ROWTATE - Work Package 3 & 4 - v1.0
Research type
Research Study
Full title
ROWTATE: Multicentre Research Programme to Enhance Return to Work after Trauma - Work Package 3 and 4.
IRAS ID
290159
Contact name
Denise Kendrick
Contact email
Sponsor organisation
Nottingham University Hospitals NHS Trust
ISRCTN Number
ISRCTN43115471
Duration of Study in the UK
5 years, 1 months, 29 days
Research summary
Injuries are a global public health problem, resulting in >5 million deaths each year or 9% of the total number of deaths worldwide. Major causes of injury-related death are road traffic accidents, self-harm, falls and interpersonal violence. Injuries are a particular problem in working age adults, with approx. 33% of injury survivors having not returned to work one year post-injury (of those admitted to a Major Trauma Centre (MTC) with an ISS>8).\n\nMany injury survivors experience physical and psychological problems, reduced quality of life (QoL) and difficulty returning to work, with psychological and occupational needs frequently unmet. The detrimental effects of being out of work on health and costs to the NHS, patients and society are well documented. \n\nSystematic reviews demonstrate vocational rehabilitation (VR) improves employment outcomes across a range of conditions, however, the current VR evidence addresses single conditions, i.e. conditions affecting single body regions, or psychological or physical problems, not both.\n\nThis study will involve 722 injury survivors (361 intervention, 361 Usual Care), who are employed at the time of injury. Occupational therapists and Clinical Psychologists from UK MTCs will receive training in the ROWTATE specialist VR intervention which seeks to lessen the impact of injury by assessing the patient’s role as a worker/student and finding acceptable strategies to overcome problems. The ROWTATE specialist VR intervention is individually tailored to participants’ needs, starting within twelve weeks of injury, with dose and intensity provided as needed. The primary outcome will be measured by the number of participants who have returned to employment/full-time education at ≥80% of pre-injury working hours, 12 months post randomisation. Secondary outcomes will also assess other employment/education outcomes, recovery expectations, work self-efficacy, financial impact of injury, purpose in life and the health resources needed for participants.\n\n
REC name
North of Scotland Research Ethics Committee 1
REC reference
20/NS/0140
Date of REC Opinion
30 Nov 2020
REC opinion
Favourable Opinion