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University of Warwick

Big TOE Trial

Big Toe OstEoarthritis trial.

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The Big TOE Trial is comparing different shoe inserts and their ability to reduce pain caused by osteoarthritis in the big toe joint.

Osteoarthritis in the big toe joint can make walking painful and restrict everyday activities. Current treatments vary, and there is limited evidence about which non-surgical options work best.

The BigTOE Trial will recruit participants across NHS sites to test whether specially designed shoe inserts that stiffen the shoe can help reduce pain and improve function. The study will compare these inserts with a control insert to understand whether they provide a meaningful benefit for people living with this condition.

Morph solution

Morph worked with the BigTOE Trial team to develop a digital Participant Information Tool and animation to support recruitment and help potential participants understand the study.

  • Participant Information Tool (PIT) – a structured digital information tool that explains the study step by step. The tool introduces the condition, the purpose of the research and explains what taking part involves, allowing participants to explore the information at their own pace.
  • Explainer Animation – a short animation introducing big toe osteoarthritis and explaining how the BigTOE Trial is testing carbon fibre shoe inserts. The animation provides a simple overview of the research and helps people quickly understand the study and what participation involves.

The PIT and animation were produced in English and Welsh switchable by the user.

Morph are great to work with. They really understand clinical trials and make an excellent end product"

Associate Professor Mike Backhouse, University of Warwick

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Next steps...

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