Community Participation for People with Trauma Injuries: A Study Protocol of a Crossover Randomised Controlled Trial of the Effectiveness of a Community Mobility Group Intervention (CarFreeMe TI)

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2019-03-01 DOI:10.1017/BrImp.2019.1

Stacey George, C. Barr, A. Berndt, M. Crotty, R. Milte, Amy Nussio, J. Liddle

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引用次数: 1

Abstract

Background: Following traumatic brain and spinal cord injuries, maximising community participation leads to better physical and mental health outcomes. Objectives: To determine the effectiveness and health system resource use of a group intervention (CarFreeMe TI) on community participation in people with complex trauma injuries. Method: Randomised crossover trial of 54 participants, recruited from rehabilitation services in Adelaide, Australia. Inclusion criteria is a trauma injury, unable to return to full driving, aged over 18 years of age, adequate cognition/behavioural/communication abilities to participate in sessions and mobile. Exclusion criterion is living in setting where alternative transport is provided. Participants will be randomly assigned on a 1:1 allocation basis, to receiving Phase 1 CarFreeMe TI-group-based intervention or Phase 2 information related to transport options. Then, crossover to Phase 1 or 2 will occur. Primary outcome measure is community participation using a Global Positioning System. Secondary outcome measures include Community Mobility Self-efficacy Scale; CarFreeMe TI Transport Questionnaire, AQOL, EQ-5D-5L; Carer's Community Mobility Self-efficacy Scale and Modified Carer Strain Index for carers of participants. Outcome assessors will be blinded to group allocation. All analyses will be on an intention to treat basis with difference in community participation between the groups determined via a GLM ANOVA and the significance between groups on other measures using independent sample t-tests. It is hypothesised that the community mobility intervention (CarFreeMeTI) will result in increased community participation. Discussion: The results will provide proof of concept information on the feasibility and inform allocation of resources for people with complex trauma injuries. Trial registration: Australian and New Zealand Clinical Trials Register (ANZCTR): ACTRN12616001254482.

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创伤患者的社区参与:社区流动团体干预(CarFreeMe TI)有效性的交叉随机对照试验研究方案

背景:创伤性脑和脊髓损伤后，最大限度的社区参与可以带来更好的身心健康结果。目的:确定团体干预(CarFreeMe TI)对复杂创伤患者社区参与的有效性和卫生系统资源利用。方法:随机交叉试验54名参与者，从澳大利亚阿德莱德的康复服务机构招募。纳入标准是创伤性损伤，无法恢复完全驾驶，年龄超过18岁，有足够的认知/行为/沟通能力参加会议和移动。排除标准是居住在提供替代交通工具的环境中。参与者将按1:1的比例随机分配，接受第一阶段CarFreeMe基于ti组的干预或第二阶段有关交通选择的信息。然后，将发生阶段1或阶段2的交叉。主要结果衡量指标是使用全球定位系统的社区参与。次要观察指标包括社区流动自我效能量表;CarFreeMe TI交通问卷，AQOL, EQ-5D-5L;被试照顾者社区流动自我效能量表及修正照顾者压力指数。结果评估者将对分组分配不知情。所有的分析都是基于通过GLM方差分析确定的组间社区参与差异和使用独立样本t检验的其他措施确定的组间显著性。假设社区流动干预(CarFreeMeTI)将导致社区参与的增加。讨论:结果将提供可行性的概念证明信息，并为复杂创伤损伤患者的资源分配提供信息。试验注册:澳大利亚和新西兰临床试验注册(ANZCTR): ACTRN12616001254482。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.