your request. This request is sent to our research team to review, who will then send you details of how to obtain the tool.

If you have any queries, then please email health.startmsk@keele.ac.uk in the first instance.
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

Keele STarT MSK Tool©2017

Clinical Practice

Academic/Research

Commercial