Impact of Keeping a Personal Recovery Diary on Upper Extremity Disability
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|ClinicalTrials.gov Identifier: NCT02361580|
Recruitment Status : Terminated (The Principal Investigator left the institution so the study was stopped before completing enrollment.)
First Posted : February 11, 2015
Results First Posted : March 28, 2017
Last Update Posted : March 28, 2017
Primary null hypothesis:
• Keeping a personal diary has no effect on upper-extremity disability (assessed w/ PROMIS [Patient Reported Outcome Measurement Information System] upper extremity) 8 weeks after injury.
Secondary null hypotheses:
- Keeping a personal diary has no effect on avoidance of painful activities (assessed w/ PROMIS pain interference) 8 weeks after injury.
- Keeping a personal diary has no effect on symptoms of depression (assessed w/ PROMIS depression) 8 weeks after injury.
- There are no factors associated with upper-extremity disability 8 weeks after injury.
|Condition or disease||Intervention/treatment||Phase|
|Acute Injury of Upper Extremity||Other: Diary||Not Applicable|
Recovery from injury can be counterintuitive and taxing. It is natural to feel protective and prepare for the worst. Healthy exercises can seem unwise. It can seem like things are taking too long or getting off track. We have noticed that small improvements such as being able to resume a cherished activity (e.g. knitting or swimming) or achieving some success with exercises (e.g. obtaining full supination after fracture of the distal radius), can help patients feel like things are going to be okay. That feeling seems to make it easier to do exercises and resume function activities.
We wonder if awareness of this process (mindfulness) would help patients recover more rapidly. Keeping a journal is one method for encouraging mindfulness. It allows patients to express themselves and tell their stories. There is evidence that such "narrative medicine" can be healing. We anticipate that patients who perceive little or no progress will be able to look back on how they were feeling earlier on and appreciate that things are moving in the right direction. We also hope that their journal material might be useful for other patients that are having trouble seeing the "light at the end of the tunnel", so as part of this study, we will get permission to use their quotes anonymously in future patient care materials and future research. To our knowledge, research on the impact of keeping a personal diary/journal of recovery is scant, particularly pertaining to recovery from upper extremity trauma.
- Diary or no Diary
- Diagnosis (fracture, sprain, contusion, skin laceration, complex laceration [tendon, nerve])
- Location (hand, wrist, forearm, elbow, arm, shoulder)
- Work status
- Insurance (worker's compensation, private, public, other)
- Visit type
- Prior treatment received
- Other pain conditions
- Smoking status
- Marital status
- Physical or Occupational Therapy
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||9 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Impact of Keeping a Personal Recovery Diary on Upper Extremity Disability|
|Actual Study Start Date :||January 2015|
|Actual Primary Completion Date :||January 2016|
|Actual Study Completion Date :||January 2016|
Subjects that are randomized to the diary group will be told to keep a diary of their recovery. The study is focusing on the effect of keeping a diary on disability, rather than the content of the diary.
Subject keeps diary of recovery
No Intervention: No Diary
- Upper Extremity Disability Measured by PROMIS Upper Extremity [ Time Frame: 8 weeks ]Upper Extremity Disability measured by PROMIS Upper Extremity
- Avoidance of Painful Activities Measured by PROMIS Pain Interference [ Time Frame: 8 weeks ]Avoidance of painful activities measured by PROMIS Pain Interference
- Symptoms of Depression Measured by PROMIS Depression [ Time Frame: 8 weeks ]Symptoms of depression measured by PROMIS Depression
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02361580
|Principal Investigator:||David Ring, MD PhD||Massachusetts General Hospital|