Active Rehabilitation for persons with spinal cord injury in Botswana – effects of a community peer-based programme

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Study design:: Prospective cohort study with a repeated measures analysis. Objectives:: To measure the effects of the Active Rehabilitation (AR) training programme for community-dwelling individuals with spinal cord injury (SCI) in Botswana on physical independence, wheelchair mobility, self-efficacy, life satisfaction, level of physical activity and community participation. Setting:: The inaugural AR training programme in Botswana, a community peer-based programme for people with SCI. The 10-day residential programme in Botswana was led by an international team of peer mentors and health professionals. Methods:: Participants with SCI (on average 4 years after injury) completed a survey comprising a battery of standardised outcome measures at three timepoints: at the start, on completion and at 5 months after the programme (n = 14). Participants also completed a practical wheelchair skills test at start and completion of the programme (n = 17). Results:: Participants improved in the mobility subscale of the Spinal Cord Independence Measure Self Report on completion (p = 0.011, d = 0.85) and at 5-month follow-up (p = 0.005, d = 0.93) as compared to baseline. They also achieved moderate improvement in self-efficacy to manage their condition (physical function domain of Moorong Self-Efficacy Scale) and large improvements in wheelchair mobility as assessed through the Queensland Evaluation of Wheelchair Skills test and the Wheelchair Skills Test Questionnaire. All positive results were retained at 5-month follow-up. Conclusions:: Findings indicate that the peer-based programme AR can play an important role in promoting physical independence, wheelchair mobility and injury-management self-efficacy in community-dwelling individuals with SCI in Botswana.


  • Anestis Divanoglou
  • Katarzyna Trok
  • Sophie Jörgensen
  • Claes Hultling
  • Kobamelo Sekakela
  • Tomasz Tasiemski
Enheter & grupper
Externa organisationer
  • University of Iceland
  • Karolinska University Hospital
  • Skåne University Hospital
  • Central Queensland University
  • Spinalis
  • Princess Marina Hospital
  • Adam Mickiewicz University in Poznań

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Sjukgymnastik
TidskriftSpinal Cord
StatusPublished - 2019 maj 24
Peer review utfördJa