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โ† Trials
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Assessing the Functional Benefit of Structured Psychological Coaching in Mentally Vulnerable Patients With a Surgically Treated Proximal Humerus Fracture.

RecruitingNAAges 18 Years - anyAllZaandam Medical Center
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In plain words

What the trial is, and whether it could suit you

Although physical factors play an important role in the treatment and outcomes after proximal humerus fracture (PHF), psychosocial factors need to be taken into account as well. Few studies have been done to assess the influence of psychosocial factors and mental distress on the outcomes after shoulder surgery and show that it has a negative correlation on the outcomes. It is reported that having low resilience, negative thoughts, signs of depression or anxiety have a significant negative relation with the patient reported outcomes (PROMs). Mental vulnerability is linked to neuroticism, a personality factor of the Big Five traits, that can be characterized by the tendency to experience negative affect, especially when threatened, frustrated, or facing loss. Neuroticism is related to worse outcomes of health and disease in patients. Although studies have been done to objectify the corre

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: 1. Surgically treated proximal humerus fracture, not older than two weeks 2. A high or very high level of neuroticism (cut-off score on NEO-FFI test off 37) 3. Minimal age of 18 years 4. The fracture must be a mono-injury (not part of a multi-injury incident) Exclusion Criteria: 1. Any diagnosed psychiatric disorder that is not adequately managed with medication. 2. Not being able to communicate: language barrier, neurologic disorders 3. Paralysis on the affected arm 4. Not able to participate in online or real time psychological training 5. Any other fracture besides the proximal humerus fracture in an upper extremity 6. Head trauma with neurological symptoms
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What it tests

  • Psychological intervention
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Where

4 sites
Amsterdam University Medical Center
Amsterdam, Netherlands
OLVG
Amsterdam, Netherlands
Red Cross Hospital
Beverwijk, Netherlands
Zaandam Medical Center
Zaandam, Netherlands
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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