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

Study Overview
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Brief Summary
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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.

Official Title
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My Care My Call: Peer-Led Health Empowerment Training For People With Chronic Spinal Cord Injury

Conditions
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Spinal Cord Injuries

Intervention / Treatment
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* Behavioral: Calls from a Peer Health Coach for 6 months


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Peer Health Coaching<br>Calls from a Peer Health Coach for 6 months | Behavioral: Calls from a Peer Health Coach for 6 months<br>* Weekly calls for 2 months, bi-weekly calls for 2 months, monthly calls for 2 months.<br>|
| No Intervention: Usual Care<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Activation Measure (PAM) | Measurement of self-management behavior | Change in PAM score from baseline to 2, 4, and 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Self-Advocacy Scale (PSAS) |  | Change in PSAS score from baseline to 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Spinal Cord Injuries, Telemedicine, Health Behaviors