NCT02274649|CompletedResults
Clinical Trial to Evaluate One-to-one Peer Mentoring
A Patient Centered Approach to Successful Community Transition After Catastrophic Injury: Clinical Trial to Evaluate One-to-one Peer Mentoring
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A Patient Centered Approach to Successful Community Transition After Catastrophic Injury: Clinical Trial to Evaluate One-to-one Peer Mentoring
Sponsor study identifier
interventional
194
0 countries
N/A
Study Start
April 2014
Date type not reportedThis date has not been verified as actual or estimated.
Primary Completion
April 2016
Actual (reported)Study Completion
April 2016
Actual (reported)The research will examine the effects of enhanced peer mentor interactions on facilitating a successful transition to community living following traumatic spinal cord injury (SCI). Participants in the research will be assigned to either (1) the control group that will receive traditional peer mentor types of interactions or (2) to the intervention group that will receive an enhanced peer mentor program called the One-on-One Initiative. Assignment to one of these two groups will occur randomly on admission to Shepherd Center; the only stratifying criteria is injury level - C6 and above vs. C7 and below.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
April 2016
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
April 2014
Date type not reportedThis date has not been verified as actual or estimated.
October 22, 2014
Actual (reported)October 24, 2014
Actual (reported)April 2016
Actual (reported)April 2016
Actual (reported)February 4, 2019
Actual (reported)Self-efficacy Scale. It Includes an Adapted Self-efficacy Scale From Chronic Disease Literature Focused on Confidence in Managing Self-care Needs Plus Project-specific Items for Assessment of Confidence Regarding Integration Into Community Life.
The General Self-Efficacy scale (6 items) developed at Stanford University for persons with chronic health conditions was adapted for persons with spinal cord injury. Added to this scale were 5 similarly constructed project-specific self-efficacy items focused on community navigation and accessibility (major focus of peer support program). Respondents (via telephone interview) provided a response to each of 11 items using a 10-point Likert scale ranging from 1 (not confident) to 10 (very confident). Item response scores were averaged for the total self-efficacy score. Total scores ranged from 11 to 110 (11 items with 10 response options). Higher scores indicate greater self-efficacy to manage injury conditions. Growth Curve Analysis was used to determined significant changes over time in self-efficacy. Initial status coefficients depict where participants begin at the first time point (3 days post discharge) and growth rate coefficients show how participants change over time.
3 days post rehabilitation discharge through 180 days post discharge
Rehospitalization - Number of Days
Rehospitalization days (number) within 30 days post inpatient rehabilitation discharge
30 days
Rehospitalization - Percent of Patients Rehospitalized
Percent of patients rehospitalized at 30 days post discharge from inpatient rehabilitation
30 days
Rehospitalization - Number of Days (Cumulative)
90 days
Rehospitalization - Percent of Patients Rehospitalized (90 Days)
90 days
Rehospitalization - Number of Days (Cumulative)
180 days
Rehospitalization - Percent of Patients (180 Days)
180 days
Intervention group receiving one-to-one peer mentoring
Control group receiving general peer support
Each patient received one-to-one peer mentoring each week during rehabilitation and for 90 days post discharge
General (traditional) peer support includes introduction and provision of support services upon request
Gassaway J, Jones ML, Sweatman WM, Hong M, Anziano P, DeVault K. Effects of Peer Mentoring on Self-Efficacy and Hospital Readmission After Inpatient Rehabilitation of Individuals With Spinal Cord Injury: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2017 Aug;98(8):1526-1534.e2. doi: 10.1016/j.apmr.2017.02.018. Epub 2017 Mar 23.
Control group received requested peer support services; may have contributed to the relatively modest effect size. We cannot claim use of validated measure of self-efficacy; we adapted a measurement validated in other populations and added items.
Michael Jones, PhD
VP Clinical Research
194 participants (actual enrollment reported by the registry).
First Submitted
October 22, 2014
First Posted
October 24, 2014
Study Start
April 2014
Date type not reportedPeer Mentoring for Persons With Spinal Cord Injury (SCI)
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
This date has not been verified as actual or estimated.
Primary Completion
April 2016
Actual (reported)Study Completion
April 2016
Actual (reported)Last Updated
February 4, 2019
Results First Posted
February 4, 2019
Record last verified: 2019-01
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Source: ClinicalTrials.gov.
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