Spinal Cord Research Help
AboutCategoriesLatest ResearchContact
Subscribe
Spinal Cord Research Help

Making Spinal Cord Injury (SCI) Research Accessible to Everyone. Simplified summaries of the latest research, designed for patients, caregivers and anybody who's interested.

Quick Links

  • Home
  • About
  • Categories
  • Latest Research
  • Disclaimer

Contact

  • Contact Us
© 2025 Spinal Cord Research Help

All rights reserved.

  1. Home
  2. Research
  3. Spinal Cord Injury
  4. Peer mentoring reduces unplanned readmissions and improves self-efficacy following inpatient rehabilitation for individuals with spinal cord injury

Peer mentoring reduces unplanned readmissions and improves self-efficacy following inpatient rehabilitation for individuals with spinal cord injury

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2019.1645407 · Published: May 1, 2021

Spinal Cord InjuryRehabilitationSocial Support

Simple Explanation

This study investigates the impact of peer support interventions on patients with spinal cord injuries (SCI) during inpatient rehabilitation. Peer mentoring and peer-led classes were implemented to improve self-efficacy and reduce hospital readmissions. The study found a significant decrease in unplanned hospital readmissions and an increase in self-efficacy among patients who received peer support. The interventions aimed to address the challenges patients face when transitioning home after rehabilitation, such as feeling overwhelmed and lacking confidence in managing their care. By providing peer support, patients are better equipped to handle their needs and avoid complications that lead to readmissions. The findings suggest that incorporating peer support into rehabilitation programs can lead to better patient outcomes and reduced healthcare costs. The study highlights the importance of transformative learning and self-efficacy in the recovery process after SCI.

Study Duration
48 months
Participants
1117 SCI inpatients
Evidence Level
Not specified

Key Findings

  • 1
    Implementation of peer interventions led to a significant decrease in the number of patients readmitted and unplanned hospital days 30 days post-discharge.
  • 2
    Higher self-efficacy was associated with greater exposure to peer mentoring, and improvement in self-efficacy was linked to reduced hospital readmissions.
  • 3
    There were significantly more months with no unplanned readmissions post-intervention, increasing from 4% to 33%.

Research Summary

The study evaluated the effectiveness of peer interventions on self-efficacy, unplanned hospital readmissions, and quality of life for patients with spinal cord injury (SCI) undergoing inpatient rehabilitation. The interventions included one-to-one mentoring and participation in peer-led self-management classes. The results showed a significant decrease in both the level and slope of the number of patients readmitted, and the level of unplanned hospital days 30-days post-discharge after implementing the peer interventions. Higher self-efficacy was associated with greater exposure to peer mentoring, and a significant relationship between improvement in self-efficacy and reduced hospital readmissions was observed. The study concludes that one-to-one peer mentoring improves self-efficacy and reduces unplanned hospital readmissions following inpatient rehabilitation for persons with SCI, highlighting the potential for peer interventions as part of transition supports for patients with complex care needs.

Practical Implications

Improved Patient Outcomes

Peer mentoring can significantly improve patient self-efficacy and reduce hospital readmissions for individuals with SCI.

Cost Reduction

Reducing unplanned readmissions through peer support can lead to substantial cost savings for healthcare systems.

Enhanced Rehabilitation Programs

Integrating peer support into rehabilitation programs can improve patient engagement and promote transformative learning, leading to better overall outcomes.

Study Limitations

  • 1
    This research was conducted in a single, possibly atypical care setting.
  • 2
    There are limitations to ITSA suggesting limited benefits from exposure to peer-led classes.
  • 3
    The impact of this broader peer milieu is unknown.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury