[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100546796":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":28,"centralContacts":32,"locations":41,"responsibleParty":115,"collaborators":10,"id":117,"slug":118,"hasResults":119,"nctId":120,"briefTitle":121,"officialTitle":122,"acronym":10,"eligibilityCriteria":123,"healthyVolunteers":119,"sex":124,"minAge":125,"maxAge":10,"enrollmentInfo":126,"targetDuration":10,"studyType":129,"phases":10,"briefSummary":130,"conditions":131,"keywords":133,"overallStatus":44,"whyStopped":10,"lastUpdateSubmitDate":137,"lastUpdatePostDateStruct":138,"startDateStruct":141,"completionDateStruct":143,"leadSponsor":145,"locationsCount":146},{"fullName":5,"class":6},"University of Limerick","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Intervention Group",null,"Participants who attend an emergency department or injury unit with access to occupational therapy will be referred to an occupational therapy-led hand therapy clinic. Assessment and intervention for their hand injury will be provided by the occupational therapist, based on existing hand therapy protocols and guidelines. The consultant in charge and the occupational therapist will make clinical judgements with regard suitability for occupational therapy clinics for conservative management of their condition based on patient need at point of triage. Types of interventions provided by the occupational therapist will include customised splinting, targeted exercises and activities, swelling reduction, scar management, desensitisation, education on type of injury, and occupation based intervention. All interventions provided are within occupational therapists' scope of practice and are evidence based.",[13],"Other: Occupational Therapy-led Hand Therapy Service",{"label":15,"type":10,"description":16,"interventionNames":17},"Care as Usual Group","Participants attending an emergency department of injury unit, do not have access to occupational therapy services and will undergo 'care as usual' in line with the services' protocols and procedures. Care as usual involves standard nursing and medical care and may include: wound care, use of 'off the shelf' orthosis, education, and onward referral to other healthcare professionals.",[18],"Other: Care as usual",[20,24],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":10},"Occupational Therapy-led Hand Therapy Service","Types of interventions provided by the therapist will include splinting, targeted exercises and activities, occupation-based intervention, edema management, scar management; desensitisation, functional tasks completion, and education. All interventions provided are within occupational therapists' scope of practice and are evidence based. Number of treatment sessions will be individualised to the patient and guided by stages of recovery.",[9],{"type":6,"name":25,"description":26,"armGroupLabels":27,"otherNames":10},"Care as usual","Care as usual group: Participants attending an emergency department of injury unit, do not have access to occupational therapy services and will undergo 'care as usual' in line with the services\\' protocols and procedures. Care as usual involves standard nursing and medical care and may include: wound care, use of 'off the shelf' orthosis, education, and onward referral to other healthcare professionals.",[15],[29],{"name":30,"affiliation":5,"role":31},"Damien Ryan","PRINCIPAL_INVESTIGATOR",[33,38],{"name":34,"role":35,"phone":36,"phoneExt":10,"email":37},"Margo Sheerin","CONTACT","086 6011586","margo.sheerin@hse.ie",{"name":39,"role":35,"phone":36,"phoneExt":10,"email":40},"Ann-Marie Morrissey, PhD","AnnMarie.Morrissey@ul.ie",[42,59,72,85,101],{"facility":43,"status":44,"city":45,"state":10,"zip":10,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":54},"Beaumont Hospital","RECRUITING","Dublin","Ireland","IE",{"type":49,"coordinates":50},"Point",[51,52],-6.24889,53.33306,{"lat":52,"lon":51},[55],{"name":56,"role":35,"phone":57,"phoneExt":10,"email":58},"Eileen Walsh","01-797 7520","eileenwalsh@beaumont.ie",{"facility":60,"status":61,"city":45,"state":10,"zip":10,"country":46,"countryCode":47,"cosmosGeoPoint":62,"geoPoint":64,"contacts":65},"Tallaght University