Spinal Cord Injuries Clinical Trial
— SMS_traumaOfficial title:
Self-management Program for Patients in the Sub-acute Phase After Moderate to Severe Traumatic Injury -a Feasibility Study
Verified date | May 2024 |
Source | Oslo University Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The goal of this descriptive non-randomized feasibility study is to assess aspects of feasibility of the intervention arm in a planned full-scale randomized controlled trial testing the effectiveness of a self-management program for persons who have sustained a moderate to severe traumatic injury. All outcomes will be evaluated based on pre-defined success criteria. The main outcomes in the feasibility study are: - Consent rate of eligible patients - Drop-out rate - Attendance rate in the program sessions Secondary outcomes are the participants' acceptance, reception, and perceived usefulness. Other outcomes are fidelity and protocol adherence, as well as the feasibility of a telehealth version of the program and the data collection methods. The participants will receive a group-based self-management program consisting of eight weekly 2.5-hour sessions delivered by a multidisciplinary team. The self-management program is manualized and includes psychoeducation, training in self-management skills and strategies, setting goals, action planning, and sharing of experiences. The participants will also complete the pre- and post-intervention assessments.
Status | Completed |
Enrollment | 11 |
Est. completion date | May 27, 2024 |
Est. primary completion date | February 20, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 72 Years |
Eligibility | Inclusion Criteria: 1. Adults between 18-72 years residing in the southeast region of Norway 2. Admitted to OUH directly or after transfer from local hospitals within 72 hours of injury 3. At least a two-day hospital stay 4. Traumatic injury corresponding to a New Injury Severity Scale score (NISS) >9 5. Patients reporting injury-related symptoms, functional impairments, and/or difficulties with daily activities at discharge from Oslo University Hospital 6. Time since injury 3-4 months post-injury at inclusion. Exclusion Criteria: 1. Cognitive function corresponding to a Mini Mental Status score <20 points 2. Severe psychiatric diseases or drug/alcohol dependence that require treatment 3. Complete spinal cord injury or isolated abdominal/thoracic injuries 4. Insufficient command of Norwegian. |
Country | Name | City | State |
---|---|---|---|
Norway | Oslo University Hospital | Oslo |
Lead Sponsor | Collaborator |
---|---|
Oslo University Hospital | South-Eastern Norway Regional Health Authority, Sunnaas Rehabilitation Hospital |
Norway,
Benight CC, Shoji K, James LE, Waldrep EE, Delahanty DL, Cieslak R. Trauma Coping Self-Efficacy: A Context-Specific Self-Efficacy Measure for Traumatic Stress. Psychol Trauma. 2015 Nov;7(6):591-599. doi: 10.1037/tra0000045. — View Citation
Bonatti H, Calland JF. Trauma. Emerg Med Clin North Am. 2008 Aug;26(3):625-48, vii. doi: 10.1016/j.emc.2008.05.001. — View Citation
Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M; Medical Research Council Guidance. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008 Sep 29;337:a1655. doi: 10.1136/bmj.a1655. — View Citation
Gabbe BJ, Simpson PM, Cameron PA, Ponsford J, Lyons RA, Collie A, Fitzgerald M, Judson R, Teague WJ, Braaf S, Nunn A, Ameratunga S, Harrison JE. Long-term health status and trajectories of seriously injured patients: A population-based longitudinal study. PLoS Med. 2017 Jul 5;14(7):e1002322. doi: 10.1371/journal.pmed.1002322. eCollection 2017 Jul. — View Citation
Geraerds AJLM, Richardson A, Haagsma J, Derrett S, Polinder S. A systematic review of studies measuring health-related quality of life of general injury populations: update 2010-2018. Health Qual Life Outcomes. 2020 May 29;18(1):160. doi: 10.1186/s12955-020-01412-1. — View Citation
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Fidelity of therapists' adherence | Quality of the treatment delivery will be assessed by fidelity monitoring of therapists' adherence and competency in delivering program content will be assessed by senior investigators rating of fidelity checklist, rated on a Likert scale from 0 (poor) to 2 (excellent).The fidelity checklist total mean score will determine the fidelity.
Highly feasible: Mean score 2 ("excellent") Moderately feasible: Mean score 1 ("good") Not feasible: Mean score 0 ("poor") |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion | |
Other | Protocol adherence by study-specific checklists. | Quality of the treatment delivery will be assess by therapists monitoring the discrepancies between intervention delivery and the intervention manual by using extensive checklists relating to each of the intervention sessions. The number of non-delivered treatment components will be counted, and the percentage of deviation will be calculated compared to the total number of intervention components per session.
Highly feasible: Less than 15% deviation Moderately feasible: 16-25% deviation Not feasible: More than 25% deviation |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion | |
Other | Feasibility of telehealth intervention by technical log over reported technical failures (by therapist). | Quality of the treatment delivery will be assessed by the feasibility of telehealth intervention. Therapist-recorded technical failures in using telehealth platform for intervention delivery will be used, where therapists record in a technical log the number of sessions interrupted due to technical failures per session.
Highly feasible: Restart of equipment in 0-1 session per group Moderately feasible: Restart in 2-3 sessions per group Not feasible: Restart in more than 4 sessions per group |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion | |
Other | Duration of baseline assessment | Evaluation of methods and assessment at baseline will be assessed by duration of the baseline assessment.
Highly feasible: Less than 2 h. Moderately feasible: 2-3 h. Not feasible: More than 3 h. |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion | |
Other | Duration of T2 (follow-up at end of intervention) | Evaluation of methods and assessment at the follow-up will be assessed by duration of the follow-up at the end of intervention.
Highly feasible: Less than 2 h. Moderately feasible: 2-3 h. Not feasible: More than 3 h. |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion | |
Primary | Consent rate of eligible | Recruitment procedures will be assessed by consent rate.
Highly feasible: More than 75-100 % consent rate Moderately feasible: 50-74% consent rate Not feasible: Less than 50% consent rate |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion | |
Primary | Drop-out rate | Recruitment procedures will be assessed by drop-out rate.
Highly feasible: Less than 25% drop-outs Moderately feasible: 35-26% drop-outs Not feasible: More than 35% drop-outs |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion | |
Primary | Attendance rate | Acceptability for participants will be assessed by percentage of sessions attended.
Highly feasible: 90% or more attendance Moderately feasible: 75%-89% attendance Not feasible: Less than 75% attendance |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion | |
Secondary | Patient acceptability and receipt | Acceptability for participants and therapist will be assessed by patient acceptability and receipt rated by therapist checklist. This scale is rated on a Likert scale from 0 to 3.
Highly feasible: Mean score 2 or above Moderately feasible: Mean score between 1 and 2 Not feasible: Mean score lower than 1 |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion | |
Secondary | Usefulness of intervention rated by participants | Usefulness of intervention rated by participants will be assessed by rating of each session on a Likert scale from 1 (not useful) to 5 (extremely useful). The total mean score of the scale will determine the perceived usefulness of each session (from session 1 to session 8).
Highly feasible: Mean score of 4 or above ("very useful" to "extremely useful) Moderately feasible: Mean score between 2 ("somewhat useful") and 3 ("moderately useful") Not feasible: Mean score lower than 2 ("not useful") |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion | |
Secondary | Recommendation to others | Usefulness of intervention rated by participants by answering question wether or not they would recommend program to others (yes or no).
Highly feasible: 80% or more positive to recommend program to others. Moderately feasible: 65-79% positive to recommend program. Not feasible: Less than 65% positive to recommend program. |
Will be evaluated after the intervention period, i.e. 2-3 months after inclusion |
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