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Affordable, Tailored Therapy for Financially Vulnerable People With Trauma-related Injuries (AFTER-TRAUMA)

9. september 2026 opdateret af: Radboud University Medical Center

What Are the Needs of Financially Vulnerable People With Trauma-related Injuries Related to Physical Therapy Treatment (AFTER-TRAUMA): a Qualitative, Grounded Theory Study

Financially vulnerable people experience higher rates of trauma-related injuries and often face barriers to accessing physical therapy services. Current rehabilitation services may not sufficiently align with the circumstances and needs of this population. This qualitative study aims to develop a conceptual understanding of the needs of financially vulnerable adults with trauma-related injuries regarding physical therapy treatment. Using a constructivist grounded theory approach, data will be collected through semi-structured interviews, participant observations, and supplementary qualitative materials. Findings will support the development of more accessible, tailored, and person-centered physical therapy services.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Detaljeret beskrivelse

Trauma-related injuries can have substantial long-term consequences for functioning, participation, and quality of life. Financial vulnerability is associated with both an increased risk of traumatic injury and poorer recovery outcomes. Financially vulnerable patients may experience barriers in accessing physical therapy, obtaining assistive devices, arranging transportation, or prioritizing rehabilitation alongside competing financial demands.

Despite the recognized importance of physical therapy in trauma rehabilitation, little is known about the specific needs of financially vulnerable individuals. This study aims to develop a conceptual understanding of these needs using constructivist grounded theory methodology. Data will be collected through semi-structured interviews, participant observations, and supplementary qualitative sources such as documents, photographs, videos, and social media content provided voluntarily by participants.

Participants will be adults with trauma-related injuries and self-reported financial concerns living in the Netherlands. Recruitment will follow purposive, snowball, and theoretical sampling principles. Data collection and analysis will proceed iteratively until theoretical saturation is achieved. Findings are expected to contribute to more accessible and tailored physical therapy services for financially vulnerable trauma survivors.

Undersøgelsestype

Observationel

Tilmelding (Anslået)

17

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

  • Navn: Niek Koenders, PhD

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

The study population consists of adults aged 18 years or older with severe trauma-related injuries (ISS ≥16) who live in financial vulnerability in the Netherlands. Eligible participants experienced their injury between 3 months and 2 years before study participation and report financial concerns. Maximum variation sampling will be used to ensure diversity in age, sex, educational level, geographic region, rehabilitation pathway, and experiences with physical therapy. Recruitment will follow purposive, snowball, and theoretical sampling principles consistent with constructivist grounded theory methodology.

Beskrivelse

Inclusion Criteria:

  • Adults aged 18 years or older
  • Trauma-related injury with Injury Severity Score (ISS) ≥16
  • Injury occurred between 3 months and 2 years prior to participation
  • Self-reported financial concerns
  • Living in the Netherlands
  • Able and willing to provide informed consent

Exclusion Criteria:

  • Unable to understand or speak Dutch
  • Cognitive impairment preventing participation in interviews
  • Severe mental health conditions preventing meaningful participation
  • Life expectancy less than 3 months

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Financially vulnerable people with trauma-related injuries
Adults aged 18 years and older with trauma-related injuries (ISS ≥16) and self-reported financial concerns living in the Netherlands. Participants may have received physical therapy or may not have received physical therapy after injury. Data collection includes interviews and observations.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Needs Regarding Physical Therapy Treatment
Tidsramme: Single study interview and observation period (October 2026 to June 2027)
Conceptual understanding of the needs of financially vulnerable people with trauma-related injuries regarding physical therapy treatment, identified through qualitative interviews, participant observations, documents, footage, and social media content analyzed using constructivist grounded theory methods.
Single study interview and observation period (October 2026 to June 2027)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studiestol: Niek Koenders, PhD, Radboud University Medical Center

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. oktober 2026

Primær færdiggørelse (Anslået)

1. juni 2027

Studieafslutning (Anslået)

1. juni 2027

Datoer for studieregistrering

Først indsendt

9. september 2026

Først indsendt, der opfyldte QC-kriterier

9. september 2026

Først opslået (Faktiske)

15. september 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

15. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

9. september 2026

Sidst verificeret

1. august 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • NL2026-19368
  • WCF CALL 2024-2025 (Andet bevillings-/finansieringsnummer: Wetenschappelijk College Fysiotherapie (KNGF))

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

Individual qualitative data contain potentially identifiable and sensitive participant information. De-identified datasets will not be made publicly available to protect participant confidentiality.

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .