My Care My Call: Peer-Led Health Empowerment Training in Chronic Spinal Cord Injury

NCT ID: NCT02878070

Last Updated: 2016-08-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 86 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-01-31
• Study Completion Date: 2016-03-31

Brief Summary

My Care My Call (MCMC) is an innovative, peer-led telephone intervention designed to empower adults with chronic spinal cord injury (SCI) in the self-management of their primary health care needs to prevent secondary conditions. In a randomized controlled trial, participants assigned to the MCMC intervention receive tapered calls from a Peer Health Coach (PHC) for six months. PHCs are experienced, empathetic peer mentors living with SCI who act as supporters, role models, and advisors, providing goal-setting support, motivation, education, and resource referral to participants. Participants complete surveys at baseline, 2, 4, and 6-months, as well as qualitative exit phone interviews.

It is hypothesized that MCMC will: 1) Increase participants' self-advocacy in health care interactions as reflected in increases in three domains of self-advocacy: assertiveness, illness education, and potential for mindful non-adherence, 2) Increase participants' self-efficacy for health care navigation, preference for involvement in, and satisfaction with their primary care physician (PCP), and 3) Increase health related quality of life and medical social support compared with those receiving usual care. Additional secondary hypotheses state that the MCMC intervention will increase access to primary care and use of preventive screening services compared with those receiving usual care.

Conditions

Spinal Cord Injuries

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: DOUBLE

Study Groups

Peer Health Coaching

Calls from a Peer Health Coach for 6 months

Group Type: EXPERIMENTAL

Calls from a Peer Health Coach for 6 months

Intervention Type: BEHAVIORAL

Weekly calls for 2 months, bi-weekly calls for 2 months, monthly calls for 2 months.

Usual Care

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Calls from a Peer Health Coach for 6 months

Weekly calls for 2 months, bi-weekly calls for 2 months, monthly calls for 2 months.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Self-report of physician-confirmed traumatic spinal cord injury diagnosis
• Injured one year ago or more
• Telephone access for at least 9 months
• Speaks and understands conversational English
• Have a current health issue to address

Exclusion Criteria

• Moderate to severe cognitive impairment
• Surgery scheduled for a 2-week or longer duration during the months of the study

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Gaylord Hospital

UNKNOWN

Sponsor Role: collaborator

Hospital for Special Care

UNKNOWN

Sponsor Role: collaborator

National Institute on Disability, Independent Living, and Rehabilitation Research

FED

Sponsor Role: collaborator

Boston University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Alan Jette, PT, PhD

Role: PRINCIPAL_INVESTIGATOR

Boston University

References

Houlihan BV, Brody M, Everhart-Skeels S, Pernigotti D, Burnett S, Zazula J, Green C, Hasiotis S, Belliveau T, Seetharama S, Rosenblum D, Jette A. Randomized Trial of a Peer-Led, Telephone-Based Empowerment Intervention for Persons With Chronic Spinal Cord Injury Improves Health Self-Management. Arch Phys Med Rehabil. 2017 Jun;98(6):1067-1076.e1. doi: 10.1016/j.apmr.2017.02.005. Epub 2017 Mar 8.

Reference Type: DERIVED

PMID: 28284835 (View on PubMed)

Other Identifiers

90SI5013

Identifier Type: -

Identifier Source: org_study_id