Citation

Zinman A, Digout N, Bain P, Haycock S, Hébert D, Hitzig SL. Rehabil. Res. Pract. 2014; 2014: e989025.

Affiliation

Institute for Life Course and Aging, Faculty of Medicine, University of Toronto, 263 McCaul Street, Suite 328, Toronto, ON, Canada M5T 1W7.

Copyright

(Copyright © 2014, Hindawi Publishing)

DOI

10.1155/2014/989025

PMID

25574397

PMCID

PMC4276116

Abstract

OBJECTIVE. To evaluate the effectiveness of a community reintegration outpatient (CROP) service for promoting well-being and community participation following spinal cord injury (SCI). Participants. Community-dwelling adults (N = 14) with traumatic and nontraumatic SCI. Interventions. The CROP service is a 12-week (1 × week; 120 minutes) interprofessional closed therapeutic education service. Main Outcome Measure(s). Moorong Self-Efficacy Scale (MSES); Impact on Participation and Autonomy (IPA); Positive Affect and Negative Affect Scale (PANAS); Coping Inventory of Stressful Situations (CISS); World Health Organization Quality of Life (WHOQOL-BREF); semistructured qualitative interviews.

METHODS. Twenty-one participants were recruited from two subsequent CROP services, with only 14 persons completing all data assessments. Data were collected at baseline (week 0), at exit (week 12), and at a three-month follow-up. Semistructured interviews were conducted at exit.

RESULTS. Self-efficacy (MSES) and positive affect (PANAS) improved from baseline to exit (P <.05), but the changes were not maintained at follow-up. Qualitative analysis identified four major themes related to therapeutic benefits: (1) role of self; (2) knowledge acquisition; (3) skill application; and (4) group processes.

CONCLUSIONS. Participation in a therapeutic education service has the potential to improve well-being in persons with SCI, but there is a need to identify strategies to maintain long-term gains.

Language: en