Self Managing the Consequences of Major Limb Trauma
Abstract
The objective of this research is to develop and evaluate the efficacy of a computer-based self management program (heretofore referred to as OSMP-T) for reducing secondary conditions and improving function following major lower limb trauma. The intervention will build on widely accepted self-management programs developed for persons with arthritis as well as components of a faceto- face self-management program for civilians with long-standing limb loss. It will be necessary, however, to tailor the content and delivery of these programs to better accommodate the needs of a young, acutely injured population. Specific needs not typically addressed in the existing programs include the management of acute anxiety and post-traumatic stress disorder (PTSD), and the maintenance or acquisition of employment or return to active duty. The specific aims of the proposed study are three-fold: (1) to develop the OSMP-T; (2) to evaluate the efficacy of the OSMP-T in 225 civilians initially treated at 5 level I trauma centers; and (3) to modify the OSMP-T for application in the military and to pilot the modified program in a smaller group of 24 injured soldiers treated at the Walter Reed Army Medical Center. If shown to be efficacious, computer based self management programs for the acutely injured will provide a much-needed adjunct to the orthopedic care now available and contribute to a comprehensive trauma management program to improve long-term outcomes and quality of life. The military version of SM program will provide injured soldiers with an ongoing mechanism of support as they transition from inpatient rehabilitation to the community whether that be in the military or
Document Details
- Document Type
- Technical Report
- Publication Date
- Mar 01, 2007
- Accession Number
- ADA469778
Entities
People
- Ellen J. MacKenzie
- Katherine Frey
- Renan Castillo
- Stephen T. Wegener
Organizations
- Johns Hopkins University