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  4. Evaluating a pilot community-based self-management program for adults with spinal cord injury

Evaluating a pilot community-based self-management program for adults with spinal cord injury

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2023.2220510 · Published: January 1, 2024

Spinal Cord InjuryPatient ExperienceRehabilitation

Simple Explanation

This study evaluates a self-management program for adults with spinal cord injury (SCI) in Singapore. The program aimed to improve self-efficacy and address secondary complications, community integration, and employment. The program included education, peer mentorship, and covered topics like physical activity, skin care, and bladder/bowel care. Participants showed improvements in self-efficacy and community integration. Participants appreciated the program's design, relevant information, and empowerment. They suggested more peer support and psycho-emotional interventions for future improvements.

Study Duration
Three weeks to three months
Participants
15 adults with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Self-efficacy scores significantly increased from baseline to post-intervention with a large effect size (Hedge’s g = 0.89).
  • 2
    SCI-SCS scores significantly decreased from baseline to follow-up (p = .024), with a medium effect size (Hedge’s g = 0.64), indicating fewer problems related to secondary conditions.
  • 3
    A significantly greater proportion of individuals were employed at follow-up compared to baseline (p = .025).

Research Summary

This study evaluated a community-based self-management program for adults with SCI in Singapore, focusing on self-efficacy, secondary conditions, community integration, and employment. The program showed short-term improvements in self-efficacy and positive trends in secondary conditions and community integration. Participants valued the program's relevance and customization. The study suggests the potential benefits of SCI-specific self-management programs but calls for further research to determine effectiveness, essential features, and cost-effectiveness.

Practical Implications

Program Design

SCI-specific self-management interventions may be more effective than generic programs.

Instructional Methods

Varied instructional methods that match the content being taught can enhance learning outcomes.

Peer Support

Incorporating peer support can enhance adjustment, hope, self-efficacy, quality of life, and participation.

Study Limitations

  • 1
    Lack of a control group prevents causal claims.
  • 2
    Self-reported measures introduce risk of reporting bias.
  • 3
    Small sample size did not allow control for potential confounders.

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