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Eligibility
for people ages 18–80
Location
at San Francisco, California and other locations
Dates
study started
estimated completion:
Principal Investigator

Description

Summary

The STREAM Study is a prospective longitudinal observational outcomes study that will examine the reliability, validity and responsiveness of the PROMIS tools for clinical research following orthopaedic trauma.

Official Title

Streamlining Trauma Research Evaluation With Advanced Measurement: STREAM Study

Details

Objective: As part of the NIH Roadmap initiative, PROMIS (patient reported outcomes measurement information system) has developed tools, including item banks, short forms and computer-adaptive tests (CATs) that can help standardize measurement for many health-related quality of life domains. These PROMIS tools are being tested in large general population samples across the lifespan. The overall goal of the present study is to assess the performance and research utility of these new tools in new patient populations for future comparative effectiveness research projects. The proposed project will examine the reliability, validity and responsiveness of the PROMIS tools for clinical research following orthopaedic trauma.

Specific Aim 1: Examine the measurement properties of existing PROMIS CATs and item banks in patients with orthopaedic trauma. Investigators will incorporate ten (six core and four exploratory) PROMIS short form and CATs into the longitudinal data collection of five ongoing orthopaedic trauma clinical trials and administer an expanded data collection interview at the time of their last study follow up which will be used to:

1a: Evaluate reliability and construct validity of the PROMIS CATs

1b: Compare measurement precision of the six existing item banks when applied in an orthopaedic trauma population versus the general population.

  1. c: Identify items from existing PROMIS item banks that function differently in our population compared with the general population.

Specific Aim 2: Examine the responsiveness of existing PROMIS domains in patients with orthopaedic trauma. Specifically, investigators will:

  1. a: Examine the responsiveness of PROMIS domains against expected clinical recovery in this population.

2b: Examine the responsiveness of PROMIS domains against well-defined clinical inflection points in the recovery process, such as infections, non-unions, flap failures, and other complications.

2c: Examine the responsiveness of PROMIS domains against treatment effects observed for interventions being studied in these trials, which include a psychosocial intervention, a pharmacologic intervention, and a device. These trials are being evaluated using widely used traditional outcome measurement tools.

Specific Aim 3: Study the integration of the PROMIS tools within the data collection infrastructure of METRC. Key feasibility components examined will be integration with our distributed electronic data capture system (REDCap), and use of the CAT technology across dozens of trauma centers and orthopaedic trauma clinics.

3a. Compare the rate of use of CAT-based assessment versus short-form data collection 3b: Compare the data completeness using existing METRC approaches, CAT and short form PROMIS instruments 3c: Compare respondent burden using existing METRC approaches, CAT and short form PROMIS instruments.

Study design: The STREAM study is a multi-center, prospective longitudinal observational study to evaluate the reliability, validity and responsiveness of PROMIS tools in orthopaedic trauma patients.

Keywords

Orthopaedic Trauma Injury

Eligibility

For people ages 18–80

Any patient participating in the FIXIT, OUTLET, TAOS, OXYGEN, VANCO or Pain studies returning for a 3 month follow-up visit is eligible for participation in the proposed STREAM study. Respondents who are unable to give informed consent (or would require a proxy) at the time of the 3 month visit will be excluded.

