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  4. Web-Based Health Coaching for Spinal Cord Injury: Results From a Mixed Methods Feasibility Evaluation

Web-Based Health Coaching for Spinal Cord Injury: Results From a Mixed Methods Feasibility Evaluation

JMIR Rehabil Assist Technol, 2020 · DOI: 10.2196/16351 · Published: July 31, 2020

Spinal Cord InjuryPatient ExperienceTelehealth & Digital Health

Simple Explanation

This study evaluates a web-based self-management program called SCI & U for Canadians with spinal cord injury (SCI). The program provides trained peer health coaches to guide participants through health topics. The study used a mixed-methods approach, gathering both quantitative data (surveys) and qualitative data (interviews) to assess the program's feasibility and potential impact. The results showed that the web-based program is feasible and acceptable for individuals with SCI, potentially improving self-efficacy, mood, resilience, and secondary complications.

Study Duration
Not specified
Participants
11 Canadians with SCI
Evidence Level
Pilot study, Mixed Methods

Key Findings

  • 1
    The web-based self-management program is feasible and acceptable for Canadians with SCI.
  • 2
    The program may impact resilience, self-efficacy, mood, and secondary complications.
  • 3
    Diet and exercise were the most frequently discussed health topics during the coaching sessions.

Research Summary

This study evaluated the feasibility and potential impact of the SCI & U web-based self-management program for Canadians with SCI using a mixed-methods approach. Results demonstrated that a web-based self-management program is feasible and acceptable by Canadians with SCI, and it may impact resilience, self-efficacy, mood, and secondary complications. Qualitative results illuminated the role of the coach in facilitating behavior change, including providing encouragement, information, social support, and accountability.

Practical Implications

Improved Access to Self-Management

Web-based programs can provide access to self-management support for individuals with SCI, especially those in rural or remote communities.

Enhanced Self-Efficacy and Resilience

The program may enhance self-efficacy and resilience, leading to improved health outcomes and quality of life for individuals with SCI.

Tailored Support and Coaching

Trained peer health coaches can provide tailored support and guidance to individuals with SCI, addressing their specific health needs and goals.

Study Limitations

  • 1
    Limited sample size (n=11) from two Canadian provinces.
  • 2
    Quantitative outcome measures were based on self-reports.
  • 3
    Lack of a control group.

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