Evaluation of a Community Reintegration Outpatient Program Service for Community-Dwelling Persons with Spinal Cord Injury
Rehabilitation Research and Practice, 2014 · DOI: http://dx.doi.org/10.1155/2014/989025 · Published: December 9, 2014
Simple Explanation
This study looked at a program called CROP, which helps people with spinal cord injuries get back into their communities. The program teaches skills for managing life with a spinal cord injury, like dealing with pain and stress. The study found that people in the program felt better about themselves and had a more positive outlook, but these improvements didn't last long-term.
Key Findings
- 1Self-efficacy (MSES) and positive affect (PANAS) improved from baseline to exit (𝑃< .05), but the changes were not maintained at follow-up.
- 2Qualitative analysis identified four major themes related to therapeutic benefits: (1) role of self; (2) knowledge acquisition; (3) skill application; and (4) group processes.
- 3Participation in a therapeutic education service has the potential to improve well-being in persons with SCI, but there is a need to identify strategies to maintain long-term gains.
Research Summary
Practical Implications
Program Design
Consider incorporating follow-up or 'booster' sessions to maintain long-term therapeutic gains.
Skill Application
Provide more opportunities for participants to practice skills and knowledge in various community settings.
Clinical Practice
Implement self-management programs with a group approach to improve self-efficacy and promote positive affect.
Study Limitations
- 1Small sample size
- 2Participant interviews only conducted at completion of the service
- 3Inability to follow-up with the entire sample on all of the planned assessments