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      Telehealth Transition Assistance Program for Acute Spinal Cord Injury Caregivers: Protocol for a Mixed-Methods, Randomized Controlled Trial

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          Abstract

          Background

          While spinal cord injury (SCI) caregiving can be a rewarding experience, caregivers often experience reduced mental and physical health.

          Objective

          This article describes the methodology of a study examining the efficacy of a newly developed telehealth Transition Assistance Program (TAP) for caregivers of individuals with acute SCI.

          Methods

          A mixed-methods, randomized controlled trial is comparing TAP outcomes to that of a standard-of-care control. The study is recruiting for 48 months and incorporating quantitative outcome measures.

          Results

          This study was funded by the Craig H. Neilsen Foundation in April 2017. It was approved by the institutional review boards at Virginia Commonwealth University and the Hunter Holmes McGuire Veterans Affairs Medical Center that same year. Participant recruitment and data collection began in 2018.

          Conclusions

          This study is implementing and testing an SCI caregiver intervention unlike any created before, targeting a critical time period that, until now, other SCI caregiver interventions have overlooked. Research personnel intend to disseminate the intervention and study findings through the publication of manuscripts and presentations at conferences. If the current study shows improvements in caregiver or patient well-being, the TAP for SCI caregivers could become part of the standard of care for acute SCI.

          Trial Registration

          ClinicalTrials.gov NCT03244098; https://www.clinicaltrials.gov/ct2/show/NCT03244098

          International Registered Report Identifier (IRRID)

          DERR1-10.2196/28256

          Related collections

          Most cited references33

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          The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

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            Relatives of the Impaired Elderly: Correlates of Feelings of Burden

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              The Spinal Cord Independence Measure (SCIM) version III: reliability and validity in a multi-center international study.

              To examine the third version of the Spinal Cord Independence Measure (SCIM III) for reliability and validity in a multi-center cohort study. Four hundred and twenty-five patients with spinal cord lesions from 13 spinal cord units in six countries from three continents were assessed with SCIM III and the Functional Independence measure (FIM) on admission to rehabilitation and before discharge. Total agreement between raters was above 80% in most SCIM III tasks, and all kappa coefficients were statistically significant (P<0.001). The coefficients of Pearson correlation between the paired raters were above 0.9, and intraclass correlation coefficients were above 0.94. Cronbach's alpha was above 0.7. The coefficient of Pearson correlation between FIM and SCIM III was 0.790 (P<0.01). SCIM III was more responsive to changes than FIM in the subscales of Respiration and sphincter management and Mobility indoors and outdoors. The results support the reliability and validity of SCIM III in a multi-cultural setup. Despite several limitations of the study, the results indicate that SCIM III is an efficient measure for functional assessment of SCL patients and can be safely used for clinical and research trials, including international multi-center studies.
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                Author and article information

                Contributors
                Journal
                JMIR Res Protoc
                JMIR Res Protoc
                ResProt
                JMIR Research Protocols
                JMIR Publications (Toronto, Canada )
                1929-0748
                March 2021
                29 March 2021
                : 10
                : 3
                : e28256
                Affiliations
                [1 ] Virginia Commonwealth University Richmond, VA United States
                [2 ] Central Virginia VA Health Care System Richmond, VA United States
                [3 ] Texas A&M University College Station, TX United States
                Author notes
                Corresponding Author: Paul B Perrin pperrin@ 123456vcu.edu
                Author information
                https://orcid.org/0000-0003-2070-215X
                https://orcid.org/0000-0003-1490-0096
                https://orcid.org/0000-0002-1348-4214
                https://orcid.org/0000-0001-7051-4865
                https://orcid.org/0000-0002-6608-7714
                Article
                v10i3e28256
                10.2196/28256
                8086783
                33779569
                93e45b01-055e-412d-bd4e-a793db5a9f7d
                ©Paul B Perrin, Scott D McDonald, Jack D Watson, Bradford S Pierce, Timothy R Elliott. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 29.03.2021.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.

                History
                : 26 February 2021
                : 1 March 2021
                : 2 March 2021
                : 3 March 2021
                Categories
                Protocol
                Protocol
                Custom metadata
                This paper was peer reviewed by the Craig H Neilsen Foundation. See the Multimedia Appendix for the peer-review report;

                spinal cord injury,telehealth,caregiver,methodology
                spinal cord injury, telehealth, caregiver, methodology

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