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

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Active Rehabilitation for persons with spinal cord injury in Botswana – effects of a community peer-based programme. / Divanoglou, Anestis; Trok, Katarzyna; Jörgensen, Sophie; Hultling, Claes; Sekakela, Kobamelo; Tasiemski, Tomasz.

I: Spinal Cord, 24.05.2019.

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Divanoglou, Anestis ; Trok, Katarzyna ; Jörgensen, Sophie ; Hultling, Claes ; Sekakela, Kobamelo ; Tasiemski, Tomasz. / Active Rehabilitation for persons with spinal cord injury in Botswana – effects of a community peer-based programme. I: Spinal Cord. 2019.

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TY - JOUR

T1 - Active Rehabilitation for persons with spinal cord injury in Botswana – effects of a community peer-based programme

AU - Divanoglou, Anestis

AU - Trok, Katarzyna

AU - Jörgensen, Sophie

AU - Hultling, Claes

AU - Sekakela, Kobamelo

AU - Tasiemski, Tomasz

PY - 2019/5/24

Y1 - 2019/5/24

N2 - 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.

AB - 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.

U2 - 10.1038/s41393-019-0300-6

DO - 10.1038/s41393-019-0300-6

M3 - Article

JO - Paraplegia

T2 - Paraplegia

JF - Paraplegia

SN - 1476-5624

ER -