Study evaluated the efficacy of a replicable cognitive behavioral therapy-based intervention for improving self-efficacy after spinal cord injury (SCI). The intervention, Re-Inventing Yourself after SCI, is a replicable, manualized, educationally based group treatment program. Eighty-one individuals with SCI who were at least 4 weeks post-discharge from initial rehabilitation were randomly assigned to the treatment or control group. Those randomized to treatment participated in six interactive learning sessions (one session per week, 2 hours each) with structured and facilitated group interactions to improve self-efficacy. The wait-list control group was followed at matching time points for all outcome measures. The primary outcome measure was the Moorong Self-Efficacy Scale (MSES); secondary outcomes were the Generalized Self-Efficacy Scale, Diener Satisfaction with Life Scale, Participation Assessment with Recombined Tools – Objective, Patient Health Questionnaire – 9, and General Anxiety Disorder 7-item. Individuals in the treatment group had greater increases in MSES scores from baseline to immediately post-intervention (6 weeks) than the control group, but that difference did not remain significant after controlling for multiple comparisons. However, the improvement in the treatment group relative to the control group was not maintained through follow-up at 30 weeks. There was no evidence of an immediate or sustained treatment effect on any of the secondary outcomes. The results indicate that self-efficacy improved for participants with SCI in the treatment group, however, this improvement was not significant or maintained on follow-up.
Author(s):
Coker, Jennifer |Cuthbert, Jeffrey |Ketchum, Jessica M. |Holicky, Richard |Huston, Toby |Charlifue, Susan|
