CHW-Enhanced Trauma Recovery
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMedical University of South Carolina
About this trial
This pilot study will evaluate the feasibility, acceptability, and preliminary effectiveness of the Trauma Resilience and Recovery Program Plus (TRRP+), a Community Health Worker-enhanced intervention designed to improve behavioral health engagement and recovery among adult trauma survivors with unmet social needs. One hundred adult trauma patients admitted to the Medical University of South Carolina (MUSC) Level I Adult Trauma Center who screen positive for risk of posttraumatic stress disorder (PTSD) or depression and report at least one unmet social need will receive TRRP+ services. Participants will complete assessments at baseline, 1 month, and 3 months after enrollment. The study will also examine implementation barriers and facilitators to support future dissemination and scale-up of the intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults 18 years of age or older.
Admitted to the Medical University of South Carolina (MUSC) Adult Trauma Service following a traumatic injury.
English-speaking.
Screen positive for risk of posttraumatic stress disorder (PTSD) and/or depression on the Injured Trauma Survivor Screen (ITSS), defined as a score greater than 2 on either subscale.
Disqualifiers
Glasgow Coma Scale (GCS) score less than 13 at hospital admission.
Moderate to severe cognitive impairment that precludes informed consent or study participation.
Active psychosis.
Injury that prevents verbal communication, such as severe traumatic brain injury or spinal cord injury.
Trial design
Design model
Single group
Treatments tested in this trial
CHW support
BehavioralCHW support to address unmet SDOH needs.
Treatment groups
100 Participants
are divided into 1 treatment groupGroup A: TRRP+Experimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Demographics
Patients will provide standard demographic information, such as race/ethnicity; sex; insurance, marital, and socioeconomic status; educational attainment; and occupation.
Time frame
Baseline2
The Kessler 6 (K6)
The Kessler 6 is a screening scale for nonspecific distress to discriminate cases of several mental illness. Items are rated on a 5-point Likert scale (1-5). Total scores range from 6-30 and are calculated as the sum of all item ratings, with a total score 13 indicating severe mental illness. This measure has been shown to have strong psychometric properties.
Time frame
Baseline, 1 month and 3 months3
Injured Trauma Survivor Screen (ITSS)
Injured Trauma Survivor Screen is a 9-item measure used to assess risk for development of posttraumatic stress symptoms following injury. Items are rated yes=1 and no=0. If the sum of questions 1, 2, 3, 5, and 6 is equal to or greater than 2, the screen is positive for PTS risk. If the sum of questions 3, 4, 7, 8, and 9 is equal or greater than 2, the screen is positive for depression risk.
Time frame
Baseline4
Accountable Health Communities (AHC) Health-Related Social Needs Screening Tool
The AHC is a standardized 10-item instrument developed by the Centers for Medicare \& Medicaid Services (CMS) to identify individuals' social needs across five key domains: housing instability, food insecurity, transportation, utility needs, and interpersonal safety. The tool has demonstrated strong feasibility, reliability, and content validity across clinical settings and populations, supporting its widespread use for screening and referral within healthcare systems.
Time frame
Baseline and 3 monthSecondary outcomes
1
PROMIS Emotional and Instrumental Support
The PROMIS Emotion and Instrumental Support measure assesses perceived feelings of being cared for and valued as a person; having confidant relationships and availability of assistance with material, cognitive or task performance.
Time frame
Baseline, one month, and three month2
National Health Interview Survey Adult Access to Health Care and Utilization Module
This protocol includes 10 interviewer-administered questions from the National Health Interview Survey (NHIS) Adult Access to Health Care \& Utilization Module designed to assess when medical care was last sought, usual place of care, frequency of getting care and reasons for not getting care.
Time frame
Baseline, one month, and three month3
NIDA Quick Screen; alcohol, tobacco, prescription and illicit drug use
The NIDA Quick Screen is a validated instrument designed to assist providers in screening adults for substance use. The screen simply inquires whether a participant has used drugs (mood-altering, illegal, or prescription for nonmedical reasons), alcohol, or tobacco products within the past year and how often these substances have been used
Time frame
Baseline, one month, and three monthSponsors and contacts
Click on the lead sponsor to view all of their trials.
Medical University of South Carolina
Lead sponsor
National Institutes of Health (NIH)
Collaborator
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator
Source ClinicalTrials.gov
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