Jessica L Mackelprang1, Jeanne M Hoffman2, Chris Garbaccio3, Charles H Bombardier3. 1. Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA; Psychology Department, Seattle University, Seattle, WA. 2. Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA. Electronic address: jeanneh@uw.edu. 3. Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA.
Abstract
OBJECTIVES: To describe the outcomes and lessons learned from a trial of telephone counseling (TC) to reduce medical complications and health care utilization and to improve psychosocial outcomesduring the first year after spinal cord injury rehabilitation. DESIGN: Single-site, single-blind, randomized (1:1) controlled trial comparing usual care plus TC with usual care (UC). SETTING: Two inpatient rehabilitation programs. PARTICIPANTS: Adult patients (N=168) discharged between 2007 and 2010. INTERVENTIONS: The TC group (n=85, 51%) received up to eleven 30- to 45-minute scheduled telephone calls to provide education, resources, and support. The UC group (n=83, 49%) received indicated referrals and treatment. MAIN OUTCOME MEASURES: The primary outcome was a composite of self-reported health care utilization and medical complications. Secondary outcomes were depression severity, current health state, subjective health, and community participation. RESULTS: No significant differences were observed between TC and UC groups in the primary or secondary psychosocial outcomes. CONCLUSIONS: This study had a number of strengths, but included potential design weaknesses. Intervention studies would benefit from prescreening participants to identify those with treatable problems, those at high risk for poor outcomes, or those with intentions to change target behaviors. Interventions focused on treatment goals and designed to work in collaboration with the participant's medical care system may lead to improved outcomes.
RCT Entities:
OBJECTIVES: To describe the outcomes and lessons learned from a trial of telephone counseling (TC) to reduce medical complications and health care utilization and to improve psychosocial outcomes during the first year after spinal cord injury rehabilitation. DESIGN: Single-site, single-blind, randomized (1:1) controlled trial comparing usual care plus TC with usual care (UC). SETTING: Two inpatient rehabilitation programs. PARTICIPANTS: Adult patients (N=168) discharged between 2007 and 2010. INTERVENTIONS: The TC group (n=85, 51%) received up to eleven 30- to 45-minute scheduled telephone calls to provide education, resources, and support. The UC group (n=83, 49%) received indicated referrals and treatment. MAIN OUTCOME MEASURES: The primary outcome was a composite of self-reported health care utilization and medical complications. Secondary outcomes were depression severity, current health state, subjective health, and community participation. RESULTS: No significant differences were observed between TC and UC groups in the primary or secondary psychosocial outcomes. CONCLUSIONS: This study had a number of strengths, but included potential design weaknesses. Intervention studies would benefit from prescreening participants to identify those with treatable problems, those at high risk for poor outcomes, or those with intentions to change target behaviors. Interventions focused on treatment goals and designed to work in collaboration with the participant's medical care system may lead to improved outcomes.
Authors: E Ray Dorsey; Alistair M Glidden; Melissa R Holloway; Gretchen L Birbeck; Lee H Schwamm Journal: Nat Rev Neurol Date: 2018-04-06 Impact factor: 42.937
Authors: Amanda McIntyre; Stephanie L Marrocco; Samantha A McRae; Lindsay Sleeth; Sander Hitzig; Susan Jaglal; Gary Linassi; Sarah Munce; Dalton L Wolfe Journal: Top Spinal Cord Inj Rehabil Date: 2020
Authors: Hueiming Liu; Mohammad Sohrab Hossain; Md Shofiqul Islam; Md Akhlasur Rahman; Punam D Costa; Robert D Herbert; Stephen Jan; Ian D Cameron; Stephen Muldoon; Harvinder S Chhabra; Richard I Lindley; Fin Biering-Sorensen; Stanley Ducharme; Valerie Taylor; Lisa A Harvey Journal: Spinal Cord Date: 2020-06-15 Impact factor: 2.772