Affordable, Tailored Therapy for Financially Vulnerable People With Trauma-related Injuries

NCT07819877 | Not Yet Recruiting

• 2 other identifiers: NL2026-19368WCF CALL 2024-2025
• Study Type: observational
• Target: 17
• Locations: 0 countries
• Sites: N/A

Brief Summary

Financially vulnerable people experience higher rates of trauma-related injuries and often face barriers to accessing physical therapy services. Current rehabilitation services may not sufficiently align with the circumstances and needs of this population. This qualitative study aims to develop a conceptual understanding of the needs of financially vulnerable adults with trauma-related injuries regarding physical therapy treatment. Using a constructivist grounded theory approach, data will be collected through semi-structured interviews, participant observations, and supplementary qualitative materials. Findings will support the development of more accessible, tailored, and person-centered physical therapy services.

Conditions

Trauma (Including Fractures); Multiple Trauma/Injuries; Rehabilitation

Keywords

Needs; financial vulnerability; Socioeconomic disadvantage; physical therapy; physiotherapy; grounded theory; qualitative research; Rehabilitation

Outcome Measures

Primary Outcomes (1)

• Needs Regarding Physical Therapy Treatment

  Conceptual understanding of the needs of financially vulnerable people with trauma-related injuries regarding physical therapy treatment, identified through qualitative interviews, participant observations, documents, footage, and social media content analyzed using constructivist grounded theory methods.

  Single study interview and observation period (October 2026 to June 2027)

Study Arms (1)

Financially vulnerable people with trauma-related injuries

Adults aged 18 years and older with trauma-related injuries (ISS ≥16) and self-reported financial concerns living in the Netherlands. Participants may have received physical therapy or may not have received physical therapy after injury. Data collection includes interviews and observations.

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population consists of adults aged 18 years or older with severe trauma-related injuries (ISS ≥16) who live in financial vulnerability in the Netherlands. Eligible participants experienced their injury between 3 months and 2 years before study participation and report financial concerns. Maximum variation sampling will be used to ensure diversity in age, sex, educational level, geographic region, rehabilitation pathway, and experiences with physical therapy. Recruitment will follow purposive, snowball, and theoretical sampling principles consistent with constructivist grounded theory methodology.

You may qualify if:

• Adults aged 18 years or older
• Trauma-related injury with Injury Severity Score (ISS) ≥16
• Injury occurred between 3 months and 2 years prior to participation
• Self-reported financial concerns
• Living in the Netherlands
• Able and willing to provide informed consent

You may not qualify if:

• Unable to understand or speak Dutch
• Cognitive impairment preventing participation in interviews
• Severe mental health conditions preventing meaningful participation
• Life expectancy less than 3 months

Sponsors & Collaborators

• Radboud University Medical Center: lead

Related Publications (3)

• O'Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014 Sep;89(9):1245-51. doi: 10.1097/ACM.0000000000000388.

  PMID: 24979285 BACKGROUND

• Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Soc Sci Med. 2022 Jan;292:114523. doi: 10.1016/j.socscimed.2021.114523. Epub 2021 Nov 2.

  PMID: 34785096 BACKGROUND

• Charmaz K. Teaching Theory Construction With Initial Grounded Theory Tools: A Reflection on Lessons and Learning. Qual Health Res. 2015 Dec;25(12):1610-22. doi: 10.1177/1049732315613982.

  PMID: 26646825 BACKGROUND

MeSH Terms

Conditions

Wounds and Injuries; Multiple Trauma

Study Officials

• Niek Koenders, PhD

  Radboud University Medical Center

  STUDY CHAIR

Central Study Contacts

Indy Smits, MSc

CONTACT

+24 361 1111; indy.smits@radboudumc.nl

Niek Koenders, PhD

CONTACT

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 9, 2026
• First Posted: September 15, 2026
• Study Start: October 1, 2026
• Primary Completion (Estimated): June 1, 2027
• Study Completion (Estimated): June 1, 2027
• Last Updated: September 15, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share