SCI&U Peer Health Coaching Program for Individuals Newly Discharged From Inpatient Rehabilitation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- University of Toronto
- Enrollment
- 76
- Locations
- 4
- Primary Endpoint
- Emotional Distress Subscale in Health Education Impact Questionnaire
Study Overview
Brief Summary
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
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
SCI&U self-management program
Following recruitment intervention participants will be scheduled for an orientation session to become better acquainted with the health coaching program and the associated platform's features. Participants will then be partnered with their peer health coach. In the first videoconference session, participants will identify priority issues related to their health and transitioning to home. They will work through goal-setting, problem solving and create action plans for behaviour change. Online coaching sessions are expected to cover a health-related topic and a self-management skill topic and will have an expected duration of 45 to 60 minutes. The selection of topics and the order will be determined jointly.
Intervention: web-based spinal cord injury self-management program (Behavioral)
Wait list control
Control group will be offered the existing peer support program from the United Spinal Connecticut Chapter or SCI BC
Intervention: Peer support (Behavioral)
Outcomes
Primary Outcomes
Emotional Distress Subscale in Health Education Impact Questionnaire
Time Frame: From baseline assessment to 6 months followup
The Emotional Distress construct measures overall negative affect including worry, depression and anger.
Secondary Outcomes
- Self-monitoring and Insight in Health Education Impact Questionnaire(From baseline assessment to 6 months followup)
- Constructive Attitudes and Approaches in Health Education Impact Questionnaire(From baseline assessment to 6 months followup)
- Skill and Technique Acquisition in Health Education Impact Questionnaire(From baseline assessment to 6 months followup)
- Social Integration and Support in Health Education Impact Questionnaire(From baseline assessment to 6 months followup)
- Health Directed Activities in Health Education Impact Questionnaire(From baseline assessment to 6 months followup)
- Positive and Active Engagement in Life in Health Education Impact Questionnaire(From baseline assessment to 6 months followup)
- Health Services Navigation in Health Education Impact Questionnaire(From baseline assessment to 6 months followup)
- The Patient Activation Measure - (PAM) Survey(From baseline assessment to 6 months followup)
- Moorong Self-Efficacy Scale(From baseline assessment to 6 months followup)
- Secondary Conditions Scale(From baseline assessment to 6 months followup)
- NIH Toolbox Loneliness Scale(From baseline assessment to 6 months followup)
- System Usability Scale(From baseline assessment to 6 months followup)
Investigators
Susan Jaglal
Professor
University of Toronto