Kraus Bridget, Wolf Timothy J
University of Missouri, Columbia, USA.
OTJR (Thorofare N J). 2025 Jul;45(3):408-417. doi: 10.1177/15394492241271173. Epub 2024 Aug 19.
People with chronic spinal cord injury (SCI) experience a higher rate of secondary health conditions (SHCs) which affect their health and well-being. Self-management (SM) is a proven intervention approach, but formal programs may need to be tailored for the SCI population to reflect their needs and values. We sought to examine the feasibility and acceptability of the Spinal Cord Injury Self-Management (SCISM) Program and estimate its effect. A total of 32 individuals with SCI participated in the program. The primary outcomes were feasibility, acceptability, SHCs, and goal attainment. Participants were assessed at baseline, postintervention, and 3-month follow-up. Findings indicated that the SCISM Program was feasible and acceptable for use with moderate positive effects on SHCs and large positive effects in goal attainment. People with chronic SCI want to continue improving SM skills. The SCISM Program is feasible, acceptable, and should be examined further to reduce SHCs following SCI.
慢性脊髓损伤(SCI)患者出现继发性健康问题(SHC)的几率更高,这些问题会影响他们的健康和福祉。自我管理(SM)是一种经过验证的干预方法,但可能需要针对脊髓损伤人群量身定制正式项目,以反映他们的需求和价值观。我们试图检验脊髓损伤自我管理(SCISM)项目的可行性和可接受性,并评估其效果。共有32名脊髓损伤患者参与了该项目。主要结果包括可行性、可接受性、继发性健康问题和目标达成情况。在基线、干预后和3个月随访时对参与者进行评估。结果表明,SCISM项目是可行且可接受的,对继发性健康问题有中度积极影响,对目标达成有较大积极影响。慢性脊髓损伤患者希望继续提高自我管理技能。SCISM项目是可行且可接受的,应进一步研究以减少脊髓损伤后的继发性健康问题。