Specialty: Trauma and Emergency Care, Primary sub-specialty: Emergency Medicine
Conditions
Interventions
The ROWTATE intervention is a specialist vocational rehabilitation intervention plus usual care.
The ROWTATE intervention will be compared to a usual care (control) group.
Intervention group: The
Sponsors
Nottingham University Hospitals NHS Trust
Eligibility
Sex/Gender
All
Age
16 Years to 69 Years
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 19/06/2023: 1. Aged 16 – 69 years 2. In work (paid or unpaid) or full time education at the time of injury 3. Admitted to MTC within the last 12 weeks 4. Injury Severity Score (ISS) >8 at admission 5. Have capacity to provide informed consent to participate in the study. 6. Have a fixed address 7. Have sufficient proficiency in English to contribute to the data collection or be willing to use an approved interpreting service for data collection. 8. Resides in MTC catchment area 9. Not returned to work/voluntary work/education for =80% of pre injury hours) 10. No plans to retire within the next 12 months _____ Previous inclusion criteria: 1. Aged 16 – 69 years 2. Admitted to a participating MTC within the last 12 weeks with an ISS > 8 at admission 3. In work at time of injury (including self-employed, full-time education and voluntary work) 4. Has not returned to work/voluntary work/education 5. No plans to retire within the next year 6. Not participating in other vocational rehabilitation trials 7. Have sufficient proficiency in English to contribute to the data collection required for research or be willing to use an approved interpreting service for data collection 8. Have capacity to provide informed consent to participate in the study 9. Resides in MTC catchment area
Exclusion criteria
Exclusion criteria: 1. No fixed address at the time of screening 2. Returned to work/voluntary work/education for =80% of pre-injury hours
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 19/06/2023: To determine whether the ROWTATE intervention plus usual care is more effective than usual care alone at improving participants self-reported work/education outcomes 12 months after randomisation. Self-reported return to work/education of =80% of pre-injury hours at 12 months post randomisation. _____ Previous primary outcome measure: The number of participants who have returned to employment/full-time education at >=80% of pre-injury working hours, 12 months post randomisation self-reported by the participants via completion of study questionnaires | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 19/06/2023: 1. To determine whether the intervention improves other employment/education outcomes: Number of hours returned to work/education, percentage of pre-injury hours returned to work/education, work/education intentions, job/education retention, job/education changes (role/course, hours), time to return to work/education, retirement, sickness absence, (bespoke questions). 2. To determine whether the intervention improves psychological wellbeing: The Patient Health Questionnaire (PHQ-9), The Generalised Anxiety Disorder Assessment (GAD-7), Impact of Event Scale-6 (IES (6 item scale)) 3. To determine if the intervention improves work self-efficacy: Work Ability Index (items 1 and 2) 4. To determine if the intervention reduces the financial impact of injury: Financial chronic stress scale (3 item scale) 5. To determine whether the intervention improves purpose in life: Purpose in Life Test -Short Form scale (4 item scale) Health Economics 6. To determine the resource implication of the intervention compared to usual care from a health and societal perspective: Purposely designed Health Economic Resource Proforma 7. To determine if intervention is cost effective compared to usual care: Cost-effectiveness analysis, Cost-utility analysis 8. To determine if the intervention improves health related quality of life: EuroQoL 5-dimension health questionnaire, 5 level (EQ-5D-5L) 9. Embedded process evaluation and implementation study Acceptability of the intervention, content of usual care and the intervention, intervention fidelity, competency to deliver the intervention, and facilitators and barriers to the delivery of the intervention will be measured using an embedded mixed-methods process evaluation and implementation study. This will include using a range of methods including observations, qualitative interviews with participants, service providers, employers, carers, GPs and commissioners, study mentors and study therapi | — |
Countries
England, United Kingdom
Outcome results
None listed