A Patient-centered Approach to Successful Community Transition After Catastrophic Injury

NCT02746978 | Unknown

• 1 other identifier: IH-12-11-5106
• Study Type: interventional
• Target: 800
• Locations: 0 countries
• Sites: N/A

Brief Summary

Shepherd Center is bringing a more patient-centered focus to educational, peer-support, and technology resources offered to patients with spinal cord injury and their families and is evaluating these changes. Approximately 740 patients have provided information about healthcare utilization following inpatient rehabilitation. This information will help Shepherd Center staff follow utilization trends and plan programs targeted at the high-use areas.

Conditions

Spinal Cord Injury; Peer Group

Outcome Measures

Primary Outcomes (1)

• Rehospitalization

  patient report on telephone interview

  30 days post rehabilitation discharge

Secondary Outcomes (1)

• Rehospitalization

  90 days post rehabilitation discharge

Other Outcomes (5)

• Depression as measured by the Patient Health Questionnaire (PHQ)

  180 days post rehabilitation discharge

• Societal participation as measured by CHART (Craig Handicap Assessment and Reporting Technique)- questionnaire

  180 days post rehabilitation discharge

• Satisfaction with Life Scale

  180 days post rehabilitation discharge

Study Arms (2)

Peer directed education

ACTIVE COMPARATOR

A revised education approach that focuses on problem solving discussions delivered by peers and grounded clinical information is compared to traditional approach of didactic clinician-driven education lectures

Other: Peer directed education

Patient Engagement Portal

OTHER

A patient-owned portal to manage injury information is maintained in real-time by patients and families and shared with other care providers after inpatient rehabilitation discharge.

Other: Patient Engagement Portal

Interventions

Peer directed education OTHER

No drug or device is included. The intervention of interest is the redesigned approach to inpatient education that follows the Stanford chronic disease self management approach which includes peer-led problem solving discussions compared to traditional didactic education lectures provided by nurse educators

Peer directed education

Patient Engagement Portal OTHER

No drug or device interventions. The Engagement Portal is populated by electronic medication record information (demographics, medications, supplies) then owned/maintained by patient after discharge. This approach to managing information and conditions associated with injury will be compared to the traditional approach of providing patients with a large instruction manual to carry home with them.

Patient Engagement Portal

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• patient receiving inpatient rehabilitation at Shepherd Center following spinal cord injury
• discharge to community setting

You may not qualify if:

• discharge to non-community setting
• patient without spinal cord injury at Shepherd Center

Sponsors & Collaborators

• Shepherd Center, Atlanta GA: lead
• Patient-Centered Outcomes Research Institute: collaborator

MeSH Terms

Conditions

Spinal Cord Injuries

Condition Hierarchy (Ancestors)

Spinal Cord Diseases; Central Nervous System Diseases; Nervous System Diseases; Trauma, Nervous System; Wounds and Injuries

Study Officials

• Julie Gassaway

  Dir Health and Wellness

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Vice President Research and Technology

Study Record Dates

• First Submitted: February 29, 2016
• First Posted: April 21, 2016
• Study Start: August 1, 2013
• Primary Completion: December 1, 2016
• Study Completion: December 1, 2016
• Last Updated: April 21, 2016

Record last verified: 2016-04

Data Sharing

• IPD Sharing: Will not share