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Not yet recruitingNCT07584252HEARTUpdated May 13, 2026

The Healing and Empowerment Actions for Recovery From Trauma (HEART) Trial

An interventional study of Comprehensive trauma recovery programming (C-TRP) and Standard of Care (Investigator Selected) in Trauma Blunt and Orthopedic, sponsored by Stephanie Di Stasi. Not yet recruiting at 7 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-13.

Sponsored by Stephanie Di Stasi · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
804
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The HEART Trial aimed to determine if wrap-around psychosocial support for patients who sustain moderate to severe trauma requiring orthopedic surgery intervention improves outcomes for patients (Aim 1), care-partners (Aim 2), and healthcare workers (Aim 3) as well as explore implementation strategies to improve health systems' capabilities and capacity to integrate psychosocial support services. The comparators represent real healthcare options for patients, caregivers, and healthcare workers. The HEART Trial is a multicenter pragmatic, stepped-wedge cluster randomized, hybrid type I comparative effectiveness-implementation superiority trial. The study intervention (C-TRP) is a trauma-focused psychosocial intervention, with each site serving as its own control (TRP).

02

Conditions studied

  • Trauma Blunt
  • Orthopedic

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Keywords

  • Healing and Empowerment Actions for Recovery from Trauma Trial (HEART)
  • Comprehensive trauma recovery programming (C-TRP)
  • Trauma recovery programming (TRP)
03

In context

Wounds, Nonpenetrating

37 studies on the registry are indexed under Wounds, Nonpenetrating; 11 are open to participants now.

This study's planned enrollment of 804 is above the median of 120 across 15 interventional studies indexed under Wounds, Nonpenetrating.

Browse Wounds, Nonpenetrating studies →

Lead sponsor

This is the only study on the registry with Stephanie Di Stasi as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Patients:

Inclusion Criteria:

  1. Age >= 18 years
  2. Anticipated hospital length of stay > 72 hours
  3. Moderate to severe orthopaedic trauma treated surgically for 1 or more injuries
  4. GCS >= 13 at the time of enrollment
  5. Willing and able to meet with Evellere coach while hospitalized or via the telephone within 72 hours of discharge (intervention cohort only)

Exclusion Criteria:

  1. Non-english speaking (must be sufficiently fluent in English to consent and complete surveys without interpretive services)
  2. Prior to index hospitalization, patient must not be receiving home services or be independent in daily tasks
  3. Any penetrating brain injury
  4. Patients with significant burn injury
  5. Prior cognitive impairment
  6. Hospital death or imminent death
  7. Hospice care at time of trauma or selection for hospice during initial hospital admission or do not resuscitate or comfort care only before index visit
  8. Prisoner/ inmate or police/ security intervention during hospitalization
  9. No reliable internet access at baseline
  10. Psychosis
  11. Trauma presentation is a result of suicide attempt/ self-harm

Care Partners

Inclusion criteria:

  1. Identified by the enrolled patient as a primary source of support during their recovery. A care partner can be in person or supporting remotely.
  2. Age >= 18 years
  3. Willing and able to meet with an Evellere coach during patient hospitalization or via telephone within 72 hours of discharge (intervention cohort only)

Exclusion criteria:

  1. Non-english speaking (must be sufficiently fluent in English to consent and complete surveys without interpretive services)
  2. Paid professionals or home healthcare providers whose support is provided as part of employment (e.g., nurses, aides, case managers)
  3. Already enrolled as a care partner for another participant in the HEART Trial
  4. Hospitalized at time of patient enrollment
  5. No reliable internet access at baseline

Healthcare Workers

Inclusion criteria:

  1. Age > 18 years
  2. Currently employed (full-time, part-time) at a participating trauma center in a role type associated with trauma care (e.g., engaged in clinical care navigation, behavioral health, rehabilitation, recovery coordination, etc.)
  3. Provides or supports care for orthopedic trauma patients for ≥20% of their clinical time
  4. Expected to remain employed at the trauma center for >12 months after enrollment

Exclusion criteria:

  1. Are contracted staff or traveling temporary staff
  2. Are students or trainees
  3. No reliable internet access at baseline
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
804 participants (estimated)