Hospital","NOT_YET_RECRUITING",{"type":49,"coordinates":63},[51,52],{"lat":52,"lon":51},[66,70],{"name":67,"role":35,"phone":68,"phoneExt":10,"email":69},"Simone Derham","01 4142790","simone.derham@tuh.ie",{"name":34,"role":35,"phone":71,"phoneExt":10,"email":37},"0877680504",{"facility":73,"status":61,"city":74,"state":10,"zip":10,"country":46,"countryCode":47,"cosmosGeoPoint":75,"geoPoint":79,"contacts":80},"Galway University Hospital","Galway",{"type":49,"coordinates":76},[77,78],-9.05095,53.27245,{"lat":78,"lon":77},[81],{"name":82,"role":35,"phone":83,"phoneExt":10,"email":84},"Lorna Spellman","091 542431","Lorna.Spellman@hse.ie",{"facility":86,"status":44,"city":87,"state":10,"zip":10,"country":46,"countryCode":47,"cosmosGeoPoint":88,"geoPoint":92,"contacts":93},"Ennis General Hospital - ULHG","Limerick",{"type":49,"coordinates":89},[90,91],-8.62306,52.66472,{"lat":91,"lon":90},[94,98],{"name":95,"role":35,"phone":96,"phoneExt":10,"email":97},"Brenda Bleach, MHSc","065 6863121","Brenda.bleach@hse.ie",{"name":99,"role":35,"phone":100,"phoneExt":10,"email":37},"Margo Sheerin, BSc","0866011586",{"facility":102,"status":44,"city":103,"state":10,"zip":10,"country":46,"countryCode":47,"cosmosGeoPoint":104,"geoPoint":108,"contacts":109},"Nenagh General Hospital ULHG","Tipperary",{"type":49,"coordinates":105},[106,107],-8.15583,52.47333,{"lat":107,"lon":106},[110,111],{"name":99,"role":35,"phone":100,"phoneExt":10,"email":37},{"name":112,"role":35,"phone":113,"phoneExt":10,"email":114},"Damien Ryan, MD","06731491","Damien.ryan@hse.ie",{"type":116,"investigatorFullName":10,"investigatorTitle":10,"investigatorAffiliation":10,"oldNameTitle":10,"oldOrganization":10},"SPONSOR","100546796","occupational-therapy-led-services-for-adults-presenting-acutely-with-a-hand-condition-100546796",false,"NCT06399614","Occupational Therapy-led Services for Adults Presenting Acutely With a Hand Condition","An Evidenced Based Analytical Study of Occupational Therapy-led Services for Adults Presenting Acutely With a Hand Condition","Inclusion Criteria:\n\n* Adults aged 18 years of age and older\n* Adults presenting with an injury and\u002F or condition of their hand and\u002For forearm inhibiting function inclusive of: fractures (proximal, middle, and distal phalanx); tendon and soft tissue injury (PIPJ volar plate, central slip +\u002F- lateral band, mallet injury, trigger finger, flexor injury, extensor injury, thumb tendon and ligament injury); digital nerve injury; or carpal tunnel injury.\n\nExclusion Criteria:\n\n* Patients under 18 years of age\n* Patients presenting with complex medical issues in conjunction with a hand injury who may require an alternative pathway, for example, transfer to a different hospital, requiring prioritisation of another medical emergency\n* Other exclusions at the discretion of the service depending on team capacity and expertise","ALL","18 Years",{"count":127,"type":128},150,"ESTIMATED","OBSERVATIONAL","Traumatic hand injuries account for up to one third of acute hospital presentations. Current guidelines and standards of care recommend patients with hand trauma are seen by hand therapists, typically occupational therapists. The proposed study aims to explore the effectiveness of occupational therapy-led hand therapy services for the adult population presenting acutely to an injury unit or emergency department setting with a hand condition. The research project will consist of an analytical study, involving four different sites in Ireland to enrich findings, and to aid future service development. One site will be the comparison site, as it does not have access to occupational therapy, and will offer patients 'care as usual' upon attendance. Outcome measures will be used for all participants and will be completed at initial patient contact, at week eight and at six months. It is hoped the current proposed study will help shape future service development for those with hand injury including provision of evidence based occupational therapy assessment and intervention.",[132],"Hand Injuries",[134,135,136],"Hand injury","Hand conditions","Occupational Therapy","2025-09-25",{"date":139,"type":140},"2025-10-01","ACTUAL",{"date":142,"type":140},"2024-01-11",{"date":144,"type":128},"2025-11",{"name":5,"class":6},5]