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Effects of Peer Mentoring on Self-Efficacy and Hospital Readmission After Inpatient Rehabilitation of Individuals With Spinal Cord Injury: A Randomized Controlled Trial

Published:March 22, 2017DOI:https://doi.org/10.1016/j.apmr.2017.02.018

      Abstract

      Objective

      To investigate the effect of intensive peer mentoring on patient-reported outcomes of self-efficacy and unplanned hospital readmissions for persons with spinal cord injury/disease (SCI/D) within the first 6 months after discharge from inpatient rehabilitation.

      Design

      Randomized controlled trial.

      Setting

      Nonprofit inpatient rehabilitation hospital specializing in care of persons with SCI/D and brain injury.

      Participants

      Patients (N=158) admitted to the SCI/D rehabilitation program whose discharge location was a community setting. Participants (51% with paraplegia and 49% with tetraplegia) were 73% white and 77% men, with a mean age of 38 years.

      Interventions

      Participants in the experimental group received initial consult/introduction with a peer support program liaison and were assigned a peer mentor, who met with the participant weekly throughout the inpatient stay and made weekly contact by phone, e-mail, or in person for 90 days postdischarge. Participants also were encouraged to participate in regularly scheduled peer support activities. Nonexperimental group participants were introduced to peer support and provided services only on request.

      Main Outcome Measures

      General Self-efficacy Scale (adapted to SCI/D), project-developed community integration self-efficacy scale, and patient-reported unplanned rehospitalizations.

      Results

      Growth rate for self-efficacy in the first 6 months postdischarge was significantly higher for experimental group participants than nonexperimental group participants. Experimental group participants also had significantly fewer unplanned hospital days.

      Conclusions

      This study provides evidence that individuals receiving intensive peer mentoring during and after rehabilitation for SCI/D demonstrate greater gains in self-efficacy over time and have fewer days of unplanned rehospitalization in the first 180 days postdischarge. More research is needed to examine the long-term effects of this intervention on health care utilization and the relation between improved health and patient-reported quality of life outcomes.

      Keywords

      List of abbreviations:

      GSES (General Self-efficacy Scale), SCI (spinal cord injury), SCI/D (spinal cord injury/disease)
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      Linked Article

      • Correction
        Archives of Physical Medicine and RehabilitationVol. 98Issue 11
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          In Gassaway et al, “Effects of peer mentoring on self-efficacy and hospital readmission following inpatient rehabilitation of individuals with spinal cord injury: a randomized controlled trial,” (Arch Phys Med Rehabil 2017;98:1526-34), we found a slight error in scoring of the self-efficacy tool. Please note the following corrected versions of Table 4 and Figure 2 due to changes in the coefficients, standard error, and P values. These changes are minor and do not affect text descriptions of results or conclusions.
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