The Healing and Empowerment Actions for Recovery From Trauma (HEART) Trial
Stephanie Di Stasi
Summary
The HEART Trial aimed to determine if wrap-around psychosocial support for patients who sustain moderate to severe trauma requiring orthopedic surgery intervention improves outcomes for patients (Aim 1), care-partners (Aim 2), and healthcare workers (Aim 3) as well as explore implementation strategies to improve health systems' capabilities and capacity to integrate psychosocial support services. The comparators represent real healthcare options for patients, caregivers, and healthcare workers. The HEART Trial is a multicenter pragmatic, stepped-wedge cluster randomized, hybrid type I comparative effectiveness-implementation superiority trial. The study intervention (C-TRP) is a trauma-focused psychosocial intervention, with each site serving as its own control (TRP).
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Patients: Inclusion Criteria: 1. Age \>= 18 years 2. Anticipated hospital length of stay \> 72 hours 3. Moderate to severe orthopaedic trauma treated surgically for 1 or more injuries 4. GCS \>= 13 at the time of enrollment 5. Willing and able to meet with Evellere coach while hospitalized or via the telephone within 72 hours of discharge (intervention cohort only) Exclusion Criteria: 1. Non-english speaking (must be sufficiently fluent in English to consent and complete surveys without interpretive services) 2. Prior to index hospitalization, patient must not be receiving home services or…