My Care My Call: Peer-Led Health Empowerment Training in Chronic Spinal Cord Injury

Not Applicable

Completed

• Conditions: Spinal Cord Injuries
• Interventions: Behavioral: Calls from a Peer Health Coach for 6 months

• Registration Number: NCT02878070
• Lead Sponsor: Boston University

Brief Summary

My Care My Call (MCMC) is an innovative, peer-led telephone intervention designed to empower adults with chronic spinal cord injury (SCI) in the self-management of their primary health care needs to prevent secondary conditions. In a randomized controlled trial, participants assigned to the MCMC intervention receive tapered calls from a Peer Health Coach (PHC) for six months. PHCs are experienced, empathetic peer mentors living with SCI who act as supporters, role models, and advisors, providing goal-setting support, motivation, education, and resource referral to participants. Participants complete surveys at baseline, 2, 4, and 6-months, as well as qualitative exit phone interviews.

It is hypothesized that MCMC will: 1) Increase participants' self-advocacy in health care interactions as reflected in increases in three domains of self-advocacy: assertiveness, illness education, and potential for mindful non-adherence, 2) Increase participants' self-efficacy for health care navigation, preference for involvement in, and satisfaction with their primary care physician (PCP), and 3) Increase health related quality of life and medical social support compared with those receiving usual care. Additional secondary hypotheses state that the MCMC intervention will increase access to primary care and use of preventive screening services compared with those receiving usual care.

Detailed Description

Not available

Study Timeline

• Study Start: 2015-01
• Primary Completion: 2016-03
• Study Completion: 2016-03
• Status Verified: 2016-08
• Study First Submitted: 2016-08-22
• Study First Submitted QC: 2016-08-22
• Last Update Submitted: 2016-08-22
• Study First Posted: 2016-08-25
• Last Update Posted: 2016-08-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 86

Inclusion Criteria

• Self-report of physician-confirmed traumatic spinal cord injury diagnosis
• Injured one year ago or more
• Telephone access for at least 9 months
• Speaks and understands conversational English
• Have a current health issue to address

Exclusion Criteria

• Moderate to severe cognitive impairment
• Surgery scheduled for a 2-week or longer duration during the months of the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Peer Health Coaching	Calls from a Peer Health Coach for 6 months	Calls from a Peer Health Coach for 6 months

Primary Outcome Measures

Name	Time	Method
Patient Activation Measure (PAM)	Change in PAM score from baseline to 2, 4, and 6 months	Measurement of self-management behavior

Secondary Outcome Measures

Name	Time	Method
Patient Self-Advocacy Scale (PSAS)	Change in PSAS score from baseline to 6 months