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Psychosocial Transitional Group Pragmatic Trial

Mental Health | Amputation | Psychotherapy, Group

People with limb loss receiving inpatient rehabilitation are at greater risk for depression and anxiety, social isolation, and generally have poorer quality of life. To proactively address the mental health needs of this population, St. John's Rehab recruited two psychiatrists to provide mental health support to their inpatient population groups. Because there are limits to mental health resources and because group therapy facilitates patients learning from each other, the investigators plan to test an innovative psychological group therapy program designed for limb loss inpatients to address mental health challenges, and to better prepare them to integrate back into the community. Our designed psychosocial group therapy is led by a psychiatrist and an occupational therapist who create a structured process for inpatients to discuss their challenges and identify coping strategies that will help them transition back into the community. The investigators will recruit 130 inpatients with limb loss, with 65 taking part in a weekly psychosocial group therapy program and 65 receiving treatment as usual. The investigators will evaluate if anxiety and depression significantly decreases in our treatment group compared to those who received treatment as usual. The findings of this work will provide needed evidence for the clinical feasibility and utility of a rehabilitation inpatient group therapy program, which can serve as a useful model for other limb loss sites across Canada.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    18 and up

Participation Criteria

Inclusion Criteria:

* English-speaking
* 18 years of age or older
* Admitted to St. John's Rehab inpatient
* Any etiology and level limb loss
* Medically stable
* No clinical suspicion of cognitive impairment
* No history of active psychosis or unmanaged major psychiatric disorder

Exclusion Criteria:

* Actively suicidal
* Unable to participate effectively in a group setting (e.g. actively using substances, exhibiting threatening behaviors)

Study Location

Sunnybrook Research Institute
Sunnybrook Research Institute
Toronto, Ontario
Canada

Contact Study Team

Primary Contact

Oksana Kachmarchuk, MSc

[email protected]
416-226-6780
Study Sponsored By
Sunnybrook Health Sciences Centre
Participants Required
More Information
Study ID: NCT05798091