Whole Assessment of Trauma Recovery-2 (WATR2)

创伤恢复整体评估-2 (WATR2)

• 批准号: 9244324
• 负责人: Kenneth J Ruggiero
• 金额: $ 9.93万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-30 至 2018-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9244324
• 关键词: Whole; Assessment; Trauma; Recovery; WATR2

ABSTRACT Traumatic injuries are a significant public health issue, affecting citizens of all ages, genders, and races, and responsible for the most deaths in individuals 44 years and younger. While public health resources have begun to address emotional recovery after large scale disasters, little attention has been paid to the emotional recovery of non-disaster-related trauma patients, and less still to what previous patients feel they needed to know about emotional recovery at discharge. Few trauma centers routinely provide injured patients with psychological support or information at discharge from the hospital. Research with discharged trauma inpatients, including our recent pilot study of structured interviews, Whole Assessment of Trauma Recovery-1 (WATR-1), demonstrated higher rates of major depression, posttraumatic stress disorder (PTSD), psychological distress, and smoking when compared to the general public. Yet only a small percentage of those who considered seeking professional help for emotional and psychological distress (EPD) actually received help. Providing patient-centered awareness, education, and referral regarding emotional health, based on the experiences of previous trauma patients, could affect years of potential employment and social stability, as well as quality of life of the patients, and improve health care quality. This project aims to identify what resources trauma patients need to improve their recovery after discharge, and how best to communicate this information to them. Semi-structured, open-ended telephone interviews with recently discharged patients will be conducted using a purposive sample to obtain a mix of demographic and injury characteristics, stratified by urban versus rural residence. These interviews will be used to create new discharge information for patients by: 1) Learning what discharged trauma inpatients experienced emotionally after discharge, 2) Soliciting recommendations from discharged trauma inpatients about peri-discharge information that may have been valuable in their emotional and mental health trajectory, and 3) Assessing modifiable barriers and facilitators to mental health care after discharge. While the WATR-1 pilot study identified some post-discharge mental health needs, this research project would allow patients the freedom to voice what they believe they most need and how to provide it. The information learned will serve to both increase awareness of the post-discharge emotional needs of trauma patients, as well as to develop and implement patient-oriented discharge materials in user-friendly formats. The new discharge format may involve technology such as interactive smart phone applications for education and monitoring. Future research could then evaluate the ensuing patient outcomes in terms of mental health, quality of life, and return to function. By more completely assisting trauma patients in obtaining maximum function, this project could affect not only patient outcome, but that of their families and society.

抽象的 创伤性伤害是一个重大的公共卫生问题，影响了各个年龄段，性别和 种族，并对44岁及以下的个体中最多的死亡负责。而公共卫生资源 大规模灾难后已经开始解决情绪恢复，很少关注 与以前的患者觉得他们的情绪恢复无关的创伤患者的情绪恢复 需要了解出院时的情绪恢复。很少有创伤中心通常为受伤的患者提供 从医院出院时的心理支持或信息。出现创伤的研究 住院患者，包括我们最近对结构化访谈的试点研究，创伤恢复1的整体评估 （WATR-1）表现出更高的重度抑郁症发生率，创伤后应激障碍（PTSD）， 与公众相比，心理困扰和吸烟。但只有一小部分 那些考虑为情感和心理困扰寻求专业帮助（EPD）的人 得到了帮助。提供以患者为中心的意识，教育和有关情绪健康的转诊， 根据以前创伤患者的经验，可能会影响多年的潜在就业和社会 稳定性以及患者的生活质量，并提高医疗保健质量。 该项目旨在确定患者需要哪些资源创伤来改善其康复 放电，以及如何最好地将这些信息传达给他们。半结构化的开放式电话 将使用目的样本进行对最近出院患者的访谈，以获得 人口和伤害特征，由城市与农村居住地分层。这些访谈将是 用来为患者创建新的出院信息：1）学习什么已出院创伤住院患者 出院后的情绪经历，2）从出院创伤中征求建议 关于围产期信息的住院患者，这些信息可能在其情感和精神上很有价值 健康轨迹和3）评估可修改的障碍和促进者，以便在心理上保健之后 释放。 虽然WATR-1试点研究确定了一些入院后的心理健康需求，但该研究项目 将允许患者自由表达他们认为最需要的东西以及如何提供它。这 所学的信息将有助于提高对创伤后的情感需求的认识 患者以及以用户友好的格式开发和实施面向患者的排放材料。 新的排放格式可能涉及技术，例如交互式智能手机应用程序教育应用程序 和监视。然后，未来的研究可以从心理健康方面评估随后的患者结果， 生活质量，并恢复功能。通过更完全协助创伤患者获得最大 功能，该项目不仅会影响患者的结果，而且会影响其家庭和社会的结果。