title: The ROARI project - Road Accident Acute Rehabilitation Initiative: a randomised clinical trial of two targeted early interventions for road-related trauma.
abstract: OBJECTIVE
  To determine the effectiveness of an Early Rehabilitation Intervention (ERI ) versus a Brief Education Intervention (BEI) following road trauma.
  
  
  OBJECTIVE
  return to work or usual activities at 12 weeks (for minor/moderate injury) and 24 weeks for major injury.
  
  
  OBJECTIVE
  Reduction in pain, anxiety, depression, disability and incidence of Post Traumatic Stress Disorder and improved quality of life.
  
  
  METHODS
  A multi-site single-blinded stratified randomized clinical trial (RCT).
  
  
  METHODS
  184 patients (92 in each arm) were recruited over 18 months and followed for 12 weeks (minor/moderate injury) and 24 weeks (major injury). Screening questionnaires at 2-4 weeks and follow-up interviews by phone for all outcome measures were undertaken. For those in the ERI group with a positive screen for high risk of persistent symptoms, an early assessment and intervention by a Rehabilitation Physician was offered. Those in the BEI group were sent written information and advised to see their GP.
  
  
  RESULTS
  89.4% of injuries were mild in this cohort. At 12 weeks 73.8% and 69.1% of patients in the ERI and the BEI groups respectively had returned to work or usual activities. There were no significant differences between the two intervention groups with respect to the primary or any secondary outcome measures.
  
  
  CONCLUSIONS
  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.
authors.affiliation: University of New South Wales, Australia St Vincent's Hospital, Sydney, Australia sfaux@stvincents.com.au Steven.Faux@svha.org.au.
authors.forename: S G
authors.initials: SG
authors.lastname: Faux
authors.affiliation: University of New South Wales, Australia Liverpool Hospital, Australia.
authors.forename: F
authors.initials: F
authors.lastname: Kohler
authors.affiliation: St Vincent's Hospital, Sydney, Australia.
authors.forename: R
authors.initials: R
authors.lastname: Mozer
authors.affiliation: Universty of Sydney, Australia.
authors.forename: L A
authors.initials: LA
authors.lastname: Klein
authors.affiliation: St Vincent's Hospital, Sydney, Australia.
authors.forename: S
authors.initials: S
authors.lastname: Courtenay
authors.affiliation: University of New South Wales, Australia Liverpool Hospital, Australia.
authors.forename: S K
authors.initials: SK
authors.lastname: D'Amours
authors.affiliation: Liverpool Hospital, Australia Westmead Hospital, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Chapman
authors.affiliation: University of New South Wales, Australia St George Hospital, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Estell
mesh_terms: D000063:Accidents, Traffic / Q000523:psychology*; D000203:Activities of Daily Living / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D003866:Depressive Disorder / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D001523:Mental Disorders / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D008875:Middle Aged; D009517:New South Wales; D059408:Pain Management / Q000379:methods / Q000523:psychology*; D016016:Proportional Hazards Models; D011788:Quality of Life; D062707:Return to Work / Q000523:psychology* / Q000706:statistics & numerical data; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D061665:Time-to-Treatment; D014947:Wounds and Injuries / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation*; D055815:Young Adult
keywords: Injury Severity Scoring; Road crash accident; rehabilitation; trauma