The ROARI project – Road Accident Acute Rehabilitation Initiative: a randomised clinical trial of two targeted early interventions for road-related trauma

Faux, Steve; Kohler, Friedbert; Mozer, Roslyn; La, Klein; Courtenay, S; D’Amours, SK; Chapman, Jennifer; Estell, John

doi:10.1177/0269215514552083

Cited by 15 publications

(5 citation statements)

References 40 publications

(41 reference statements)

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“…Our study’s overall prevalence of disability was 35.8%, according to the WHODAS categorisation from moderate to extreme disability, but we did not find extreme disability (95% – 100%). These figures are higher than what was reported by WHO report estimating the worldwide disability (15%) and other studies from high-income countries such as European countries ranging from 2.2% to 15.0% (Faux et al 2015 ; WHO 2004 ). Our findings were similar to data from a study conducted in India (Rocha et al 2016) with 50% of disabilities.…”

Section: Discussioncontrasting

confidence: 59%

“…Studies have shown that better outcomes for these injuries depend on medical care, rehabilitation, and social and economic support, which are still challenging in many LMICs (Grimm & Treibich 2010 ). Inadequate immediate and rehabilitative care post-injury negatively impacts the victims’ functional outcome and social reintegration and is a challenge in LMICs (Faux et al 2015 ; Neagu 2020 ; Üzümcüoǧlu et al 2016 ). In Rwanda, there are many RTI victims (Nabeel et al 2018 ), a low number of rehabilitation centres, and insufficient rehabilitation personnel at health facilities affecting the outcome of the victims (Locke et al 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and levels of disability post road traffic orthopaedic injuries in Rwanda

Allen Ingabire,

Stewart,

Sagahutu

et al. 2024

African Journal of Disability

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Background: Prolonged disability resulting from road traffic injuries (RTIs) contributes significantly to morbidity and disease burden. A good understanding of the prevalence and the level of disability of orthopaedic injuries in developing countries is crucial for improvement; however, such data are currently lacking in Rwanda.Objectives: To determine the prevalence and levels of disability of 2 years post-road traffic orthopaedic injuries in Rwanda.Method: A multicentre, cross-sectional study from five Rwandan referral hospitals of 368 adult RTI victims’ sustained from accidents in 2019. Between 02 June 2022, and 31 August 2022, two years after the injury, participants completed the World Health Organization Disability Assessment Schedule (WHODAS 2.0) Questionnaire for the degree of impairment and the Upper Extremity Functional Scale and Lower-Extremity Functional Scale forms for limb functional evaluation. Descriptive, inferential statistics Chi-square and multinomial regression models were analysed using R Studio.Results: The study’s mean age of the RTOI victims was 37.5 (±11.26) years, with a sex ratio M: F:3: 1. The prevalence of disability following road traffic orthopedic injury (RTOI) after 2 years was 36.14%, with victims having WHODAS score 25.0% and 36.31% were still unable to return to their usual activities. Age group, Severe Kampala Trauma Score and lack of rehabilitation contributed to disability. The most affected WHODAS domains were participation in society (33%) and life activities (28%).Conclusion: The prevalence and levels of disability because of RTOI in Rwanda are high, with mobility and participation in life being more affected than other WHODAS domains. Middle-aged and socio-economically underprivileged persons are the most affected.Contribution: This study showed that a good rehabilitation approach and economic support for the RTI victims would decrease their disabilities in Rwanda.

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Section: Discussioncontrasting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Prevalence and levels of disability post road traffic orthopaedic injuries in Rwanda

Allen Ingabire,

Stewart,

Sagahutu

et al. 2024

African Journal of Disability

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“…3 The evidence to support general provision of rehabilitation after trauma is limited; a systematic review in 2015 4 found no randomized trials, but one has since been published. 5 Other trials looking at specific subgroups, such as ankle fractures 6 and head injuries 7 show benefits from early rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

One-year functional outcomes following major trauma: experience of a UK level 1 major trauma centre

2017

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“…Research suggests that identifying and addressing feelings of distress early in the claims process may help to mitigate claimants' risk of developing chronic pain [8][9][10], although the evidence is mixed [11,12].…”

Section: Introductionmentioning

confidence: 99%

Claimant and clinician perspectives on sources of claimant distress in interactions with Australian compensation schemes: A qualitative study

Sim,

McNeilage,

Ashton-James

2023

Preprint

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Purpose Recovering from compensable injuries can be influenced by a variety of factors including the claimant’s experience of distress during the claims process. In order to develop cross-scheme, nation-wide strategies to improve claimants’ interactions with the compensation system, reduce claimant distress, and improve claimant outcomes, it is important to understand sources of claims-related distress from the perspective of both claimants and clinicians. Methods Semi-structured interviews with 13 claimants and 26 clinicians from four injury compensation schemes in five Australian states were conducted. A collaborative and reflexive thematic analysis was undertaken with an inductive approach to coding, and themes were constructed for claimants and clinicians across compensation schemes. Results Claimants and clinicians interviews revealed four main sources of distress, including (1) complexity and delays in administrative processes, (2) interruptions to recovery caused by treatment delays, (3) standardised approaches to care, and (4) a lack of support for navigating the claims process. Conclusion Sources of claims-related distress identified by claimants and clinicians in the present study are consistent with previous quantitative and qualitative studies published over the past 20 years, pointing to the urgent need for nationwide systems level changes to reduce claimant distress in the pursuit of better claimant outcomes.

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The ROARI project – Road Accident Acute Rehabilitation Initiative: a randomised clinical trial of two targeted early interventions for road-related trauma

Abstract: This is the first RCT of an ERI following road trauma in Australia. A targeted ERI is as effective as a BEI in assisting those with mild/moderate trauma to return to work or usual activities.

Cited by 15 publications

References 40 publications

Prevalence and levels of disability post road traffic orthopaedic injuries in Rwanda

Prevalence and levels of disability post road traffic orthopaedic injuries in Rwanda

One-year functional outcomes following major trauma: experience of a UK level 1 major trauma centre

Claimant and clinician perspectives on sources of claimant distress in interactions with Australian compensation schemes: A qualitative study

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