N/A
N=450
IT Enhanced Peer Integrated Collaborative Care for US Trauma Care Systems
PTSD · Physical Injury
Bottom Line
View on ClinicalTrials.gov: NCT03569878 ↗Enrolled (actual)
450
Serious AEs
4.4%
Results posted
Oct 2024
Primary outcome: Primary: Number of Patients With 1 or More Emergency Department Visits Per Quarter — 225; 225; 90; 79 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Peer-Integrated Multidisciplinary Collaborative Care (Behavioral); Trauma surgery team notification (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Washington
- Primary completion
- Jul 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Patients With 1 or More Emergency Department Visits Per Quarter |
225; 225; 90; 79; 52; 38 | — |
| PRIMARY Change in Posttraumatic Concern Severity |
225; 225; 152; 140; 130; 133 | — |
| PRIMARY Change in Posttraumatic Stress Disorder (PTSD) Symptoms |
49.3; 49.5; 44.0; 44.1; 40.2; 42.6 | — |
| PRIMARY Change in Functional Status |
49.4; 50.2; 31.0; 30.0; 35.4; 33.7 | — |
Summary
This study evaluates two readily implementable approaches to the delivery of transitional care for injured patients treated emergently in US trauma care systems. The two approaches to be compared are a multidisciplinary team collaborative care intervention that integrates front-line trauma center staff with peer interventionists to trauma surgical team notification of patient emotional distress with recommended mental health consultation. The collaborative care intervention will be supported by a novel Emergency Department (ED) health information exchange technology platform.
Eligibility Criteria
Inclusion Criteria
- Inpatient/emergency admission for intentional and/or unintentional injury
- Score of ≥35 on the PTSD checklist
- Endorsement of ≥ 1 severe posttraumatic concern
Exclusion Criteria
- Patients who required immediate psychiatric intervention
- Patients who are not Washington or Oregon State residents
- Patients who are currently incarcerated
- Patients not speaking Spanish or English
Data sourced from ClinicalTrials.gov (NCT03569878). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.