创伤患者的早期职业康复和心理支持,以改善恢复工作 (ROWTATE试验):对个别随机对照的多中心实用试验的研究协议
Denise Kendrick1, Rebecca Lindley2, Lauren Blackburn3
1Centre for Academic Primary Care, Lifespan and Population Health, School of Medicine, University Park, Nottingham, NG7 2RD, UK. Denise.Kendrick@nottingham.ac.uk.
Trials
|July 3, 2024
概括
这项研究调查了重创患者的职业康复 (VR),旨在改善恢复工作. 结果将为NHS中创伤幸存者的VR服务采用提供信息.
科学领域:
- 创伤护理和康复治疗
- 职业治疗是一种职业疗法.
- 在康复过程中提供心理支持.
背景情况:
- 严重的创伤 (伤害严重性评分>8) 经常会导致长期的身体和心理问题,阻碍重返工作.
- 职业康复 (VR) 对一些伤害有效,但对于更广泛的重大创伤群体缺乏证据.
- ROWTATE试验通过评估早期的VR和对重大创伤幸存者的心理支持来解决这一差距.
研究的目的:
- 确定早期职业康复 (VR) 和心理支持是否有助于重创患者恢复工作/教育.
- 为了评估ROWTATE VR干预的有效性,与单独的通常护理相比.
- 为重创幸存者提供VR临床和成本效益的证据.
主要方法:
- 一个多中心,务实,随机对照试验 (ROWTATE) 涉及722名参与者,ISS>8.
- 参与者按1:1随机分配,接受早期VR和心理支持加上常规护理,或仅接受常规护理.
- 在12个月内由职业治疗师和心理学家提供干预,并在3,6个月和12个月后进行随访.
主要成果:
- 主要结局:12个月后,自我报告的恢复工作/教育至少80%的受伤前小时.
- 二次结果:各种与工作有关的措施,心理健康 (焦虑,抑郁症,PTSD),生活质量和资源使用.
- 包括经济和流程评估,以评估成本效益和实施.
结论:
- 该试验将产生强有力的证据,证明VR对重创患者的疗效.
- 调查结果将指导专员和提供者在NHS内采用VR服务.
- 成功的VR干预可以显著改善这一患者群的就业结果.
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