SCI&U Peer Health Coaching Program for Individuals Newly Discharged From Inpatient Rehabilitation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: web-based spinal cord injury self-management program, Peer support.
- Who it may be relevant to
- Registry conditions: Spinal Cord Injury. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States, Canada
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The goal of this clinical trial is to learn if the online program and web-based platform for delivery of self-management services to people with spinal cord injury (SCI) called "SCI \& U" can support transitions from hospital to the community after injury. Specifically, can providing support from trained peer health coaches via the SCI \& U web-based self-management program increase health self-management among those within three years of a spinal cord injury with a planned discharge to or living in the community with SCI for less than two years in the province of British Columbia, Canada or the state of Connecticut, United States. The main question it aims to answer is: • Does the SCI \& U web-based self-management program lower emotional distress and increase self-efficacy Researchers will compare those who participate in SCI \& U with those who receive usual peer support after 6 months to see if the SCI \& U program improves self-management knowledge, skills and self-efficacy and decreases secondary complications Participants will: * engage in up to 14 online sessions, each of which lasts about an hour with a peer health coach trained in motivational interviewing, goal setting and brief action planning. During sessions, they may also review resources and create follow up plans on the online platform on health management topics * complete an interviewer administered survey at baseline, 6 and 12 months
Interventions
- Behavioral web-based spinal cord injury self-management program
Peer health coaches will be recruited from the United Spinal Connecticut Chapter and SCI BC. They will be at least 5 years post-SCI and will be certified in brief action planning and in Mental Health First Aid. Online coaching sessions are expected to cover a health-related topic (eg. bladder, bowel, skin, pain, healthy eating, physical activity or stress, anxiety and depression etc) and a self-management skill topic (eg.action planning, goal setting, problem-solving, mood management, navigatin - Behavioral Peer support
Existing peer support program from the United Spinal Connecticut Chapter or SCI BC
Primary outcome measures
- Emotional Distress Subscale in Health Education Impact Questionnaire [Time frame: From baseline assessment to 6 months followup]
Secondary outcome measures (12)
- Health Directed Activities in Health Education Impact Questionnaire [Time frame: From baseline assessment to 6 months followup]
- Positive and Active Engagement in Life in Health Education Impact Questionnaire [Time frame: From baseline assessment to 6 months followup]
- Self-monitoring and Insight in Health Education Impact Questionnaire [Time frame: From baseline assessment to 6 months followup]
- Constructive Attitudes and Approaches in Health Education Impact Questionnaire [Time frame: From baseline assessment to 6 months followup]
- Skill and Technique Acquisition in Health Education Impact Questionnaire [Time frame: From baseline assessment to 6 months followup]
- Social Integration and Support in Health Education Impact Questionnaire [Time frame: From baseline assessment to 6 months followup]
- Health Services Navigation in Health Education Impact Questionnaire [Time frame: From baseline assessment to 6 months followup]
- The Patient Activation Measure - (PAM) Survey [Time frame: From baseline assessment to 6 months followup]
- Moorong Self-Efficacy Scale [Time frame: From baseline assessment to 6 months followup]
- Secondary Conditions Scale [Time frame: From baseline assessment to 6 months followup]
- NIH Toolbox Loneliness Scale [Time frame: From baseline assessment to 6 months followup]
- System Usability Scale [Time frame: From baseline assessment to 6 months followup]
Eligibility criteria
Inclusion criteria
- 18 years and older, with a planned discharge to or living in community with SCI for no more than three years since injury and with the ability to speak and understand English
Exclusion criteria
- not a member of or willing to become a member of SCI BC or SCIACT
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Supportive care
Study locations
United States · 1 center
- Spinal Cord Injury Association of Connecticut — Milford
Canada · 1 center
- Department of Physical Therapy, University of Toronto — Toronto
Identifiers
NCT: NCT06677905 · 977608