Table 1.
Protocol Elements and Team Member Activities for Patients in the Information Technology Enhanced Peer-Integrated Collaborative Care Intervention versus Enhanced Usual Care Control Study Arms
Technology Enhanced Peer-Integrated Collaborative Care Intervention | Enhanced Usual Care Control |
---|---|
Research assistant (RA) elicitation of post-injury concerns and symptomatic distress in baseline interview | Research assistant (RA) elicitation of post-injury concerns and symptomatic distress in baseline interview |
Randomization with allocation concealment | Randomization with allocation concealment |
Not Received | Trauma surgery recommendation for mental health consultation (e.g., trauma social work, psychiatry consult, rehabilitation psychology, spiritual care, addiction intervention or other mental health service) |
Peer interventionist and other clinical study team members elicit posttraumatic concerns and target for improvement | Not received |
Peer interventionist and other clinical study team members provide care management between trauma center to primary care and community resources | Not received |
MSW interventionist and other non-peer clinical study team members (e.g., psychiatrist) provide evidence-based CBT & MI | Not received |
MSW interventionist and other non-peer study team members (e.g., RC) administer symptom assessments (e.g., CESD, IES) | Not received |
MD or MSW perform suicide risk assessment and safety planning | Not received |
MD or MSW deliver pharmacotherapy symptom assessment | Not received |
MD psychiatrist recommends psychotropic medication prescription | Not received |
Peer interventionist, MD, MSW or other providers or study team members (e.g., RC) log intervention electronically (e.g., in REDCap) | Not received |
MD, MSW, or other clinical study staff provides 24/7 cell phone coverage | Not received |
RA blinded follow-up telephone assessment of post-injury concerns and symptomatic and functional outcomes | RA blinded follow-up telephone assessment of post-injury concerns and symptomatic and functional outcomes |
EMERGENCY DEPARTMENT INFORMATION EXCHANGE (EDIE) ELEMENTS | |
MD, MSW or other non-peer study team members (eg. research coordinator [RC]) add patient to Intervention study group within EDIE | MD, MSW or other non-peer study team members (eg. research coordinator [RC]) add patient to Control study group within EDIE |
MD, MSW, or other non-peer study team members (e.g. RC) adds care plan to patient’s EDIE profile stating that patient is being followed by a team at Harborview and provides 24/7 cell phone number to facilitate care coordination | Not Received |
EDIE study group enrollment initiates text and/or email alerts to 24/7 cell phone and clinical study team members when patient arrives at emergency departments nationwide | EDIE study group enrollment initiates text and/or email alerts to 24/7 cell phone and clinical study team members when patient arrives at emergency departments nationwide |
EDIE collects real time follow up data on patient’s outpatient and emergency department visits | EDIE collects real time follow up data on patient’s outpatient and emergency department visits |
Note. CBT=Cognitive Behavioral Therapy; MI=Motivational Interviewing; CESD=Center for Epidemiologic Studies Depression Scale