Article

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS