Randomized controlled trial of a self-management intervention in persons with spinal cord injury: design of the HABITS (Healthy Active Behavioural IntervenTion in SCI) study

Abstract

Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Purpose: To evaluate the effectiveness of a 16-week selfmanagement intervention on physical activity level and self-management skills (self-efficacy, proactive coping and problem solving skills) in persons with chronic SCI. Method and design: Multicenter randomized controlled trial (RCT). Eighty persons with a SCI for at least 10 years and aged 18 to 65 will randomly be assigned to the intervention (self-management) or the control group (information provision). During the 16-week self-management intervention (one home-visit, five group and five individual sessions) active lifestyle will be stimulated and self-management skills will be taught. Data will be collected at baseline (T0), 16 (T1) and 42 (T2) weeks after baseline. Primary outcome measure is level of daily physical activity (self-report/ objectively measured). Secondary outcome measures are selfmanagements skills, stage of behaviour change and attitude. Conclusion: This is the first RCT on self-management in people with chronic spinal cord injury. This trial will provide knowledge on the effects of a self-management intervention on physical active lifestyle in persons with a long-term SCI.

Perceived facilitators and barriers to self-management in individuals with traumatic spinal cord injury: a qualitative descriptive study

“…Additionally, all participants had to have a caregiver who was willing to participate. At the same time, a certain level of intrinsic motivation and support is required in order to successfully participate in a self-management program [61-63], and thus it could be argued that the appropriate input was obtained for the development of a self-management intervention for individuals with traumatic SCI and their caregivers. The majority of traumatic SCI participants in the current study were male, which is consistent with the epidemiology of population-based studies [64], with female caregivers.…”

Effectiveness of a Self-Management Intervention to Promote an Active Lifestyle in Persons With Long-Term Spinal Cord Injury: The HABITS Randomized Clinical Trial

“…Details of the methods and design have been reported elsewhere. 22 Four rehabilitation centers with a specialized SCI unit across the Netherlands participated this study. The intervention group received the 16-week self-management intervention.…”

“…The theoretical framework that was used to design the intervention and to select outcome measures is described in detail elsewhere. 22 In this theoretical framework, we combined 2 well-known models of behavior change: the theory of planned behavior (TPB) 24 and the transtheoretical model of behavioral change (TTM). 25 TPB assumes that intentions to perform (new) behavior are influenced by attitudes (eg, the perceived benefits or importance of the new behavior), subjective norms (eg, social support, attitudes expressed by other people), and perceived behavioral control (eg, confidence in one's ability to perform the new behavior).…”

The preventive treatment of recurrent stone-formation: how can we improve compliance in the treatment of patients with recurrent stone disease?

“…One feature is to provide self-management instead of a top-down approach where experts tell subjects what to do [ 40 ]. Self-management was found to enhance the results obtained with web-based interventions at the workplace [ 41 , 42 ]. Examples of self-management for urolithiasis prevention are regularly measuring one’s urine volume and looking at the urine color.…”