SCI Thrive: Impact of a peer-led online self-management program.

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Spinal Cord Medicine Pub Date : 2024-09-01 Epub Date: 2023-03-31 DOI:10.1080/10790268.2023.2192852

Jeanne M Hoffman, Chris Garbaccio, Shannon Tyman, Jayden Chapman, Daniel Gray, Amy J Starosta

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引用次数: 0

Abstract

Objective: To test the effectiveness of a peer-led online self-management program for individuals with spinal cord injury (SCI).

Design: Randomized waitlist control trial.

Setting: Community.

Participants: 184 adults with SCI.

Interventions: SCI Thrive is a peer-led self-management program with self-paced online content and video-sessions for live discussion.

Outcome measures: Perceived quality of life, self-efficacy for health, participation.

Results: A total of 97 individuals (86 randomized plus 9 assigned to the final group) were assigned to treatment and 86 randomized to the waitlist. Participants were 51 years old on average (SD = 14.9), with 58% male, mean of 15.5 (SD = 14.0) years injured, with 59% cervical injuries and 64% incomplete injuries. The treatment group had significantly higher scores on CHART occupational subscale (P = .022), but no other differences were found at the end of 6 weeks. Analysis of all participants who completed SCI Thrive showed significant increase in self-efficacy between baseline (6.32) and 6 weeks (6.81; P < .001) which was maintained at 3 months post treatment (6.83; P = .001). Those who were more engaged in SCI Thrive reported higher quality of life (P = .001), self-efficacy (P = .007), and increased mobility on the CHART (P = .026).

Conclusion: SCI Thrive is a highly accessible program for individuals with SCI and shows promise for improving self-efficacy. Strategies to increase engagement should be added to maximize benefits. Measurement tools may have been impacted by COVID-19 pandemic. Further research on the efficacy of SCI Thrive is needed given feedback on benefit of a group focus area, such as on physical activity.

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SCI 茁壮成长：由同伴主导的在线自我管理计划的影响。

目的测试针对脊髓损伤（SCI）患者的同伴指导在线自我管理计划的有效性：随机候选对照试验：参与者：184 名脊髓损伤成人干预措施：SCI Thrive 是一项同伴自我管理计划：SCI Thrive 是一项由同伴引导的自我管理计划，包含自定进度的在线内容和现场讨论的视频课程：干预措施：SCI Thrive 是一项由同伴引导的自我管理计划，该计划采用自定进度的在线内容和视频课程进行现场讨论：共有 97 人（86 人被随机分配到治疗组，9 人被分配到最终治疗组）被分配到治疗组，86 人被随机分配到等待治疗组。参与者平均年龄为 51 岁（SD = 14.9），男性占 58%，平均受伤时间为 15.5 年（SD = 14.0），颈椎受伤占 59%，不完全受伤占 64%。治疗组在 CHART 职业分量表上的得分明显更高（P = .022），但在 6 周结束时未发现其他差异。对所有完成 SCI Thrive 的参与者进行的分析表明，自我效能感在基线（6.32）和 6 周（6.81；P 结论）之间有显著提高：SCI Thrive 是一项非常适合 SCI 患者的计划，并有望提高自我效能感。应增加提高参与度的策略，以获得最大收益。测量工具可能受到 COVID-19 大流行的影响。需要进一步研究 SCI Thrive 计划的功效，以了解小组重点领域（如体育活动）的效益反馈。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Spinal Cord Medicine 医学-临床神经学

CiteScore

4.20

自引率

5.90%

发文量

101

审稿时长

6-12 weeks

期刊介绍： For more than three decades, The Journal of Spinal Cord Medicine has reflected the evolution of the field of spinal cord medicine. From its inception as a newsletter for physicians striving to provide the best of care, JSCM has matured into an international journal that serves professionals from all disciplines—medicine, nursing, therapy, engineering, psychology and social work.