SCI&U Peer Health Coaching Program for Individuals Newly Discharged From Inpatient Rehabilitation (SCIU2)

University of Toronto

Status: Enrolling

Conditions: Spinal Cord Injury

Treatments: Behavioral: web-based spinal cord injury self-management program; Behavioral: Peer support

Study type: Interventional

Funder types: Other

Identifiers

NCT06677905

977608

Details and patient eligibility

About

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

Enrollment: 76 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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76 participants in 2 patient groups

SCI&U self-management program

Experimental group

Description:

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.

Treatment:

Behavioral: web-based spinal cord injury self-management program

Wait list control

Active Comparator group

Description:

Control group will be offered the existing peer support program from the United Spinal Connecticut Chapter or SCI BC

Treatment:

Behavioral: Peer support