Jeanne M Hoffman, Chris Garbaccio, Shannon Tyman, Jayden Chapman, Daniel Gray, Amy J Starosta
{"title":"SCI 茁壮成长：由同伴主导的在线自我管理计划的影响。","authors":"Jeanne M Hoffman, Chris Garbaccio, Shannon Tyman, Jayden Chapman, Daniel Gray, Amy J Starosta","doi":"10.1080/10790268.2023.2192852","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To test the effectiveness of a peer-led online self-management program for individuals with spinal cord injury (SCI).</p><p><strong>Design: </strong>Randomized waitlist control trial.</p><p><strong>Setting: </strong>Community.</p><p><strong>Participants: </strong>184 adults with SCI.</p><p><strong>Interventions: </strong>SCI Thrive is a peer-led self-management program with self-paced online content and video-sessions for live discussion.</p><p><strong>Outcome measures: </strong>Perceived quality of life, self-efficacy for health, participation.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"723-732"},"PeriodicalIF":1.8000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378682/pdf/","citationCount":"0","resultStr":"{\"title\":\"SCI Thrive: Impact of a peer-led online self-management program.\",\"authors\":\"Jeanne M Hoffman, Chris Garbaccio, Shannon Tyman, Jayden Chapman, Daniel Gray, Amy J Starosta\",\"doi\":\"10.1080/10790268.2023.2192852\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To test the effectiveness of a peer-led online self-management program for individuals with spinal cord injury (SCI).</p><p><strong>Design: </strong>Randomized waitlist control trial.</p><p><strong>Setting: </strong>Community.</p><p><strong>Participants: </strong>184 adults with SCI.</p><p><strong>Interventions: </strong>SCI Thrive is a peer-led self-management program with self-paced online content and video-sessions for live discussion.</p><p><strong>Outcome measures: </strong>Perceived quality of life, self-efficacy for health, participation.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":50044,\"journal\":{\"name\":\"Journal of Spinal Cord Medicine\",\"volume\":\" \",\"pages\":\"723-732\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378682/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Spinal Cord Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/10790268.2023.2192852\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/3/31 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Spinal Cord Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10790268.2023.2192852","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/3/31 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
SCI Thrive: Impact of a peer-led online self-management program.
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.
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.
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