COVID-19 is an emerging, rapidly evolving situation.
Get the latest public health information from CDC: https://www.coronavirus.gov.

Get the latest research information from NIH: https://www.nih.gov/coronavirus.
Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu

Measuring the Impact of the French Version of the Whiplash Book (WHIPLASH)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03040245
Recruitment Status : Completed
First Posted : February 2, 2017
Last Update Posted : February 2, 2017
Sponsor:
Collaborators:
CH Aurillac
Jacques Lacarin Hospital Center
CH Moulins
CH Montluçon
CH Issoire
CH Thiers
CH Ambert
Information provided by (Responsible Party):
University Hospital, Clermont-Ferrand

Brief Summary:

Whiplash trauma and the resulting whiplash associated disorders have been the subject of much attention in the scientific literature and remain a major public health problem.

The most commonly encountered symptoms are neck pain, headache, low back pain, shoulder pain, as well as visual impairment. It is not unusual for neck pain to become chronic, and when this occurs, there may be serious consequences on a social, professional and financial level.

Even though the role of the initial episode should not be ignored, progression to chronic pain is probably multifactorial and, like non-specific low back pain, psycho-social factors, and in particular patient fears and belief, seem to play a relevant role, as do environmental factors. The professional consensus is that it is useful to provide targeted information at an early stage in whiplash settings in order to reduce mistaken fears and beliefs. A preliminary study enabled the investigators to validate a French version of an information booklet that draws on validated data from evidence-based medicine. The booklet was "Le guide du coup de fouet cervical," the French version of The Whiplash Book. This study showed that fears and beliefs were considerably high in a population without neck problems who were working in hospitals. It also revealed that simply providing information could help lessen them.

Management following whiplash injury can make use of the recommendations as published in the literature. Healthcare professionals must reassure and educate their patients that post-traumatic pain is normal, and that they need to remain active and maintain physical activity in order to improve their prognosis.

Only very few studies have evaluated the adherence of physicians or healthcare professionals to the guidelines and to ways of changing their approach to treatment.

The main aim of this study was to determine what fears and beliefs physicians have about the consequences of whiplash. The secondary aim was to measure the impact of a validated information booklet on emergency physicians' approach to management following a whiplash injury.


Condition or disease Intervention/treatment
Whiplash Trauma Behavioral: Whiplash book

Detailed Description:

Once each of the department heads and the different physicians concerned had given their agreement to take part in the study, an initial questionnaire folder (containing the WBQ and FABQ) was sent by email and by post to each of the physicians drawn by randomization. Upon inclusion, demographic data was collected from the physicians (gender, age, place of practice, and length of time in practice), as well as any personal or family history of neck pain or whiplash. The physicians were also asked how often they encountered cases of whiplash.

Information about knowledge of whiplash injury was also sought. This included continuing medical training or recent reading (within the previous 3 years), and in particular knowledge of the different severity grades established by the Quebec Task Force classification, the radiologic recommendations of the Canadian C-Spine Rule, and lastly the latest HAS recommendation on physical therapy in post-whiplash neck pain.

Once the first questionnaire folder had been completed, a second folder was then sent to all physicians participating in the study. The intervention group was instructed to complete the questionnaires at least 48 hours after the intervention that is, after reading the information booklet.

The same items were included as in the initial folder, with an additional questionnaire enabling the intervention group to qualitatively assess the information booklet. If there was no response, reminders were sent by email, then by telephone, and lastly by post.

Layout table for study information
Study Type : Observational
Actual Enrollment : 95 participants
Observational Model: Other
Time Perspective: Other
Official Title: Measuring the Impact of the French Version of the Whiplash Book on Both Treatment Approach and Fears and Beliefs Among Emergency Physicians
Study Start Date : June 2015
Actual Primary Completion Date : November 2016
Actual Study Completion Date : December 2016

Group/Cohort Intervention/treatment
intervention group
The intervention group was instructed to complete the questionnaires at least 48 hours after the intervention that is, after reading the information booklet
Behavioral: Whiplash book
control group
The same items were included as in the initial folder, with an additional questionnaire enabling the intervention group to qualitatively assess the information booklet. If there was no response, reminders were sent by email, then by telephone, and lastly by post.
Behavioral: Whiplash book



Primary Outcome Measures :
  1. assessment of fears and beliefs in the sample of physicians tested using questionnaire WBQ (whiplash belief questionnaire) [ Time Frame: 48 hours after reading the information booklet ]
    For each statement, the physician must express his or her level of agreement or disagreement, with a score that varies from 9 to 45. The higher the score, the stronger the beliefs

  2. assessment of fears and beliefs in the sample of physicians tested using the FABQ (Fear Avoidance Belief questionnaire) [ Time Frame: 48 hours after reading the information booklet ]
    The FABQ (Fear Avoidance Belief questionnaire) comprises two independent scales: the physical activity FABQ and work FABQ


Secondary Outcome Measures :
  1. Measurement of the impact of a validated information booklet on emergency physicians' approach to management following a whiplash injury. [ Time Frame: 10 days for control group or minimum 48 hours after reading the information booklet for interventional group ]
  2. Non-pharmacological management of a whiplash injury [ Time Frame: 10 days for control group or minimum 48 hours after reading the information booklet for interventional group ]

    Non-pharmacological management of a whiplash injury estimated by :

    • Prescription of necklace (yes/no (%)) If yes, duration of prescription
    • Prescription of physiotherapy sessions (%)
    • Work cessation yes/no (%)



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   25 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
emergency physicians
Criteria

Inclusion Criteria:

  • - Both sexes
  • Emergency medicine doctors
  • Doctors has given its consent to participate in the study

Exclusion Criteria:

  • no criteria

Information from the National Library of Medicine

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): NCT03040245


Locations
Layout table for location information
France
CHU Clermont-Ferrand
Clermont-Ferrand, France, 63003
Sponsors and Collaborators
University Hospital, Clermont-Ferrand
CH Aurillac
Jacques Lacarin Hospital Center
CH Moulins
CH Montluçon
CH Issoire
CH Thiers
CH Ambert
Investigators
Layout table for investigator information
Principal Investigator: Emmanuel COUDEYRE University Hospital, Clermont-Ferrand
Layout table for additonal information
Responsible Party: University Hospital, Clermont-Ferrand
ClinicalTrials.gov Identifier: NCT03040245    
Other Study ID Numbers: CHU 298
First Posted: February 2, 2017    Key Record Dates
Last Update Posted: February 2, 2017
Last Verified: January 2017
Keywords provided by University Hospital, Clermont-Ferrand:
Emergency physician
Whiplash Book
Whiplash trauma
Fears
Beliefs
Additional relevant MeSH terms:
Layout table for MeSH terms
Whiplash Injuries
Neck Injuries
Wounds and Injuries