Clinical trial NCT02878070: My Care My Call: Peer-Led Health Empowerment Training in Chronic Spinal Cord Injury
Official title: My Care My Call: Peer-Led Health Empowerment Training For People With Chronic Spinal Cord Injury
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Spinal Cord Injuries
Keywords: Spinal Cord Injuries
Telemedicine
Health Behaviors
Lead sponsor: Boston University
Sponsor class: OTHER
Collaborators: name: Gaylord Hospital
name: Hospital for Special Care
name: National Institute on Disability, Independent Living, and Rehabilitation Research
First posted: 2016-08-25
Enrollment: 86
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

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.


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

Primary outcomes:
measure: Patient Activation Measure (PAM)
timeFrame: Change in PAM score from baseline to 2, 4, and 6 months
Secondary outcomes:
measure: Patient Self-Advocacy Scale (PSAS)
timeFrame: Change in PSAS score from baseline to 6 months
Other outcomes:
Locations:
Study officials:
affiliation: Boston University
name: Alan Jette, PT, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.