An early intervention programme had no detectable influence on the health status of people with musculoskeletal injuries following road traffic crashes: Comparative study

Littleton, Susannah; Hughes, David; Poustie, Stephanie J; Robinson, B J; Neeman, Teresa; Smith, Paul N.; Cameron, Ian D.

doi:10.1016/j.injury.2012.06.005

Cited by 7 publications

(4 citation statements)

References 46 publications

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“…Regression models identified repeated RTC, permanent pain following an RTC, level of permanent pain, increase of alcohol and medication use and exacerbation of health status to be risk factors for mental health problems. Other research showed anxiety following the RTC to be negative prognostic factor associated with permanent pain and disability [58]. High levels of pain have already been associated with the development of chronic pain and mental and physical disability; therefore, early management of pain and comorbidities such as PTSD, depression and anxiety can reduce development of chronic pain and related disabilities [39].…”

Section: Discussionmentioning

confidence: 99%

Different Patterns of Mental Health Outcomes among Road Traffic Crash Survivors: A Prospective Cohort Study

Kovačević

Fotez

Miškulin

et al. 2021

IJERPH

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This study aimed to investigate factors associated with the symptoms of mental disorders following a road traffic crash (RTC). A prospective cohort of 200 people was followed for 6 months after experiencing an RTC. The cohort was comprised of uninjured survivors and injured victims with all levels of road traffic injury (RTI) severity. Multivariable logistic regression analyses were performed to evaluate the associations between the symptoms of depression, posttraumatic stress disorder and anxiety one and six months after the RTC, along with sociodemographic factors, health status before and after the RTC, factors related to the RTI and factors related to the RTC. The results showed associations of depression, anxiety, and posttraumatic stress disorder symptoms with sociodemographic factors, factors related to the health status before and after the RTC and factors related to the RTC. Factors related to the RTI showed associations only with depression and posttraumatic stress disorder symptoms. Identifying factors associated with mental disorders following an RTC is essential for establishing screening of vulnerable individuals at risk of poor mental health outcomes after an RTC. All RTC survivors, regardless of their RTI status, should be screened for factors associated with mental disorders in order to successfully prevent them.

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Section: Discussionmentioning

confidence: 99%

Different Patterns of Mental Health Outcomes among Road Traffic Crash Survivors: A Prospective Cohort Study

Kovačević

Fotez

Miškulin

et al. 2021

IJERPH

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“…Research suggests that identifying and addressing feelings of distress early in the claims process may help to mitigate claimants' risk of developing chronic pain [8][9][10], although the evidence is mixed [11,12].…”

Section: Introductionmentioning

confidence: 99%

Claimant and clinician perspectives on sources of claimant distress in interactions with Australian compensation schemes: A qualitative study

Sim,

McNeilage,

Ashton-James

2023

Preprint

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Purpose Recovering from compensable injuries can be influenced by a variety of factors including the claimant’s experience of distress during the claims process. In order to develop cross-scheme, nation-wide strategies to improve claimants’ interactions with the compensation system, reduce claimant distress, and improve claimant outcomes, it is important to understand sources of claims-related distress from the perspective of both claimants and clinicians. Methods Semi-structured interviews with 13 claimants and 26 clinicians from four injury compensation schemes in five Australian states were conducted. A collaborative and reflexive thematic analysis was undertaken with an inductive approach to coding, and themes were constructed for claimants and clinicians across compensation schemes. Results Claimants and clinicians interviews revealed four main sources of distress, including (1) complexity and delays in administrative processes, (2) interruptions to recovery caused by treatment delays, (3) standardised approaches to care, and (4) a lack of support for navigating the claims process. Conclusion Sources of claims-related distress identified by claimants and clinicians in the present study are consistent with previous quantitative and qualitative studies published over the past 20 years, pointing to the urgent need for nationwide systems level changes to reduce claimant distress in the pursuit of better claimant outcomes.

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“…To our knowledge, there have only been six randomized controlled trials investigating the prevention of psychological distress following a motor vehicle crash. All six have involved relatively small samples [ 17 – 22 ]. Of these, only two specifically focused on compensatory claimants [ 17 , 18 ], and these both had non-significant results.…”

Section: Introductionmentioning

confidence: 99%

“…All six have involved relatively small samples [ 17 – 22 ]. Of these, only two specifically focused on compensatory claimants [ 17 , 18 ], and these both had non-significant results. However, other studies have reported significant results in reducing symptoms of psychological distress in people with elevated distress levels following a motor vehicle crash using CBT.…”

Section: Introductionmentioning

confidence: 99%

Prevention of the development of psychological distress following a motor vehicle crash: study protocol for a randomized controlled trial

Guest

Tran

Gopinath

et al. 2016

Trials

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BackgroundIt is estimated that up to 50 % of motor vehicle crash survivors develop significant psychological distress, such as depressive mood and anxiety, within 6 months of the crash. Associated impacts include loss of employment, delayed return to work, financial and familial stress, and increased medical and compensation costs. The major aim of this research is to investigate the efficacy of interventions for preventing the development of psychological distress following a motor vehicle crash. The efficacy of two brief interventions will be examined: a cognitive behaviour therapy (CBT) programme, targeting mood and anxiety, and a lifestyle programme, targeting sleep, diet and physical activity.Methods/designThis is a randomized, controlled multisite study. Participants include at least 180 adults injured in a motor vehicle crash who have entered a compensation process. Research will compare outcomes in three groups randomly assigned to: one group of 60 adults, who receive a brief email-delivered CBT programme, with one session every 2 weeks for 10 weeks and telephone contact every 2 weeks; a second group of 60 adults, who receive a brief email-delivered lifestyle intervention involving one session every 2 weeks for 10 weeks with telephone contact; and an active waiting-list control group of 60 adults who are provided claims processing-related reading material along with telephone contact every 2 weeks for 10 weeks. Participants will be recruited within 12 weeks of the motor vehicle crash, and will be comprehensively assessed before and after treatment, and 6 and 12 months post-injury. Assuming an α probability level of 0.05 and a power of 80 %, at least 180 participants will be recruited. The primary outcome measure is the presence and severity of psychological distress or disorder. Secondary outcome measures include assessment of self-efficacy, resilience employment status, social activity and support, lifestyle and physical health factors, along with process outcome measures of treatment acceptability, feasibility and generalizability.DiscussionThis study will determine whether brief email-delivered interventions distributed soon after the injury and entry into the claims process can be effective in preventing the development of psychological distress.Trial registrationANZCTR, ACTRN12615000326594. Registered on 9 April 2015.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-016-1455-5) contains supplementary material, which is available to authorized users.

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An early intervention programme had no detectable influence on the health status of people with musculoskeletal injuries following road traffic crashes: Comparative study

Cited by 7 publications

References 46 publications

Different Patterns of Mental Health Outcomes among Road Traffic Crash Survivors: A Prospective Cohort Study

Different Patterns of Mental Health Outcomes among Road Traffic Crash Survivors: A Prospective Cohort Study

Claimant and clinician perspectives on sources of claimant distress in interactions with Australian compensation schemes: A qualitative study

Prevention of the development of psychological distress following a motor vehicle crash: study protocol for a randomized controlled trial

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