Evidence map›Paper›PMID 37952714›Full record

ArticleContemporary clinical trials2024

Stepped collaborative care versus American College of Surgeons Committee on Trauma required screening and referral for posttraumatic stress disorder: Clinical trial protocol.

Tanya Knutzen, Eileen Bulger, Matt Iles-Shih, Alexandra Hernandez, Allison Engstrom, Lauren Whiteside, Navneet Birk, Khadija Abu, Jake Shoyer, Cristina Conde and 6 more

Open access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Long-term sleep disturbance following burn injury: Insights from the Burn Model System.Burns : journal of the International Society for Burn Injuries · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Tanya KnutzenDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: latst@uw.edu.
Eileen BulgerDepartment of Surgery, University of Washington School of Medicine, Seattle, USA. Electronic address: ebulger@uw.edu.
Matt Iles-ShihDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: mattiles@uw.edu.
Alexandra HernandezDepartment of Surgery, University of Washington School of Medicine, Seattle, USA. Electronic address: alexah6@uw.edu.
Allison EngstromDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: alliengs@uw.edu.
Lauren WhitesideDepartment of Emergency Medicine, University of Washington School of Medicine, Seattle, Washington, USA. Electronic address: laurenkw@uw.edu.
Navneet BirkDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: navneetb@uw.edu.
Khadija AbuDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: kabu06@uw.edu.
Jake ShoyerDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: jsshoyer@uw.edu.
Cristina CondeDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: rccg95@uw.edu.
Paige RyanDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: pryan21@uw.edu.
Jin WangDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: wangji@uw.edu.
Joan RussoDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: jerusso@uw.edu.
Patrick HeagertyDepartment of Biostatistics, University of Washington School of Public Health, Seattle, USA. Electronic address: heagerty@uw.edu.
Larry PalinkasHerbert Wertheim School of Public Health and Longevity Science, University of California, San Diego, USA. Electronic address: lapalinkas@health.ucsd.edu.
Douglas ZatzickDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, USA. Electronic address: dzatzick@uw.edu.
University of Washington · USSeattle University · USBehavioral Tech Research, Inc. · USUniversity of California San Diego · US

Funding

A Deployment Focused Pragmatic Trial of Optimal Stepped Care Intervention Targeting PTSD and Comorbidity for Acutely Hospitalized Injury Survivors Treated in US Trauma Care SystemsR01MH130460 · NIMH · UNIVERSITY OF WASHINGTON · PI EILEEN M BULGER, DOUGLAS F ZATZICK · 2022 to 2026
$3.8M
Renewal: Gastrointestinal Surgery Outcomes Research FellowshipT32DK070555 · NIDDK · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R · 2010 to 2024
$3.6M
NIDDK NIH HHS T32 DK070555NIMH NIH HHS R01 MH130460
6 · The paper itself

Abstract

backgroundEach year in the US, approximately 1.5-2.5 million individuals are so severely injured that they require inpatient hospital admissions. The American College of Surgeons Committee on Trauma (College) now requires that trauma centers have in place protocols to identify and refer hospitalized patients at risk injury psychological sequelae. Literature review revealed no investigations that have identified optimal screening, intervention, and referral procedures in the wake of the College requirement.

methodsThe single-site pragmatic trial investigation will individually randomize 424 patients (212 intervention and 212 control) to a brief stepped care intervention versus College required mental health screening and referral control conditions. Blinded follow-up interviews at 1-, 3-, 6-, and 12-months post-injury will assess the symptoms of PTSD and related comorbidity for all patients. The emergency department information exchange (EDIE) will be used to capture population-level automated emergency department and inpatient utilization data for the intent-to-treat sample. The investigation aims to test the primary hypotheses that intervention patients will demonstrate significant reductions in PTSD symptoms and emergency department/inpatient utilization when compared to control patients. The study incorporates a Rapid Assessment Procedure-Informed Clinical Ethnography (RAPICE) implementation process assessment.

conclusionsThe overarching goal of the investigation is to advance the sustainable delivery of high-quality trauma center mental health screening, intervention, and referral procedures for diverse injury survivors. An end-of-study policy summit will harness pragmatic trial data to inform the capacity for US trauma centers to implement high-quality acute care mental health screening, intervention and referral services for diverse injured patient populations.

trial registrationClinicaltrials.govNCT05632770.

Indexed as

Stress Disorders, Post-TraumaticSurgeonsComorbidityHumansPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicReferral and ConsultationTrauma CentersUnited StatesEmergency department utilizationPolicyPosttraumatic stress disorderRapid qualitative assessment proceduresTrauma centersTraumatic injury

Identifiers

PMID37952714
PMCPMC11025340
OpenAlexW4388562687

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.