A trauma medical home, evaluating collaborative care for the older injured patient: study protocol for a randomized controlled trial
Abstract Background It is estimated that 55 million adults will be 65 years and older in the USA by 2020. These older adults are at increased risk for injury and their recovery is multi-faceted. A collaborative care model may improve psychological and functional outcomes of the non-neurologically im...
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| Format: | Article |
| Language: | English |
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BMC
2020-07-01
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| Series: | Trials |
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| Online Access: | http://link.springer.com/article/10.1186/s13063-020-04582-x |
| _version_ | 1818962161785896960 |
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| author | Damaris Ortiz Ashley D. Meagher Heidi Lindroth Emma Holler Sujuan Gao Babar Khan Sue Lasiter Malaz Boustani Ben Zarzaur |
| author_facet | Damaris Ortiz Ashley D. Meagher Heidi Lindroth Emma Holler Sujuan Gao Babar Khan Sue Lasiter Malaz Boustani Ben Zarzaur |
| author_sort | Damaris Ortiz |
| collection | DOAJ |
| description | Abstract Background It is estimated that 55 million adults will be 65 years and older in the USA by 2020. These older adults are at increased risk for injury and their recovery is multi-faceted. A collaborative care model may improve psychological and functional outcomes of the non-neurologically impaired older trauma patient and reduce health care costs. Methods This is a randomized controlled trial of 430 patients aged 50 and older who have suffered a non-neurologic injury and are admitted to a level one trauma center in Indianapolis, IN, or Madison, WI. Participants will be assigned to either the Trauma Medical Home (TMH) intervention or usual care. The TMH intervention is a collaborative care model that includes validated protocols addressing the multi-faceted needs of this population, with the help of care coordination software and a mobile office concept. The primary outcome is self-reported physical recovery at 6- and 12-month follow-up. Secondary outcomes include self-reported psychological recovery, acute health care utilization, and cost-effectiveness of the intervention at 6 and 12 months. The TMH collaborative care model will be delivered by a registered nurse care coordinator. The assessments will be completed by trained blinded research assistants. Discussion The proposed study will evaluate a collaborative care model to help maximize psychological and functional recovery for non-neurologically injured older patients at four level one trauma centers in the Midwest. Trial registration Clinical Trials. NCT03108820 . Registered on 11 April 2017. Protocol Version 6: Study # 1612690852. April 12, 2019. Sponsor: Indiana University. Human subjects and IRB contact information: irb@iu.edu Prospectively registered in the WHO ICTRP on 4 June 2017. |
| first_indexed | 2024-12-20T12:24:56Z |
| format | Article |
| id | doaj.art-147450310aa0474fa62c9fb829cc6779 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-12-20T12:24:56Z |
| publishDate | 2020-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-147450310aa0474fa62c9fb829cc67792022-12-21T19:40:53ZengBMCTrials1745-62152020-07-012111910.1186/s13063-020-04582-xA trauma medical home, evaluating collaborative care for the older injured patient: study protocol for a randomized controlled trialDamaris Ortiz0Ashley D. Meagher1Heidi Lindroth2Emma Holler3Sujuan Gao4Babar Khan5Sue Lasiter6Malaz Boustani7Ben Zarzaur8Division of Acute Care Surgery, Department of Surgery, Indiana University School of MedicineDivision of Acute Care Surgery, Department of Surgery, Indiana University School of MedicineDivision of Pulmonary, Critical Care, Sleep and Occupational Medicine, Department of Medicine, Indiana University School of MedicineSidney & Lois Eskenazi Hospital Smith Level One Trauma CenterCenter of Health Innovation and Implementation Science, Center for Translational Science and InnovationDivision of Pulmonary, Critical Care, Sleep and Occupational Medicine, Department of Medicine, Indiana University School of MedicineSchool of Nursing and Health Studies, University of MissouriCenter of Health Innovation and Implementation Science, Center for Translational Science and InnovationDepartment of Surgery, University of Wisconsin School of Medicine and Public Health-MadisonAbstract Background It is estimated that 55 million adults will be 65 years and older in the USA by 2020. These older adults are at increased risk for injury and their recovery is multi-faceted. A collaborative care model may improve psychological and functional outcomes of the non-neurologically impaired older trauma patient and reduce health care costs. Methods This is a randomized controlled trial of 430 patients aged 50 and older who have suffered a non-neurologic injury and are admitted to a level one trauma center in Indianapolis, IN, or Madison, WI. Participants will be assigned to either the Trauma Medical Home (TMH) intervention or usual care. The TMH intervention is a collaborative care model that includes validated protocols addressing the multi-faceted needs of this population, with the help of care coordination software and a mobile office concept. The primary outcome is self-reported physical recovery at 6- and 12-month follow-up. Secondary outcomes include self-reported psychological recovery, acute health care utilization, and cost-effectiveness of the intervention at 6 and 12 months. The TMH collaborative care model will be delivered by a registered nurse care coordinator. The assessments will be completed by trained blinded research assistants. Discussion The proposed study will evaluate a collaborative care model to help maximize psychological and functional recovery for non-neurologically injured older patients at four level one trauma centers in the Midwest. Trial registration Clinical Trials. NCT03108820 . Registered on 11 April 2017. Protocol Version 6: Study # 1612690852. April 12, 2019. Sponsor: Indiana University. Human subjects and IRB contact information: irb@iu.edu Prospectively registered in the WHO ICTRP on 4 June 2017.http://link.springer.com/article/10.1186/s13063-020-04582-xCollaborative careTraumaElderlyOlderRecoveryNon-neurologically injured |
| spellingShingle | Damaris Ortiz Ashley D. Meagher Heidi Lindroth Emma Holler Sujuan Gao Babar Khan Sue Lasiter Malaz Boustani Ben Zarzaur A trauma medical home, evaluating collaborative care for the older injured patient: study protocol for a randomized controlled trial Trials Collaborative care Trauma Elderly Older Recovery Non-neurologically injured |
| title | A trauma medical home, evaluating collaborative care for the older injured patient: study protocol for a randomized controlled trial |
| title_full | A trauma medical home, evaluating collaborative care for the older injured patient: study protocol for a randomized controlled trial |
| title_fullStr | A trauma medical home, evaluating collaborative care for the older injured patient: study protocol for a randomized controlled trial |
| title_full_unstemmed | A trauma medical home, evaluating collaborative care for the older injured patient: study protocol for a randomized controlled trial |
| title_short | A trauma medical home, evaluating collaborative care for the older injured patient: study protocol for a randomized controlled trial |
| title_sort | trauma medical home evaluating collaborative care for the older injured patient study protocol for a randomized controlled trial |
| topic | Collaborative care Trauma Elderly Older Recovery Non-neurologically injured |
| url | http://link.springer.com/article/10.1186/s13063-020-04582-x |
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