Active Rehabilitation for persons with spinal cord injury in Botswana - effects of a community peer-based programme.
Spinal Cord
; 57(10): 897-905, 2019 Oct.
Article
em En
| MEDLINE
| ID: mdl-31127198
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 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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Grupo Associado
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Reabilitação
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Traumatismos da Medula Espinal
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Pessoas com Deficiência
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
País como assunto:
Africa
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article