Self Managing the Consequences of Major Limb Trauma

The objective of this research was to develop and pilot a computer-based self-management (SM) program (the Next Steps Program) for reducing secondary conditions and improving function following major lower limb trauma. The intervention builds on widely accepted SM programs developed for persons with arthritis as well as components of a face-toface SM program for civilians with long-standing limb loss. It was necessary, however, to tailor the content and delivery of these programs to better accommodate the needs of a young, acutely-injured population. The program consists of three overall components: 12 narrated, interactive Flash lessons; telephone and web-based support services (including weekly facilitated online chats; and access to online resources. A website (www.nextstepsonline.org) provides access to the lessons, support services and online resources. Results of the pilot study (n=30 civilian trauma patients) indicate high satisfaction with the program and participants report having benefitted from Next Steps. Preliminary data suggest that outcomes are positively impacted by the program. Computer-based self-management programs for the acutely-injured will provide a much-needed adjunct to the orthopaedic care now available and contribute to a comprehensive trauma would provide injured soldiers with an ongoing mechanism of support as they transition from inpatient rehabilitation to the ma management program to improve longterm outcomes and quality of life. A military version of the Next Steps program community - whether that be in the military or civilian sectors.