SCI&U Peer Health Coaching Program for Individuals Newly Discharged From Inpatient Rehabilitation
SCIU2
1 other identifier
interventional
76
2 countries
2
Brief Summary
The goal of this clinical trial is to learn if the online program and web-based platform for delivery of self-management services to people with spinal cord injury (SCI) called "SCI \& U" can support transitions from hospital to the community after injury. Specifically, can providing support from trained peer health coaches via the SCI \& U web-based self-management program increase health self-management among those within three years of a spinal cord injury with a planned discharge to or living in the community with SCI for less than two years in the province of British Columbia, Canada or the state of Connecticut, United States. The main question it aims to answer is:
- Does the SCI \& U web-based self-management program lower emotional distress and increase self-efficacy Researchers will compare those who participate in SCI \& U with those who receive usual peer support after 6 months to see if the SCI \& U program improves self-management knowledge, skills and self-efficacy and decreases secondary complications Participants will:
- engage in up to 14 online sessions, each of which lasts about an hour with a peer health coach trained in motivational interviewing, goal setting and brief action planning. During sessions, they may also review resources and create follow up plans on the online platform on health management topics
- complete an interviewer administered survey at baseline, 6 and 12 months
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2025
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 4, 2024
CompletedFirst Posted
Study publicly available on registry
November 7, 2024
CompletedStudy Start
First participant enrolled
February 21, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
September 5, 2025
August 1, 2025
1.4 years
November 4, 2024
August 28, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Emotional Distress Subscale in Health Education Impact Questionnaire
The Emotional Distress construct measures overall negative affect including worry, depression and anger.
From baseline assessment to 6 months followup
Secondary Outcomes (12)
Health Directed Activities in Health Education Impact Questionnaire
From baseline assessment to 6 months followup
Positive and Active Engagement in Life in Health Education Impact Questionnaire
From baseline assessment to 6 months followup
Self-monitoring and Insight in Health Education Impact Questionnaire
From baseline assessment to 6 months followup
Constructive Attitudes and Approaches in Health Education Impact Questionnaire
From baseline assessment to 6 months followup
Skill and Technique Acquisition in Health Education Impact Questionnaire
From baseline assessment to 6 months followup
- +7 more secondary outcomes
Study Arms (2)
SCI&U self-management program
EXPERIMENTALFollowing recruitment intervention participants will be scheduled for an orientation session to become better acquainted with the health coaching program and the associated platform's features. Participants will then be partnered with their peer health coach. In the first videoconference session, participants will identify priority issues related to their health and transitioning to home. They will work through goal-setting, problem solving and create action plans for behaviour change. Online coaching sessions are expected to cover a health-related topic and a self-management skill topic and will have an expected duration of 45 to 60 minutes. The selection of topics and the order will be determined jointly.
Wait list control
ACTIVE COMPARATORControl group will be offered the existing peer support program from the United Spinal Connecticut Chapter or SCI BC
Interventions
Peer health coaches will be recruited from the United Spinal Connecticut Chapter and SCI BC. They will be at least 5 years post-SCI and will be certified in brief action planning and in Mental Health First Aid. Online coaching sessions are expected to cover a health-related topic (eg. bladder, bowel, skin, pain, healthy eating, physical activity or stress, anxiety and depression etc) and a self-management skill topic (eg.action planning, goal setting, problem-solving, mood management, navigating the health care system, communicating with health care providers). To ensure we meet the unique needs of participants, the coach and participant will determine jointly how many sessions to spend on a topic. In addition, coaches will be able to link relevant information and resources contained in the resource library to each session.
Existing peer support program from the United Spinal Connecticut Chapter or SCI BC
Eligibility Criteria
You may qualify if:
- years and older, with a planned discharge to or living in community with SCI for no more than three years since injury and with the ability to speak and understand English
You may not qualify if:
- not a member of or willing to become a member of SCI BC or SCIACT
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Spinal Cord Injury Association of Connecticut
Milford, Connecticut, 06460, United States
Department of Physical Therapy, University of Toronto
Toronto, Ontario, M5J 2L4, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Susan Jaglal, PhD
University of Toronto
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
November 4, 2024
First Posted
November 7, 2024
Study Start
February 21, 2025
Primary Completion (Estimated)
June 30, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
September 5, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- SAP, ICF
- Time Frame
- IPD will be available in January 2028 which provides 1 year for publication of the main study results in a peer-reviewed journal article
- Access Criteria
- We will make the content available publicly. This will include analytic datasets with data on outcome measures, descriptive variables and covariates and data describing participation in the intervention. Supporting information including the SAP and ICF will also be made available. Data will be deposited in the University of Toronto Dataverse which is a research data repository. Files will held in a secure environment on Canadian servers.
IPD will be shared only for those who consent to their data being shared. The data will be deposited into a database. Any information that may identify an individual (e.g., name, address, phone number) will not be shared. In addition to data on outcome measures, descriptive variables and covariates, data describing participation in the intervention also will be shared. This will include number of sessions participants completed, length of sessions, topics discussed and if brief action plan was developed and goals set.