Moderate to severe traumatic injury (injury severity score >8) Injury, Occupational Diseases, Poisoning Moderate to severe traumatic injury
Conditions
Interventions
Current interventions as of 02/12/2020:
The ROWTATE intervention will commence within 12 weeks of injury and be tailored in duration and frequency according to individual need over a 12-month period.
Sponsors
Nottingham University Hospitals NHS Trust
Eligibility
Sex/Gender
All
Age
16 Years to 69 Years
Inclusion criteria
Inclusion criteria: 1. Aged 16-69 years 2. Admitted to a participating major trauma centre with an Injury Severity Score >8 on admission 3. Employed, self-employed, in full-time education or voluntary work at the time of injury 4. No plans to retire within the next year 5. Not participating in other vocational rehabilitation trials 6. 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 7. Not returned to work/voluntary work/education for =80% of pre-injury hours 8. Able to give informed consent Added 02/12/2020: 9. Resident in the MTC catchment area
Exclusion criteria
Exclusion criteria: No fixed address
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 02/12/2020: 1. Occupational therapist and clinical psychologist knowledge, skills, professional role, social influences and environmental context in relation to tele-rehabilitation and tele-psychology plus current practice, barriers and facilitators and options in terms of delivering the adapted intervention; measured using interview pre and post training 2. Occupational therapist and clinical psychologist views on training to use the adapted intervention, measured using interview post training 3. The number, content and mode of delivery of occupational therapist and clinical psychologist contacts with patients and employers, fidelity of the intervention and problems and potential solutions in relation to the delivery of the intervention, measured 0-12 months post patient recruitment 4. Occupational therapist, clinical psychologist, patient and employer views of the acceptability of and barriers and facilitators to delivery of the adapted ROWTATE intervention, measured using interview 1-3 months post patient recruitment Previous primary outcome measures: 1. Recruitment rate and and follow-up rate at 3 months 2. Patient preferences for paper/online/telephone versions of the outcome data collection tools, number and type of reminders required and data completeness. Measured using self-completion questionnaires at recruitment and 3 months follow-up 3. Patient, occupational therapist, clinical psychologist, employer and commissioner experiences of the ROWTATE intervention and of returning to work (or not); factors facilitating or hindering engagement with the intervention or return to work; perceived appropriateness of timing of return to work; mechanisms considered important in determining key outcomes; importance and acceptability of outcome measures; acceptability of trial procedures; policy drivers for commissioning vocational rehabilitation, and service quality factors and contracting issues of importance. Measured using sem | — |
Secondary
| Measure | Time frame |
|---|---|
| All feasibility study outcomes are listed as primary outcomes | — |
Countries
England, United Kingdom
Outcome results
None listed