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Changing Anxiety Response with Emotional Support (CARES)

Investigating the impact of psychosocial intervention for patients reporting anxiety in hospital following a traumatic injury on 6 month reported anxiety levels (compared to a retrospective cohort)

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12626000170325
Acronym
CARES
Enrollment
200
Registered
2026-02-10
Start date
2026-02-11
Completion date
2027-02-12
Last updated
2026-02-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Mental health disorders are seen in up to 30-50% of people involved in traffic accidents. Post-traumatic stress disorder (PTSD) and depression are common mental health disorders experienced by survivors of traumatic incidents and are predictive of poor recovery. Research suggests that providing psychosocial rehabilitation programs and early intervention/identification is paramount. This study will involve providing Social work and psychology input to patients who report anxiety following a traumatic injury. This will occur at 4-6 weeks post acute hospital discharge. The outcome will be their self reported anxiety/distress at 6 months post injury.

Interventions

Study participants will receive an intervention phone call from a Social Worker or Clinical Psychologist within 5-7 days of completing the screening tools [EuroQOL 5 Dmension 5 Level((EQ5D-5L), Primary Care PTSD screen for DSM-5 (PC-PTSD-5), Kessler 10 (K10) and Multidimensional Scale of Perceived Social Support )MSPSS)] in order to triage the participant for social work or psychology intervention and undertake initial goal setting. If scores indicate high distress, the research assistant or pro

Study participants will receive an intervention phone call from a Social Worker or Clinical Psychologist within 5-7 days of completing the screening tools [EuroQOL 5 Dmension 5 Level((EQ5D-5L), Primary Care PTSD screen for DSM-5 (PC-PTSD-5), Kessler 10 (K10) and Multidimensional Scale of Perceived Social Support )MSPSS)] in order to triage the participant for social work or psychology intervention and undertake initial goal setting. If scores indicate high distress, the research assistant or project lead will alert the Social worker (SW) and/or psychologist for priority call for risk assessment and treatment as indicated. The appropriate clinician and interventions to be delivered will be identified based on the results from the questionnaires. Social Work interventions include assessment and interventions related to housing/financial/legal issues, social supports, or emotional support. Clinical Psychology interventions include psychosocial support with focus on psychoeducation, psychological first aid, trauma informed emotional support and coping strategies. Both interventions will provide the patient with personalised resources, dependent on patient needs eg information regarding child support, family violence, Lifeline etc. The sessions will take place via phone call unless the patient has a strong desire for face to face meetings which could be facilitated. Depending upon the levels of distress and/or concerns raised by the participants in both response to the questionnaires and/ in the phone contact, psychology and/social work interventions will be provided as deemed clinically necessary. Community referrals will be facilitated as required, and duration and frequency of sessions will be considered in line with psychology and social work professional duty of care standards, hence the total duration is unknown but we anticipate that the follow up will be less than 2 months. Session completion records including length and number of treatments will be recorded.

Sponsors

Alfred Health
Lead SponsorHospital

Study design

Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

All patients admitted to the trauma unit at The Alfred between 1/2/2026 to 31/1/2027 who meet study eligibility criteria will be approached regarding study inclusion: Inclusion criteria - Age 18 years or older - Admitted to The Alfred trauma ward following a traumatic incident - Able to provide written informed consent - EQ-5D is a routinely administered questionnaire as part of usual care: threshold for study inclusion is an anxiety/depression score =moderate on hospital admission or discharge (approximately 250 patients/year) - Valid Medicare card

Exclusion criteria

discharge destination is prison unable to consent for themselves

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 19, 2026