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Community Participation for People with Trauma Injuries: A Study Protocol of a Crossover Randomised Controlled Trial of the Effectiveness of a Community Mobility Group Intervention (CarFreeMe TI)

Published online by Cambridge University Press:  13 February 2019

Stacey George Open the ORCID record for Stacey George [Opens in a new window] ,
Christopher Barr ,
Angela Berndt ,
Maria Crotty ,
Rachel Milte ,
Amy Nussio  and
Jacki Liddle
Stacey George*
Affiliation:
Occupational Therapy/Clinical Rehabilitation, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
Christopher Barr
Affiliation:
Clinical Rehabilitation, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
Angela Berndt
Affiliation:
Occupational Therapy, University of South Australia, Adelaide, Australia
Maria Crotty
Affiliation:
Rehabilitation, Aged and Extended Care, College of Medicine and Public Health, Flinders University, Adelaide, Australia
Rachel Milte
Affiliation:
Institute for Choice, University of South Australia, Adelaide, Australia
Amy Nussio
Affiliation:
Occupational Therapy/Clinical Rehabilitation, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
Jacki Liddle
Affiliation:
School of Health and Rehabilitation Sciences and School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia
*
Address for correspondence: Stacey George. College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide, 5001, Australia E-mail: stacey.george@flinders.edu.au.
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Abstract

Background: Following traumatic brain and spinal cord injuries, maximising community participation leads to better physical and mental health outcomes.

Objectives: To determine the effectiveness and health system resource use of a group intervention (CarFreeMe TI) on community participation in people with complex trauma injuries.

Method: Randomised crossover trial of 54 participants, recruited from rehabilitation services in Adelaide, Australia. Inclusion criteria is a trauma injury, unable to return to full driving, aged over 18 years of age, adequate cognition/behavioural/communication abilities to participate in sessions and mobile. Exclusion criterion is living in setting where alternative transport is provided. Participants will be randomly assigned on a 1:1 allocation basis, to receiving Phase 1 CarFreeMe TI-group-based intervention or Phase 2 information related to transport options. Then, crossover to Phase 1 or 2 will occur. Primary outcome measure is community participation using a Global Positioning System. Secondary outcome measures include Community Mobility Self-efficacy Scale; CarFreeMe TI Transport Questionnaire, AQOL, EQ-5D-5L; Carer's Community Mobility Self-efficacy Scale and Modified Carer Strain Index for carers of participants. Outcome assessors will be blinded to group allocation. All analyses will be on an intention to treat basis with difference in community participation between the groups determined via a GLM ANOVA and the significance between groups on other measures using independent sample t-tests. It is hypothesised that the community mobility intervention (CarFreeMeTI) will result in increased community participation.

Discussion: The results will provide proof of concept information on the feasibility and inform allocation of resources for people with complex trauma injuries.

Trial registration: Australian and New Zealand Clinical Trials Register (ANZCTR): ACTRN12616001254482.

Keywords

Trauma injuriestraumatic brain injuryspinal cord injuriesgroup-based interventioncommunity mobilityparticipationcommunity participation
Type
Protocols
Information
Brain Impairment , Volume 20 , Issue 1 , March 2019 , pp. 96 - 103
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2019 

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