Active Rehabilitation for persons with spinal cord injury in Botswana – effects of a community peer-based programme
(2019) In Spinal Cord- Abstract
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... (More)
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.
(Less)
- author
- Divanoglou, Anestis ; Trok, Katarzyna ; Jörgensen, Sophie LU ; Hultling, Claes ; Sekakela, Kobamelo and Tasiemski, Tomasz
- organization
- publishing date
- 2019-05-24
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Spinal Cord
- publisher
- Nature Publishing Group
- external identifiers
-
- scopus:85066258527
- pmid:31127198
- ISSN
- 1362-4393
- DOI
- 10.1038/s41393-019-0300-6
- language
- English
- LU publication?
- yes
- id
- e1affd6a-857a-4726-ba7c-a8fb04f0bf49
- date added to LUP
- 2019-06-17 13:11:25
- date last changed
- 2024-04-02 08:12:06
@article{e1affd6a-857a-4726-ba7c-a8fb04f0bf49, abstract = {{<p>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.</p>}}, author = {{Divanoglou, Anestis and Trok, Katarzyna and Jörgensen, Sophie and Hultling, Claes and Sekakela, Kobamelo and Tasiemski, Tomasz}}, issn = {{1362-4393}}, language = {{eng}}, month = {{05}}, publisher = {{Nature Publishing Group}}, series = {{Spinal Cord}}, title = {{Active Rehabilitation for persons with spinal cord injury in Botswana – effects of a community peer-based programme}}, url = {{http://dx.doi.org/10.1038/s41393-019-0300-6}}, doi = {{10.1038/s41393-019-0300-6}}, year = {{2019}}, }