RecruitingNot ApplicableNCT06559501

Integrated Case Management for Burns Care in Pakistan

Integrated Case Management for Improved Psychosocial and Physical Rehabilitation of Burn Survivors and Their Families Treated in Pakistan


Sponsor

Pakistan Institute of Living and Learning

Enrollment

1,146 participants

Start Date

Sep 2, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

To test whether a culturally adapted multicomponent intervention for improving burns care and patient/family rehabilitation is effective in improving survival among burn victims in Pakistan and is cost-effective. The comparator will be usual care plus brief written self-help advice (enhanced usual care). The study is designed as a multicentre, pragmatic, parallel group, individually randomised trial. Participants in the intervention arm will receive 8 sessions delivered by the case managers (6 low-intensity sessions lasting 30-60 minutes in the hospital/community and 2 follow-up sessions lasting 30 minutes in the community). Assessments will be conducted at baseline, at 3 months, 6 months and at 12-months post-intervention.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Adults 18 years and over
  • Accidental burn injury and meet the criteria for admission to burn centres
  • Clinician judgment for participation readiness
  • Ability to provide informed consent

Exclusion Criteria2

  • No intentional burn injuries
  • • Lacking capacity to provide informed consent

Interventions

BEHAVIORALIntegrated case manager care

comprises 8 sessions delivered by case managers. Case managers will provide up to 6 low-intensity sessions in the hospital or the community (if the patient is discharged before completing the required sessions), with content and duration tailored to patient preferences. Post-discharge, patients will receive 2 follow-up sessions with case managers to ensure a smooth transition into the community.


Locations(11)

Burn Unit, Sandeman Provisional Hospital

Quetta, Balochistan, Pakistan

Plastic Surgery and Burn Unit, BMC, Quetta

Quetta, Balochistan, Pakistan

Burns and Plastic Surgery Center, Peshawar

Peshawar, KPK, Pakistan

Department of Plastic, Reconstructive Surgery and Burn Unit, Kind Edward Medical University

Lahore, Punjab Province, Pakistan

Jinnah Burn & Reconstructive Surgery Centre, Lahore

Lahore, Punjab Province, Pakistan

Pak Italian Modern Burn and Plastic Surgery Centre

Multan Khurd, Punjab Province, Pakistan

Burn Centre, Civil Hospital Hyderabad

Hyderābād, Sindh, Pakistan

Burn Centre, Ruth K. M. Pfau, Civil Hospital Karachi

Karachi, Sindh, Pakistan

Burns and Plastic Surgery, Patel Hospital, Karachi

Karachi, Sindh, Pakistan

Allied Burn & Reconstructive Surgery Centre

Faisalābad, Pakistan

Burn Care Centre, PIMS, Islamabad

Islamabad, Pakistan

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NCT06559501


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