Locations

  • Naval Medical Center San Diego accepting new patients
    San Diego, California, 92134, United States
  • University of Washington Harborview accepting new patients
    Seattle, Washington, 98104, United States
  • Denver Health and Hospital Authority accepting new patients
    Denver, Colorado, 80203, United States
  • University of Oklahoma accepting new patients
    Oklahoma City, Oklahoma, 73104, United States
  • San Antonio Miliary Medical Center accepting new patients
    Ft. Sam Houston, Texas, 78234-6315, United States
  • University of Texas Southwestern Medical Center accepting new patients
    Dallas, Texas, 75390, United States
  • University of Kansas Medical Center accepting new patients
    Kansas City, Kansas, 66160, United States
  • University of Texas Health Science Center - Houston accepting new patients
    Houston, Texas, 77030, United States
  • Hennepin County Medical Center / Regions Hospital accepting new patients
    Minneapolis, Minnesota, 55415, United States
  • Louisiana State University Health Sciences Center accepting new patients
    Shreveport, Louisiana, 71130, United States
  • Barnes Jewish Hospital accepting new patients
    St Louis, Missouri, 63110, United States
  • St. Louis Medical Center accepting new patients
    St. Louis, Missouri, 63110, United States
  • University of Wisconsin accepting new patients
    Madison, Wisconsin, 53792, United States
  • University of Mississippi Medical Center accepting new patients
    Jackson, Mississippi, 39216, United States
  • Louisiana State University accepting new patients
    New Orleans, Louisiana, 70112, United States
  • Vanderbilt Medical Center accepting new patients
    Nashville, Tennessee, 37232, United States
  • Orthoindy at St Vincent accepting new patients
    Indianapolis, Indiana, 42260, United States
  • Eskenazi Hospital accepting new patients
    Indianapolis, Indiana, 46202, United States
  • OrthoIndy / Methodist Hospital accepting new patients
    Indianapolis, Indiana, 46202, United States
  • Orthopaedic Associates of Michigan, Spectrum Health accepting new patients
    Grand Rapids, Michigan, 49503, United States
  • University of Alabama at Birmingham accepting new patients
    Birmingham, Alabama, 35294, United States
  • Grant Medical Center accepting new patients
    Columbus, Ohio, 43215, United States
  • MetroHealth Medical Center accepting new patients
    Cleveland, Ohio, 44109, United States
  • Mission Hospital accepting new patients
    Asheville, North Carolina, 28801, United States
  • Allegheny General Hospital accepting new patients
    Pittsburgh, Pennsylvania, 15212, United States
  • University of Pittsburgh Medical Center accepting new patients
    Pittsburgh, Pennsylvania, 15213, United States
  • Carolinas Medical Center accepting new patients
    Charlotte, North Carolina, 28204, United States
  • Wake Forest University Baptist Medical Center accepting new patients
    Winston-Salem, North Carolina, 27157-1070, United States
  • Tampa General Hospital accepting new patients
    Tampa, Florida, 33606, United States
  • University of Virginia accepting new patients
    Charlottesville, Virginia, 22908, United States
  • Duke University Hospital accepting new patients
    Durham, North Carolina, 27710, United States
  • Orlando Regional Medical Center terminated
    Orlando, Florida, 32806, United States
  • Walter Reed National Military Medical Center accepting new patients
    Bethesda, Maryland, 20889, United States
  • Geisinger Health System accepting new patients
    Danville, Pennsylvania, 17822, United States
  • Penn State University M.S. Hershey Medical Center accepting new patients
    Hershey, Pennsylvania, 17033, United States
  • York Hospital accepting new patients
    York, Pennsylvania, 17405, United States
  • University of Maryland Medical Center accepting new patients
    Baltimore, Maryland, 21201, United States
  • Naval Medical Center Portsmouth accepting new patients
    Portsmouth, Virginia, 23708, United States
  • St. Luke's University Health Network withdrawn
    Bethlehem, Pennsylvania, 18015, United States
  • University of Pennsylvania accepting new patients
    Philadelphia, Pennsylvania, 19104, United States
  • University of Miami Ryder Trauma Center accepting new patients
    Miami, Florida, 33101, United States
  • Jamaica Hospital Medical Center accepting new patients
    Jamaica, New York, 11418, United States
  • Rhode Island Hospital, Brown University accepting new patients
    Providence, Rhode Island, 02903, United States
  • Boston Medical Center accepting new patients
    Boston, Massachusetts, 02118, United States

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Major Extremity Trauma Research Consortium
ID
NCT02079714
Lead Scientist
Theodore Miclau
Study Type
Observational
Last Updated
December 1, 2016
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