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A Brief Intervention for Injury-Related Traumatic Stress: Results From a Feasibility Study
Chelsey Bull1, Kelly Urban, Laura Rohm
1Author Affiliations: Department of Psychiatry (Dr Bull and Ms Rohm), Department of Surgery (Dr Urban amd Ms Rohrer), College of Medicine, University of Arkansas for Medical Sciences; and Department of Psychiatry & Behavioral Sciences (Dr McBain), Rush University Medical Center, Chicago, Illinois.
A brief intervention, Talk, Listen, Communicate to Recover (TLC to Recover), is feasible and acceptable for patients at risk for post-traumatic stress disorder (PTSD) and depression in a surgical trauma clinic.
Area of Science:
- Trauma surgery
- Psychosocial interventions
- Mental health sequelae
Background:
- Post-traumatic stress disorder (PTSD) significantly impairs quality of life after injury.
- Access to psychosocial care is a challenge for many injured patients, especially in low-resource settings.
- Brief interventions may improve care accessibility.
Purpose of the Study:
- To assess staff and patient perceptions of implementing the Talk, Listen, Communicate to Recover (TLC to Recover) intervention.
- To evaluate the feasibility and acceptability of TLC to Recover at a Level I trauma center.
Main Methods:
- Mixed methods approach examining a brief dyadic intervention from April 2021 to April 2024.
- Included adult patients at risk for PTSD/depression and outpatient trauma clinic staff.
- Assessed recruitment, retention, engagement, and patient symptoms; used interviews and focus groups for qualitative data.
Main Results:
- The surgical clinic setting was found to be feasible and acceptable for delivering the intervention.
- 15 patients and 11 staff participated in evaluations.
- The intervention showed potential for mitigating post-injury mental health issues.
Conclusions:
- Brief post-injury psychosocial interventions can be implemented in surgical settings.
- Findings offer insights for integrating such interventions into trauma care pathways.
- The TLC to Recover intervention shows promise for improving patient outcomes.
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