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Effects of family group conferences among high-risk patients of chronic disability and their significant others: study protocol for a multicentre controlled trial
  1. Chantal F Hillebregt1,
  2. Eline W M Scholten1,
  3. Marjolijn Ketelaar1,
  4. Marcel W M Post1,2,
  5. Johanna M A Visser-Meily1
  1. 1 Center of Excellence in Rehabilitation Medicine, Brain Center Rudolf Magnus, University Medical Center Utrecht, University Utrecht and De Hoogstraat Rehabilitation, the Netherlands
  2. 2 Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
  1. Correspondence to Dr Johanna M A Visser-Meily; j.m.a.visser-meily{at}umcutrecht.nl

Abstract

Introduction Many patients and family members experience a large gap between the protected environment during inpatient medical rehabilitation and life in the community after discharge. They feel insufficiently prepared to cope with the consequences of their disability in daily life. This study protocol describes the design measuring the effectiveness and implementation of family group conferences on the empowerment of patients with a high risk of chronic disability and their significant others.

Methods and analysis A multicentre controlled trial will be carried out in 12 rehabilitation centres in the Netherlands. A total of 328 clinically admitted patients will participate (≥18 years, diagnosed with acquired brain injury, spinal cord injury or leg amputation), and their significant others will be included. During three family group conferences, supported by the social worker, the patient, significant other and their social network will be stimulated in collaboration, to set up participation goals, determine the needed help and make a concrete action plan. Self-reported questionnaires will be collected at baseline, clinical discharge, and 3 months and 6 months following clinical discharge. Empowerment as the primary outcome is operationalised as self-efficacy and participation. Secondary outcome measures are psychological (eg, coping, neuroticism) and environmental (eg, family functioning, social support) factors. This is the first controlled trial evaluating the effectiveness of family group conferences in rehabilitation medicine among adult patients and their significant others, providing us with knowledge in improving rehabilitation care.

Ethics and dissemination This study has been approved by the Medical Ethics Committee of the University Medical Center Utrecht (number 15–617/C). The results will be published in peer-reviewed journals and presented in local, national and international conferences.

Trial registration number NTR5742; Pre-results.

  • rehabilitation medicine
  • stroke
  • neurology
  • spine

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Footnotes

  • Contributors CFH and EWMS developed the first version of the manuscript, in collaboration with JMAV-M, MWMP and MK. JMAV-M, MWMP and MK supervised the writing process and gave critical comments on several drafts of the manuscript. JMAV-M, MWMP and MK provided statistical and methodological advice. CFH and EWMS wrote the final version of the manuscript.

  • Funding This study is financially supported by ZonMw, the Netherlands Organisation for Health Research and Development, Fonds Nuts Ohra and Revalidatiefonds, grant number: 630000003.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval The Medical Ethics Committee of the University Medical Center Utrecht reviewed the study protocol (number 15-617/C) and decided that the present study does not fall under the scope of the Dutch Medical Research Involving Human Subjects Act (WMO).

  • Provenance and peer review Not commissioned; externally peer reviewed.