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

Ortopediska kliniken
Södersjukhuset
Stockholm
118 83
Sweden

Email carin.ottosson@sodersjukhuset.se

Study information

Study designRandomised Controlled Trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific title
Study objectivesWe 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) studiedTraffic related minor musculoskeletal injuries
InterventionEligible 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 typeOther
Primary outcome measureThe 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 measuresSecondary 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 date01/09/2002
Completion date31/01/2004

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexBoth
Target number of participants135
Key inclusion criteriaPotentially 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 criteria1. 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 enrolment01/09/2002
Date of final enrolment31/01/2004

Locations

Countries of recruitment

  • Sweden

Study participating centre

Ortopediska kliniken
Stockholm
118 83
Sweden

Sponsor information

Karolinska Institutet (Sweden)
University/education

Department of Clinical Science and Education
Södersjukhuset
Stockholm
118 83
Sweden

Email sari.ponzer@sodersjukhuset.se
Website http://ki.se/
ROR logo "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 shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot 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