Occupational Therapy-led Services for Adults Presenting Acutely With a Hand Condition

Официальное название

An Evidenced Based Analytical Study of Occupational Therapy-led Services for Adults Presenting Acutely With a Hand Condition

Обзор

Traumatic hand injuries account for up to one third of acute hospital presentations. Current guidelines and standards of care recommend patients with hand trauma are seen by hand therapists, typically occupational therapists. The proposed study aims to explore the effectiveness of occupational therapy-led hand therapy services for the adult population presenting acutely to an injury unit or emergency department setting with a hand condition. The research project will consist of an analytical study, involving four different sites in Ireland to enrich findings, and to aid future service development. One site will be the comparison site, as it does not have access to occupational therapy, and will offer patients 'care as usual' upon attendance. Outcome measures will be used for all participants and will be completed at initial patient contact, at week eight and at six months. It is hoped the current proposed study will help shape future service development for those with hand injury including provision of evidence based occupational therapy assessment and intervention.

Подробное описание

Traumatic hand injuries account for up to one third of acute hospital presentations. The establishment of Occupational Therapy-led hand therapy clinics is gaining momentum within the literature as improving hand trauma patient care and outcomes. It is identified within the literature that point of acute contact service areas such as accident and emergency or injury unit type settings could benefit from a hand therapy service. The benefits reported include: better patient outcomes, reduced waiting times, reduction of patient presentations to consultant led clinics, faster turnaround of patient care and discharge, reduction of patient complaints, improved patient satisfaction, and reduced costs to the health service.

The proposed study aims to explore the effectiveness of occupational therapy-led hand therapy services for the adult population presenting acutely to an injury unit or emergency department setting with a hand condition. The research project will consist of an analytical study, involving four different sites in Ireland to enrich findings, and to aid future service development. One site will be the comparison site, as it does not have access to occupational therapy, and will offer patients 'care as usual' upon attendance. Outcome measures will be used for all participants and will be completed at initial patient contact, at week eight and at six months. Study objectives include:

1. To define the demographics and characteristics (including functional ability, pain level, and quality of life) of adult service users pre- and post-acute attendance with a hand condition. 2. To profile clinical and process outcomes after initial visit, at 8-week and 6-month follow-up for patients provided with care as usual and those with targeted hand therapy led assessments and interventions. 3. To explore any objective and subjective patient, organizational, and societal benefits of hands service provision.

It is hoped the current proposed study will improve the quality, safety, timeliness and cost of care provided to adults who present to acute services with a hand condition. This information may help shape future service development for those with hand injury including provision of evidence based occupational therapy-led services.

Вмешательства

• Другое Occupational Therapy-led Hand Therapy Service
  Types of interventions provided by the therapist will include splinting, targeted exercises and activities, occupation-based intervention, edema management, scar management; desensitisation, functional tasks completion, and education. All interventions provided are within occupational therapists' scope of practice and are evidence based. Number of treatment sessions will be individualised to the patient and guided by stages of recovery.
• Другое Care as usual
  Care as usual group: Participants attending an emergency department of injury unit, do not have access to occupational therapy services and will undergo 'care as usual' in line with the services\' protocols and procedures. Care as usual involves standard nursing and medical care and may include: wound care, use of 'off the shelf' orthosis, education, and onward referral to other healthcare professionals.

Первичные конечные точки

• Function: our primary outcome is change in patient function for those with acutely presenting hand conditions. [Срок оценки: The QuickDASH will be administered at baseline, at 8-weeks (post intervention), and at six months.]

Вторичные конечные точки (4)

• Change in health related quality of life for those with acutely presenting hand conditions using a visual scale. [Срок оценки: The EuroQoL EQ-5D-5L will be administered at baseline, at 8-weeks (post intervention), and at six months.]
• Change in health related quality of life for those with acutely presenting hand conditions using a descriptive system. [Срок оценки: The EuroQoL EQ-5D-5L will be administered at baseline, at 8-weeks (post intervention), and at six months.]
• Occupational Value and Competence of those with acutely presenting hand conditions. [Срок оценки: The Occupational Self Assessment - Short Form (OSA-SF) will be administered at baseline, at 8-weeks (post intervention), and at six months.]
• Pain reported by those with acutely presenting hand conditions. [Срок оценки: The pain verbal rating scale will be administered at baseline, at 8-weeks (post intervention), and at six months.]

Критерии участия

Критерии включения

• Adults aged 18 years of age and older
• Adults presenting with an injury and/ or condition of their hand and/or forearm inhibiting function inclusive of: fractures (proximal, middle, and distal phalanx); tendon and soft tissue injury (PIPJ volar plate, central slip +/- lateral band, mallet injury, trigger finger, flexor injury, extensor injury, thumb tendon and ligament injury); digital nerve injury; or carpal tunnel injury.

Критерии исключения

• Patients under 18 years of age
• Patients presenting with complex medical issues in conjunction with a hand injury who may require an alternative pathway, for example, transfer to a different hospital, requiring prioritisation of another medical emergency
• Other exclusions at the discretion of the service depending on team capacity and expertise

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения

Когортное

Центры проведения

Ирландия · 5 центров

• Beaumont Hospital — Dublin
• Tallaght University Hospital — Dublin
• Galway University Hospital — Galway
• Ennis General Hospital - ULHG — Limerick
• Nenagh General Hospital ULHG — Tipperary

Идентификаторы

NCT: NCT06399614 · ULimerick24

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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