Value-based cognitive-behavioural therapy for the prevention of chronic XXXX : protocol of a randomized controlled trial.

@entity1 @entity308 @entity7125 @entity1005 @entity458 @entity74 @entity158 @entity717
BACKGROUND: @entity7125 is the most common traffic-related injury affecting thousands of @entity1 every year. Conservative treatments have not proven effective in preventing persistent symptoms and disability after @entity7125 . Early established @entity158 behaviours within the first weeks after the injury may explain part of the transition from acute to chronic @entity74 ( @entity74 ). Hence, early targeting of psychological risk factors such as @entity158 catastrophizing, fear-avoidance-beliefs, @entity308 , and symptoms of @entity1005 ( @entity1005 ) may be important in preventing the development of chronic @entity74 . Some evidence exists that targeting fear-avoidance beliefs and @entity1005 with exposure strategies and value-based actions may prevent development of @entity717 after @entity7125 . Yet, the results have to be tested in a randomized controlled trial (RCT). The primary objective of the present study is to test whether a specifically tailored value-based cognitive-behavioural therapy program (V-CBT) is able to prevent the development of @entity717 , @entity158 , and @entity458 if delivered within the first three months after a @entity7125 . METHODS/DESIGN: The current study is a two-armed randomized controlled study with a crossover design. Group A is scheduled for V-CBT within one week of randomization and group B with a delayed onset 3  months after randomization. DISCUSSION: If the study detects significant effects of V-CBT as a preventive intervention, the study will provide new insights of preventive treatment for @entity1 with @entity74 and thereby serve as an important step towards preventing the chronic condition. TRIAL REGISTRATION: Current Controlled Trials Registration September 19, 2014: NCT02251028.
