REHABDATA Detailed Record Peer mentoring reduces unplanned readmissions and improves self-efficacy following inpatient rehabilitation for individuals with spinal cord injury.
Journal of Spinal Cord Medicine - JSCM (formerly Journal of the American Paraplegia Society). Volume 44(3), Pgs. 383-391.
NARIC Accession Number
What's this? Author(s): Jones, Michael L.
Sweatman, W. Mark
Study evaluated the effects of peer interventions on self-efficacy, unplanned hospital readmissions, and quality of life for patients with spinal cord injury (SCI) undergoing inpatient rehabilitation. Participants were 1,117 SCI inpatients admitted for rehabilitation whose discharge location was home. A subsample of 799 patients participated in secondary analyses examining relationship between peer interventions, readmissions, changes in patient-reported outcomes, and heterogeneity of treatment effects (HTE). Interrupted time-series analysis (ITSA) examined effects of one-to-one mentoring and participation in peer-led self-management classes on unplanned readmissions. Intervention variables added to ITSA regression examined relationships with exposure to peer interventions. HTE analysis examined differences in intervention effectiveness for patients with quadriplegia and paraplegia. Outcome measures included: unplanned readmissions, general self-efficacy, and depressive symptoms assessed at 30, 90, and 180 days after discharge; and satisfaction with life evaluated at 180 days. After implementing the peer interventions, a significant decrease was observed in both level and slope of number of patients readmitted, and level only of unplanned hospital days 30-days post-discharge. Reduction in the number of patients and unplanned hospital days was associated with number of peer visits but not peer-led education classes attended. Higher self-efficacy was associated with greater exposure to peer mentoring, and a significant relationship between improvement in self-efficacy and reduced hospital readmissions was observed. The findings suggest that one-to-one peer mentoring improves self-efficacy and reduces unplanned hospital readmissions following inpatient rehabilitation for SCI.
INTERVENTION, MENTORING, OUTCOMES, PEER COUNSELING, QUALITY OF LIFE, REHABILITATION, SELF CONCEPT, SPINAL CORD INJURIES.
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Jones, Michael L., Gassaway, Julie, Sweatman, W. Mark. (2021.)
Peer mentoring reduces unplanned readmissions and improves self-efficacy following inpatient rehabilitation for individuals with spinal cord injury.
Journal of Spinal Cord Medicine - JSCM (formerly Journal of the American Paraplegia Society).
(3), Pgs. 383-391. Retrieved 8/6/2023, from REHABDATA database.
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