title: The SCIRehab project: treatment time spent in SCI rehabilitation. Psychology treatment time during inpatient spinal cord injury rehabilitation.
abstract: BACKGROUND
  Rehabilitation psychologists are integral members of spinal cord injury (SCI) rehabilitation teams.
  
  
  OBJECTIVE
  To describe specific information regarding types and intensity of treatments delivered by rehabilitation psychologists to patients with various levels of SCI.
  
  
  METHODS
  Utilizing a taxonomy of psychological interventions as a framework, rehabilitation psychologists documented time spent on specific psychology interventions for each interaction they had with 600 patients with traumatic SCI at 6 inpatient SCI rehabilitation centers. Associations of patient and injury characteristics with time spent on various psychological interventions were examined using ordinary least squares stepwise regression models.
  
  
  RESULTS
  Psychologists focus the majority of the time they spend with patients with SCI on psychotherapeutic interventions of processing emotions, emotional adjustment, and family coping, while educational efforts focus mostly on coping and adjusting to the new injury. There was wide variation in the amount of time spent on psychotherapeutic and psychoeducational interventions; patient, injury, and clinician characteristics explained little of the variation in time spent.
  
  
  CONCLUSIONS
  Variations observed in psychological treatment delivery mirror real-world human complexity and clinical experience; they are not explained well by patient and injury characteristics and set the stage for future analyses to associate treatments with outcomes.
authors.affiliation: Craig Hospital, Englewood, CO, USA.
authors.forename: Toby
authors.initials: T
authors.lastname: Huston
authors.forename: Julie
authors.initials: J
authors.lastname: Gassaway
authors.forename: Catherine
authors.initials: C
authors.lastname: Wilson
authors.forename: Samuel
authors.initials: S
authors.lastname: Gordon
authors.forename: Jill
authors.initials: J
authors.lastname: Koval
authors.forename: Andrea
authors.initials: A
authors.lastname: Schwebel
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology; D007902:Length of Stay; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation*; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy / Q000379:methods*; D012047:Rehabilitation Centers; D012189:Retrospective Studies; D013119:Spinal Cord Injuries / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*; D016896:Treatment Outcome; D055815:Young Adult