Evaluation of a Bowel and Bladder Health Management Program for Individuals With Spinal Cord Injury (SCI)
Injuries, Spinal Cord, Neurogenic Bowel, Urinary Bladder, Neurogenic
About this trial
This is an interventional treatment trial for Injuries, Spinal Cord focused on measuring Telemedicine, self-management, Medical psychology, Health psychology, Rehabilitation, Education, Health
Eligibility Criteria
Inclusion Criteria for all groups:
- having a traumatic spinal cord injury
- being at least 18 years old
- having neurogenic bowel and/or bladder
- being community-living
- English-speaking
Additional inclusion criteria for new injury onset groups:
- completing inpatient rehabilitation for new SCI at University of Michigan Health System
Additional inclusion criteria for chronic injury groups:
- having an SCI for at least one year before enrollment
- expressing moderate to occasional bowel and/or bladder issues on the secondary conditions scale with associated distress
Exclusion Criteria for all groups:
- cognitive deficits and psychiatric conditions that render persons unable to independently direct or perform their own care
Additional Exclusion Criteria for chronic injury groups:
- current episode of severe depression as evidenced by scoring 20 or higher on the PHQ-9
- current suicidality or suicidal ideation
Sites / Locations
- University of Michigan Spinal Cord Injury Model System
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
No Intervention
Experimental
No Intervention
Health Mechanics- New Injuries
Usual Care- New Injuries
Health Mechanics- Chronic Injuries
Usual Care- Chronics
The Health Mechanics Program group receives the intervention. For this study, the Health Mechanics protocol is being applied to two areas of SCI management, bladder and bowel management, and administered over the telephone. The intervention will be administered as a series of modules delivered by a Health Coach (a health professional who works within the study team and is knowledgeable about SCI management). Individuals with new-onset traumatic spinal cord injuries are eligible for this group.
This group will not receive the intervention. They will receive usual care. This group will be comprised of individuals with new-onset traumatic spinal cord injuries.
The Health Mechanics Program group receives the intervention. For this study, the Health Mechanics protocol is being applied to two areas of SCI management, bladder and bowel management, and administered over the telephone. The intervention will be administered as a series of modules delivered by a Health Coach (a health professional who works within the study team and is knowledgeable about SCI management). Individuals who have had traumatic spinal cord injuries for at least one year are eligible for this group.
This group will not receive the intervention. They will receive usual care. This group will be comprised of individuals with who have had traumatic spinal cord injuries for at least one year.