Study arms

  • Active comparator
    Trauma recovery Programming (TRP)

    Every trauma system adheres to a standardized protocol, aligned with credentialing requirements of ATS and The Joint Commission. Locally, this involves tailored referrals by hospital teams at time of discharge, based on specific needs of the patient. Additionally, a standard after-visit summary, with discharge instructions, is provided to the patient. It is a routine practice for the discharge team to review these instructions with the patient to address any questions. After discharge, the responsibility for managing the recovery process shifts to the patient and/or their care-partner. This includes calling physician offices for specific questions. However, social services and resources to navigate the process are limited after discharge.

    Other: Standard of Care (Investigator Selected)

  • Experimental
    Comprehensive trauma recovery programming (C-TRP)

    A multicomponent, patient-focused intervention that follows the standardized recovery protocol (TRP) with added resiliency coaching, peer support, education, and navigation resources. C-TRP begins during hospitalization and continues throughout recovery, allowing patients and care-partners to engage based on their needs and preferences. Upon enrollment, patients are connected with a local resiliency coach from Evellere for optional in-person support. Coaching provides a holistic approach to ensure safety, connection, and recovery planning, including referrals to site-specific or community providers for depression, anxiety, or PTSD as needed. Education is delivered through online resources, print materials, mobile apps, and peer and coach guidance. The intervention is delivered by Evellere using the Trauma Responsive Continuum of Care (TRCC)™ model, supporting collaboration with health systems and addressing psychosocial needs while enabling medical teams to focus on physical trauma ca

    Behavioral: Comprehensive trauma recovery programming (C-TRP)

Interventions

  • BehavioralComprehensive trauma recovery programming (C-TRP)

    A multicomponent, patient-focused intervention that follows the standardized recovery protocol (TRP) with added resiliency coaching, peer support, education, and navigation resources. C-TRP begins during hospitalization and continues throughout recovery, allowing patients and care-partners to engage based on their needs and preferences. Upon enrollment, patients are connected with a local resiliency coach from Evellere for optional in-person support. Coaching provides a holistic approach to ensure safety, connection, and recovery planning, including referrals to site-specific or community providers for depression, anxiety, or PTSD as needed. Education is delivered through online resources, print materials, mobile apps, and peer and coach guidance. The intervention is delivered by Evellere using the Trauma Responsive Continuum of Care (TRCC)™ model, supporting collaboration with health systems and addressing psychosocial needs while enabling medical teams to focus on physical trauma car

  • OtherStandard of Care (Investigator Selected)

    Every trauma system adheres to a standardized protocol, aligned with credentialing requirements of ATS and The Joint Commission. Locally, this involves tailored referrals by hospital teams at time of discharge, based on specific needs of the patient. Additionally, a standard after-visit summary, with discharge instructions, is provided to the patient. It is a routine practice for the discharge team to review these instructions with the patient to address any questions. After discharge, the responsibility for managing the recovery process shifts to the patient and/or their care-partner. This includes calling physician offices for specific questions. However, social services and resources to navigate the process are limited after discharge.

06

What researchers measure

Primary outcomes

  1. PROMIS-Anxiety

    The primary outcome for aims 1 (patients) and 2 (care partners) is anxiety, measured using PROMIS-Anxiety at 5-7 weeks and 12-14 weeks post-enrollment

    Time frame: 5-7 weeks and 12-14 weeks post enrollment

Secondary outcomes

  1. Maslach Burnout Inventory

    The primary outcome for Aim 3 (healthcare workers) is burnout, measured using Maslach Burnout Inventory (MBI) at 6 months and 12 months.

    Time frame: 6 months and 12 months

07

Study locations

7 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07584252
Lead sponsor
Stephanie Di Stasi
Collaborators
Patient-Centered Outcomes Research Institute
Responsible party
Stephanie Di Stasi (Associate Professor, Health and Rehabilitation Sciences, Ohio State University) — Sponsor-investigator
First posted
May 13, 2026
Start date
Jul 1, 2026 (estimated)
Primary completion
Aug 1, 2030 (estimated)
Completion
Mar 1, 2032 (estimated)
Last update
May 13, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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