Toolkit for Optimal Recovery after Orthopedic Injury; A multi-site feasibility study to prevent persistent pain and disability
骨科损伤后最佳恢复工具包;
基本信息
- 批准号:10918399
- 负责人:
- 金额:$ 2.99万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-05-01 至 2025-04-30
- 项目状态:未结题
- 来源:
- 关键词:AcuteAddressAdherenceAdoptionAdultAgreementAnxietyAreaBenchmarkingBone TissueBostonBypassCaringClinicClinicalClinical TrialsCollaborationsDataDevelopmentEducationEducational MaterialsEffectivenessElementsEnsureEthnic OriginFeasibility StudiesFeedbackFocus GroupsFutureGeneral HospitalsGeographyGoalsHealth Care CostsHomeHospitalizationHybridsIndividualInfrastructureInjuryInterventionInterviewKentuckyMassachusettsMedicalMedical StaffMedical centerMethodological StudiesMind-Body InterventionNational Center for Complementary and Integrative HealthNursesOperative Surgical ProceduresOrthopedic SurgeryOrthopedicsOutcomePainPamphletsPatientsPersistent painPhasePhysical FunctionPlayPopulationPositioning AttributePreparationProceduresProctor frameworkProtocols documentationProviderPsychologistPsychosocial Assessment and CarePsychosocial FactorPublic HealthRandomizedRandomized, Controlled TrialsRecommendationRecoveryReportingResearchRiskRoleSamplingSecureSeveritiesSignal TransductionSiteSurgeonTestingThinkingTrainingTraumaTrauma patientTraumatic injuryWorkarmaustinbiopsychosocialchronic paindepressive symptomsdesigndisabilityeffectiveness trialefficacy studyefficacy testingefficacy trialexperiencefeasibility testingfeasibility trialimplementation outcomesimplementation scienceimplementation strategyimprovedindividual patientinformation gatheringinjury recoveryinnovationintervention deliverymedical appointmentmedical schoolsmind/bodymultidisciplinarymusculoskeletal injuryopioid usepain catastrophizingpost-traumatic symptomspreventprogramspsychologicpsychosocialracial diversityrecruitsatisfactionsoft tissuesuccesstherapy developmenttrauma centerstrauma unitstreatment as usualvirtual
项目摘要
PROJECT SUMMARY
Using the NCCIH U01 mechanism, we aim to establish benchmarks to allow for successful implementation of a future
scientifically rigorous multi-site hybrid efficacy-effectiveness trial (UG3/UH3 mechanism) of the live video, individual
mind body program Toolkit for Optimal Recovery after Injury (TOR) versus a minimally enhanced usual care control
(MEUC) delivered to individual patients with acute orthopedic musculoskeletal injuries at risk for chronic pain and
disability. Our pilot feasibility trial at the Massachusetts General Hospital (MGH) Level 1 Trauma Clinic provided
evidence for feasibility, acceptability, signal of improvement after TOR participation, and allowed us to identify
limitations and barriers to recruitment and study implementations, which informed the current proposal. The multi-site
feasibility study will be conducted at 3 geographically diverse Level 1 trauma centers: MGH (MA), Dell Medical School
(TX), Lexington (KY). First, using elements of Proctors’ Implementation Outcomes Framework we will conduct focus
groups with orthopedic surgeons and staff at each site to understand barriers and facilitators to psychological care and
study referrals/procedures and develop training materials to bypass these barriers and ensure integration of study
procedures within each site (aim 1). Next, we will conduct a feasibility multi-site randomized controlled trial of the TOR
against UC (60 patients/site; 30/arm; 50 completers) targeting a priori set benchmarks. Our team is uniquely positioned
for this U01, with a psychologist (Vranceanu; overall PI) and orthopedic surgeon (Ring; Dell site PI) with over 12 years’
collaboration. The PI and statistician have extensive expertise in intervention development, feasibility testing, clinical
trials, and live video intervention delivery. We recruited an implementation science expert with prior experience working
in orthopedic surgery. There is excitement and support from each of the Orthopedic Trauma Units, and we recruited
orthopedic surgeons passionate about psychosocial care to serve as champions at each site. We hope to enhance the care
of orthopedic trauma patients through a low burden mind body program (TOR) focused on optimizing recovery and
preventing chronic pain and disability. This early focus on study implementation will bolster the rigor of the subsequent
UG3/UH3 trial as well as inform future TOR implementation, should this be supported by efficacy data.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Ana-Maria Vranceanu其他文献
Ana-Maria Vranceanu的其他文献
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{{ truncateString('Ana-Maria Vranceanu', 18)}}的其他基金
Mentoring in technology enhanced mind body and lifestyle interventions
技术指导增强身心和生活方式干预
- 批准号:
10553251 - 财政年份:2022
- 资助金额:
$ 2.99万 - 项目类别:
Mentoring in technology enhanced mind body and lifestyle interventions
技术指导增强身心和生活方式干预
- 批准号:
10347881 - 财政年份:2022
- 资助金额:
$ 2.99万 - 项目类别:
Recovering Together: Building resiliency in dyads of patients with an acute brain injury admitted to the Neuroscience Intensive Care Unit and their informal caregivers
共同康复:为神经科学重症监护室收治的急性脑损伤患者及其非正式护理人员建立复原力
- 批准号:
10463667 - 财政年份:2021
- 资助金额:
$ 2.99万 - 项目类别:
Recovering Together: Building resiliency in dyads of patients with an acute brain injury admitted to the Neuroscience Intensive Care Unit and their informal caregivers
共同康复:为神经科学重症监护室收治的急性脑损伤患者及其非正式护理人员建立复原力
- 批准号:
10273202 - 财政年份:2021
- 资助金额:
$ 2.99万 - 项目类别:
Recovering Together: Building resiliency in dyads of patients with an acute brain injury admitted to the Neuroscience Intensive Care Unit and their informal caregivers
共同康复:为神经科学重症监护室收治的急性脑损伤患者及其非正式护理人员建立复原力
- 批准号:
10618995 - 财政年份:2021
- 资助金额:
$ 2.99万 - 项目类别:
Toolkit for Optimal Recovery after Orthopedic Injury; A multi-site feasibility study to prevent persistent pain and disability
骨科损伤后最佳恢复工具包;
- 批准号:
10403955 - 财政年份:2020
- 资助金额:
$ 2.99万 - 项目类别:
Toolkit for Optimal Recovery after Orthopedic Injury; A multi-site feasibility study to prevent persistent pain and disability
骨科损伤后最佳恢复工具包;
- 批准号:
10622581 - 财政年份:2020
- 资助金额:
$ 2.99万 - 项目类别:
Toolkit for Optimal Recovery after Orthopedic Injury; A multi-site feasibility study to prevent persistent pain and disability
骨科损伤后最佳恢复工具包;
- 批准号:
10596395 - 财政年份:2020
- 资助金额:
$ 2.99万 - 项目类别:
Recovering Together: Building resiliency in dyads of patients admitted to the Neuroscience Intensive Care Unit (NICU) and their caregivers
共同康复:为入住神经科学重症监护病房 (NICU) 的患者及其护理人员建立复原力
- 批准号:
9794134 - 财政年份:2018
- 资助金额:
$ 2.99万 - 项目类别:
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