Viewing Study NCT02274649



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Last Modification Date: 2024-10-26 @ 11:32 AM
Study NCT ID: NCT02274649
Status: COMPLETED
Last Update Posted: 2019-02-04
First Post: 2014-10-22

Brief Title: Clinical Trial to Evaluate One-to-one Peer Mentoring
Sponsor: Shepherd Center Atlanta GA
Organization: Shepherd Center Atlanta GA

Study Overview

Official Title: A Patient Centered Approach to Successful Community Transition After Catastrophic Injury Clinical Trial to Evaluate One-to-one Peer Mentoring
Status: COMPLETED
Status Verified Date: 2019-01
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The research will examine the effects of enhanced peer mentor interactions on facilitating a successful transition to community living following traumatic spinal cord injury SCI Participants in the research will be assigned to either 1 the control group that will receive traditional peer mentor types of interactions or 2 to the intervention group that will receive an enhanced peer mentor program called the One-on-One Initiative Assignment to one of these two groups will occur randomly on admission to Shepherd Center the only stratifying criteria is injury level - C6 and above vs C7 and below
Detailed Description: The Peer Support Program was enhanced by the addition of Shepherd staff mentors and volunteer mentors from the community The Peer Support Supervisor recruited volunteer peer mentors who are at least 10 months post injury live within a 50 mile radius of Shepherd Center and have developed a successful reintegration into community living employed manage a family student etc Volunteers completed Shepherd Center volunteer training and were paid a stipend of 20 per patient interaction

Each recruited volunteer mentor along with Shepherd Center peer mentor employees participated in the Christopher and Dana Reeve Foundation peer support mentor training program to help ensure quality interactions with Shepherd Center patients and understandpractice patient confidentiality awareness This Foundation provides training on a national level by breaking up the country into eight regions - each with a regional coordinator and training program schedule The faculty and staff of the University of New Mexico developed and maintain the training and certification program including the mentor management system The certification program is a hybrid program - a series of on-line modules followed by a one-day on-site session On-line learning is great for conveying information It saves time and allows everyone to get that information at their own pace The one-day training session revisits topics covered in the on-line modules effective peer mentoring ethics communication and resources It includes breakout groups and group discussions Benefits of partnering with the Foundation including providing access to certified peer mentors for patients who live outside the Atlanta area are outlined in the attached document ReevePeer Partnershipspdf

A special training session for Shepherd employeesvolunteers involved

1 Part 1 3-hour on-line course notification has been sent to potential mentors by CDRF
2 Part 2 6-hour face-to-face training meeting at Shepherd Center on March 10 2014 These training sessions typically are run on a regional basis so having the program here at Shepherd saved travel expenses and time for the volunteer participants The PowerPoint used for the March 10 session is attached

Subjects in the control group received traditional peer support provided by Shepherd Center currently

1 Within 5-10 days of admission the patient is introduced to the peer support team
2 Patients are seen by peer mentors on a referral basis from therapists nurses counselors or physicians or on request from the patient or family
3 Patients are made aware of monthly peer support meetings womens groups and caregiver support groups participation in these groups is optional for patient andor family
4 Patients have access to the SCI Peer Support FaceBook page maintained by the Shepherd Peer Mentors

Subjects in the intervention group and hisher family received the enhanced One-on-One initiative

1 Patient was assigned one primary certified peer mentor and 2-3 supplemental mentors to meet individual patientfamily needs if needed The Peer Support Supervisor matched certified peer mentors with each patient based on characteristics such as age date of injury level of injury cause of injury marital status work status before and after injury interests leisure activities and adaptive equipment utilization Secondary mentors were used to supplement individual patientfamily needs For example if guidance is needed regarding airline travel a peer mentor who has mastered airline travel was consulted if the primary peer mentor did not have this experience
2 Each patientfamily evaluated the interaction with hisher peer mentors PCORI interviewers facilitated completion of this evaluation Evaluations were reviewed within one week post completion to modify support provided if indicated and ensure that patientfamily needs were met
3 Patients participated in male and female discussion groups community dinner and caregiver dinner sponsored by the peer team Each meeting includes opportunities for discussion in group settingsThese meetings are included in the patients schedules
4 Peer mentors provide and organize social networking opportunities on FaceBook Shepherd SCI peers page CDRF SCILife SPINALpedia facingdisabilitiescometc

On the Shepherd SCI Peers Facebook page the peer mentor supervisor posts questions posed by patients or community members anonymously and feedback volunteered from any of the 2000 Facebook friendsThis is especially helpful for sensitive topics that people may not want to be associated with initiating the question

Evaluation All study patients were interviewed during the 10th-15th day of their stay at Shepherd Center and completed the Self Efficacy scale Patients were contacted post via telephone at 3 30 90 and 180 days post discharge At each of these times they were asked healthcare utilization and Self Efficacy questions

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Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None