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Trial registered on ANZCTR
Registration number
ACTRN12610000065099
Ethics application status
Approved
Date submitted
13/01/2010
Date registered
20/01/2010
Date last updated
15/12/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
ROARI – Road Accident Rehabilitation Initiative
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Scientific title
Effectiveness of rehabilitation physician intervention for those at risk of long term complications determined by screening, in the return to work rates and usual activities at 3 months for mild-moderate and 6 months for severe injury post road accident.
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Secondary ID [1]
1307
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None
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Universal Trial Number (UTN)
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Trial acronym
ROARI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Motor vehicle accident injuries
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Condition category
Condition code
Physical Medicine / Rehabilitation
256691
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
An early assessment and treatment by a rehabilitation physician (1 hour consultation to identify and manage rehabilitation issues such as identification of injuries and pain management)
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Intervention code [1]
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Early detection / Screening
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Intervention code [2]
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Rehabilitation
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Comparator / control treatment
Usual treatment (by general practitioner), the number of reviews deemed appropriate by the general practitioner
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Control group
Active
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Outcomes
Primary outcome [1]
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Return to work (full or suitable duties) rates via a questionnaire
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Assessment method [1]
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Timepoint [1]
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3 months for mild-moderate and 6 months for severe injury post road accident from baseline
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Secondary outcome [1]
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Return to driving (questionnaire)
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Assessment method [1]
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Timepoint [1]
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week 6, week 12 and week 26 from baseline
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Secondary outcome [2]
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Return to usual activities (determined by phone interview and the Short Form 12 (SF-12) Health Survey)
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Assessment method [2]
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Timepoint [2]
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week 6, week 12 and week 26 from baseline
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Secondary outcome [3]
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Physical /Functional Measure: Modified Barthels Index
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Assessment method [3]
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Timepoint [3]
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week 6, week 12 and week 26 from baseline
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Secondary outcome [4]
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Psychological & health measures: Depression Anxiety Stress Scales (DASS-21), Orebro Muscoskeletal Pain Questionnaire (OMPQ) (Modified) for attitude to pain (this includes an Experienced Pain Index created from 2 items of the OMPQ by multiplying average pain intensity during the last 3 months (scored out of 10) by pain frequency (scored out of 10))
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Assessment method [4]
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Timepoint [4]
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week 6, week 12 and week 26 from baseline
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Secondary outcome [5]
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Medication, alcohol and drug utilization: alcohol use disorders identification test (Interview andthe 'Cut-Annoyed-Guilty-Eye' [CAGE] questions)
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Assessment method [5]
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Timepoint [5]
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week 6, week 12 and week 26 from baseline
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Secondary outcome [6]
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Health services utilization (questionnaire)
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Assessment method [6]
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Timepoint [6]
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week 6, week 12 and week 26 from baseline
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Eligibility
Key inclusion criteria
- Adults (aged 18 or over presenting to the emergency department following road trauma
- Able to provide informed consent
- Willingness to participate in and comply with the study.
- Deemed suitable by medical team for consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Patients who have suffered a severe traumatic brain injury as defined by 1 of the following:
- Glasgow Coma Score of 8 or lower
- Loss of consciousness for more than 24 hours
- Post-traumatic amnesia of 7 or more days.
* Patients experiencing spinal cord injury
* Those unable to read, speak or write English language:
- Severe deafness and unable to hold a phone conversation
- No fixed abode
- No phone
- Overseas tourist leaving Australia within 18 months
- Those with preexisting cognitive impairment who are unable to identify a person responsible or next-of-kin.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomized to either the intervention or control arm this will be done by selecting a sealed envelope from a prepared box.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
At each site, patients will be stratified by using the Abbreviated Injury Score (AIS) into either severe (greater than 2) or mild / moderate (2 or less) (to prevent an uneven distribution of injury severity into either group) .
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
18/10/2010
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Actual
18/10/2010
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Date of last participant enrolment
Anticipated
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Actual
1/04/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
180
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
2387
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2010
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Recruitment postcode(s) [2]
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2217
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Recruitment postcode(s) [3]
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2145
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Recruitment postcode(s) [4]
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2170
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Motor Accidents Association
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Address [1]
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Level 25, 580 George Street
Sydney NSW 2000, Australia
DX: DX 1517 SYDNEY
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
St Vincent's Hospital
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Address
Sacred Heart Rehabilitation Service
170 Victoria Street,
Darlinghurst NSW 2010
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St Vincent's Human Research Ethics Committee (HREC)
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Ethics committee address [1]
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170 Victoria Street Darlinghurst NSW 2010
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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15/03/2010
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Approval date [1]
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15/07/2010
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Ethics approval number [1]
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Summary
Brief summary
The primary objective is to determine whether or not a rehabilitation physician appointment can help with return to work (full or suitable duties) and usual activities after a motor vehicle accident..
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Trial website
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Trial related presentations / publications
Clinical Rehabilitation 10 February 2015 Faux SG , Kohler F , Mozer R , Klein LA, Courtenay S, D’Amours SK, Chapman J, Estell J The ROARI project – Road Accident Acute Rehabilitation Initiative - A Randomised Clinical Trial of two targeted early interventions for Road-related Trauma
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Steven Faux
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Address
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St Vincent's Hospital Sacred Heart Rehabilitation Service 170 Victoria Street, Darlinghurst NSW 2010 Sydney
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Country
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Australia
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Phone
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61283829516
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Fax
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61283829431
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Email
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[email protected]
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Contact person for public queries
Name
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Dea Irwin
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Address
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St Vincent's Hospital
Sacred Heart Rehabilitation Service
170 Victoria Street, Darlinghurst NSW 2010
Sydney
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Country
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Australia
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Phone
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+61 2 8382 9516
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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A/Prof Steven Faux
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Address
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St Vincent's Hospital
Sacred Heart Rehabilitation Service
170 Victoria Street, Darlinghurst NSW 2010
Sydney
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Country
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Australia
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Phone
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+61 2 8382 9516
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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