A multidisciplinary group intervention program to promote recovery after minor traffic injuries: a randomised controlled trial
| ISRCTN | ISRCTN23549738 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN23549738 |
| Secondary identifying numbers | N/A |
- Submission date
- 04/09/2006
- Registration date
- 22/09/2006
- Last edited
- 10/05/2007
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Carin Ottosson
Scientific
Scientific
Ortopediska kliniken
Södersjukhuset
Stockholm
118 83
Sweden
| carin.ottosson@sodersjukhuset.se |
Study information
| Study design | Randomised Controlled Trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Treatment |
| Scientific title | |
| Study objectives | We hypothesised that in patients with combinations of risk factors for a protracted course, a multidisciplinary intervention with information about the injury, pain management and activity level, and support of healthy instead of illness behaviour, during the acute phase of rehabilitation might shorten the time to recovery. The objective of this study was to assess the efficacy of such an intervention in patients with acute traffic related minor musculoskeletal injuries, rated to be at high risk for delayed recovery, based on the scores obtained in a newly developed prediction ruler (Prediction of Prolonged Self-perceived recovery after musculoskeletal injuries [PPS]). |
| Ethics approval(s) | The study was approved by the local Ethics Committee, the Karolinska Institute, on the 11th June 2001 (reference number: 240/01). |
| Health condition(s) or problem(s) studied | Traffic related minor musculoskeletal injuries |
| Intervention | Eligible patients were randomised to an intervention or a control group. Both groups received standard medical treatment according to the routines at the department. The intervention (multidisciplinary treatment) group also received the following program: A team consisting of an orthopaedic surgeon (study doctor), an anaesthetist specialised in pain treatment, physiotherapist, study nurse and a psychologist carry out the intervention program consisting of group "lectures" where different topics are highlighted. The aim of this "traffic injury school" is to, in a systematic and supportive manner, provide an information and discussion forum for topics that are relevant to all study patients regardless of the type of injury. The program consists of four short (about two hours) sessions once a week during a four-week period. The first lecture consists of an introduction to the program and a discussion about different coping mechanisms. The following three lectures deal with issues related to pain and pain treatment, the importance of physical training, how fractures and soft tissue injuries heal, and the interaction between mental and physical health. All sessions are lead by the study doctor, anaesthetist, physiotherapist or psychologist and the study nurse participates in all sessions. After the introduction session the patients may participate in consecutive sessions or they can choose to come to later sessions as the groups are "open" and the "school" runs on a three week rolling schedule. After every session the patients rate their "control over the situation". If the patient is in need of individual treatment (orthopaedic surgeon, physiotherapist, psychologist) an appointment can be arranged by the hospital. |
| Intervention type | Other |
| Primary outcome measure | The primary outcome measure was the patients self-perceived recovery at 12 months measured by the single question: "Do you feel recovered after the injury?" (yes/no). |
| Secondary outcome measures | Secondary outcome measures were: 1. The Short Form health survey (SF-36) 2. The Short Musculoskeletal Function Assessment (SMFA)questionnaire 3. The Visual Analogue Scale (VAS) ratings regarding physical and mental distress and coping ability 4. Self-reported duration of sick leave |
| Overall study start date | 01/09/2002 |
| Completion date | 31/01/2004 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Not Specified |
| Sex | Both |
| Target number of participants | 135 |
| Key inclusion criteria | Potentially eligible patients had sustained traffic related minor musculoskeletal injuries (Injury Severity Scale [ISS] score less than nine) less than 24 hours before arrival to the emergency department. Consecutive patients were evaluated, but to be eligible for randomisation the patients had to have a high risk of prolonged recovery according to the PPS Questionnaire. |
| Key exclusion criteria | 1. A major musculoskeletal injury (ISS more than nine) 2. Aged over 18 years 3. Inability to read and understand spoken Swedish 4. Impaired cognitive function as judged by the investigators |
| Date of first enrolment | 01/09/2002 |
| Date of final enrolment | 31/01/2004 |
Locations
Countries of recruitment
- Sweden
Study participating centre
Ortopediska kliniken
Stockholm
118 83
Sweden
118 83
Sweden
Sponsor information
Karolinska Institutet (Sweden)
University/education
University/education
Department of Clinical Science and Education
Södersjukhuset
Stockholm
118 83
Sweden
| sari.ponzer@sodersjukhuset.se | |
| Website | http://ki.se/ |
"ROR" |
https://ror.org/056d84691 |
Funders
Funder type
Research organisation
This study was supported by grants from:
No information available
AFA Reseach foundation
No information available
Cancer & Traffic injury fund
No information available
Försäkringsmedicinska Sällskapet.
No information available
These grants have been directed solely to Department of Orthopaedics, Karolinska Institutet at Stockholm Söder Hospital. The funders had no involvement in the study.
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | Results: | 23/03/2007 | Yes | No |
