The Impact of Expressive Emotional Writing on Facilitating Grief Resolution in Adults With Spinal Cord Injury

Обзор

The aim of this study is to evaluate the therapeutic benefits of a 10-week online coach-guided EEWP on psychosocial health among adults with SCI.

Подробное описание

Paralysis in people with spinal cord injury (SCI) leads to grief from the loss of physical capacity, social or occupational role function, and life goals. Expressive emotional writing (EEW) provides an outlet for these individuals to explore and express feelings and emotions that arise from their losses related to limb paralysis. Using a randomized controlled trial design, the proposed project will attempt to confirm the benefits of an online coach-guided EEW program for improving psychosocial health among adults with SCI. Benefits of participating in the program will be evaluated using validated assessments to measure reduction of grief intensity and improvement in other psychosocial dimensions and social participation.

Вмешательства

• Поведенческое expressive writing
  A typical session will begin with the teaching artist (i.e., writing coach) introducing a new writing theme. Participants will have at least 20 minutes to write, and each session will include post-writing reflections and sharing, an undirected supportive interaction among participants.

Первичные конечные точки

• Grief and Loss Scale [Срок оценки: baseline, 11 weeks, 3-month follow-up]
• Impact of Events Scale [Срок оценки: baseline, 11 weeks, 3-month follow-up]
• Emotional Distress - Depression [Срок оценки: baseline, 11 weeks, 3-month follow-up]
• Perceived Stress Scale (PSS) [Срок оценки: baseline, 11 weeks, 3-month follow-up]
• Sleep Disturbance [Срок оценки: baseline, 11 weeks, 3-month follow-up]
• Sleep Impact [Срок оценки: baseline, 11 weeks, 3-month follow-up]
• Meaning and Purpose [Срок оценки: baseline, 11 weeks, 3-month follow-up]
• Self-Efficacy for Managing Chronic Conditions - Managing Emotions [Срок оценки: baseline, 11 weeks, 3-month follow-up]
• Ability to Participate in Social Roles and Activities [Срок оценки: baseline, 11 weeks, 3-month follow-up]
• Satisfaction with Social Roles and Activities [Срок оценки: baseline, 11 weeks, 3-month follow-up]

Критерии участия

Inclusion Criteria: (1) diagnosis (with evidence) of SCI (traumatic or non-traumatic) with limb weakness; (2) aged > 18 years; (3) access to the internet and a computer or to a smartphone that can perform videoconferencing, (4) sufficient English language and cognitive proficiency to complete self-report study questionnaires and understand program content in English, and able to communicate verbally or through writing.

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Exclusion Criteria: (1) severe cognitive impairments that prevent online learning and completion of the evaluation; (2) suicidal intent requiring emergency care; (3) consistent psychotherapy within the last 6 months; (4) current or planned participation in psychological therapy or a clinical trial during the study period that could affect the outcomes of the study; or (5) congenital SCI (e.g., spinal bifida)

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Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

США · 1 центр

• University of Alabama at Birmingham — Birmingham

Идентификаторы

NCT: NCT06147258 · 1925594-38 · 1925594-38

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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