Comprehensive Trauma Recovery for Blunt Trauma
(HEART Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new method to aid recovery from serious injuries requiring orthopedic surgery. It enhances standard recovery care with additional support, such as coaching and education, through comprehensive trauma recovery programming (C-TRP). The researchers aim to determine if this approach benefits not only patients but also their caregivers and healthcare workers. Individuals with moderate to severe bone or joint injuries who have been hospitalized for more than three days may qualify. As an unphased trial, this study provides a unique opportunity to contribute to innovative recovery methods that could benefit future patients.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this psychosocial intervention is safe?
Research has shown that comprehensive trauma recovery programs (C-TRP) are generally manageable for participants. One study on this type of program found that it includes key components such as peer support, education, and resilience coaching. These elements aim to help patients feel safe and supported during their recovery.
Evidence from similar programs suggests that providing emotional and social support can enhance recovery without causing significant side effects. Reports have not indicated any serious negative outcomes or safety concerns with these support programs. This suggests that C-TRP is a safe option for those recovering from trauma, focusing on mental health and emotional well-being as part of the healing process.12345Why are researchers excited about this trial?
Researchers are excited about Comprehensive Trauma Recovery Programming (C-TRP) because it offers a holistic approach to trauma recovery that goes beyond the standard care. Unlike typical protocols, which often leave patients to manage their recovery alone after discharge, C-TRP provides ongoing support with resiliency coaching and peer guidance. This innovative method includes education through multiple channels—online resources, print materials, and mobile apps—to suit different patient needs. Additionally, C-TRP addresses both physical and psychosocial aspects of recovery, potentially offering a more comprehensive and supportive healing process.
What evidence suggests that the Comprehensive trauma recovery programming (C-TRP) could be effective for trauma recovery?
Research has shown that programs like the Comprehensive Trauma Recovery Programming (C-TRP), a treatment arm in this trial, provide crucial emotional and social support to aid recovery from serious injuries. Participants in similar programs have reported better mental health, with fewer symptoms of depression and anxiety. C-TRP offers coaching to build resilience, peer support, and education to help patients manage their recovery. These components address the emotional and mental challenges that often accompany physical injuries. Although more research is needed to fully understand C-TRP's effectiveness in trauma centers, each part of the program is based on proven methods. Overall, these programs aim to improve recovery by focusing on the whole person, not just the physical injury.12367
Are You a Good Fit for This Trial?
This trial is for adults (18+) who have had moderate to severe orthopedic injuries treated with surgery, are alert at enrollment, and expect to stay in the hospital over 72 hours. Participants must be able and willing to meet with a support coach during or soon after their hospital stay.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive the Comprehensive Trauma Recovery Programming (C-TRP) intervention, including resiliency coaching, peer support, education, and navigation resources.
Follow-up
Participants are monitored for anxiety and burnout using PROMIS-Anxiety and Maslach Burnout Inventory.
What Are the Treatments Tested in This Trial?
Interventions
- Comprehensive trauma recovery programming (C-TRP)
Trial Overview
The study compares a comprehensive trauma recovery program offering psychosocial support (C-TRP) against standard care chosen by doctors. It aims to see if extra emotional and practical help improves outcomes for patients, caregivers, and healthcare workers.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
A multicomponent, patient-focused intervention that follows the standardized recovery protocol (TRP) with added resiliency coaching, peer support, education, and navigation resources. C-TRP begins during hospitalization and continues throughout recovery, allowing patients and care-partners to engage based on their needs and preferences. Upon enrollment, patients are connected with a local resiliency coach from Evellere for optional in-person support. Coaching provides a holistic approach to ensure safety, connection, and recovery planning, including referrals to site-specific or community providers for depression, anxiety, or PTSD as needed. Education is delivered through online resources, print materials, mobile apps, and peer and coach guidance. The intervention is delivered by Evellere using the Trauma Responsive Continuum of Care (TRCC)™ model, supporting collaboration with health systems and addressing psychosocial needs while enabling medical teams to focus on physical trauma ca
Every trauma system adheres to a standardized protocol, aligned with credentialing requirements of ATS and The Joint Commission. Locally, this involves tailored referrals by hospital teams at time of discharge, based on specific needs of the patient. Additionally, a standard after-visit summary, with discharge instructions, is provided to the patient. It is a routine practice for the discharge team to review these instructions with the patient to address any questions. After discharge, the responsibility for managing the recovery process shifts to the patient and/or their care-partner. This includes calling physician offices for specific questions. However, social services and resources to navigate the process are limited after discharge.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Stephanie Di Stasi
Lead Sponsor
Patient-Centered Outcomes Research Institute
Collaborator
Citations
Implementation of a Stepped Care Program to Address ... - PMC
Although effectiveness of the full model in trauma centers has not yet been established, each step of the model is supported by a wide range ...
The Healing and Empowerment Actions for Recovery From ...
The study intervention (C-TRP) is a trauma-focused psychosocial intervention, with each site serving as its own control (TRP). Official Title.
Comprehensive Trauma Recovery for Blunt ...
The study compares a comprehensive trauma recovery program offering psychosocial support (C-TRP) against standard care chosen by doctors. It ...
Trauma Recovery
The Trauma Recovery Program (TRP) helps individuals manage the wide range of emotional, psychological, and physical symptoms that often follow trauma. This ...
Trauma Resilience and Recovery Program (TRRP)
TRRP maximizes its efficacy by employing both bedside and post-discharge screening. This dual-screening methodology captures a broader spectrum ...
Optimizing recovery after trauma: overview of existing ...
This review will highlight the importance of mental health and social support programming in optimizing outcomes after acute traumatic injury.
Recovery-oriented and trauma-informed care for people with ...
Recovery-oriented and trauma-informed models of care can contribute to the implementation of non-coercive practices, which show promising ...
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