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The study uses a multi-site, cluster design to determine the effectiveness of an intervention based on a Trauma Collaborative Care (TCC) model in improving patient outcomes for persons with severe orthopedic trauma and enhancing both patient and provider satisfaction with overall care. The study will also determine the cost and cost-effectiveness of the intervention.
Primary Hypothesis: Compared to standard treatment alone, access to the TCC Program plus standard treatment will result in lower rates of the composite outcome (i.e. positive for poor function, depression, and/or PTSD).
Secondary Hypotheses: Compared to standard treatment alone, access to the TCC Program plus standard treatment will result in lower levels of pain and higher rates of return to usual major activity and higher levels of health related quality of life. In addition, both primary and secondary outcomes will correlate strongly with the intermediate outcome of self-efficacy.
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Inclusion criteria
Exclusion criteria
Initial admission to non-trauma service.
Peri-prosthetic fractures of the femur, regardless of etiology
Patient eligible for the METRC OUTLET Study, i.e. patient with:
Patient requiring a Legally Authorized Representative (as defined by an inability to answer the "Evaluation of Give Consent" questions)
Patient non-ambulatory due to an associated spinal cord injury
Patient non-ambulatory pre-injury
Non-English speaking
Patient diagnosed with a severe psychosis
Patient lives outside the hospital's catchment area and/or follow-up is planned at another medical center
Severe problems with maintaining follow-up expected (e.g. patients who are prisoners or homeless at the time of injury or those who are severely intellectually challenged).
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900 participants in 2 patient groups
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Data sourced from clinicaltrials.gov
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