title: Evaluation of a community reintegration outpatient program service for community-dwelling persons with spinal cord injury.
abstract: Objective. To evaluate the effectiveness of a community reintegration outpatient (CROP) service for promoting well-being and community participation following spinal cord injury (SCI). Participants. Community-dwelling adults (N = 14) with traumatic and nontraumatic SCI. Interventions. The CROP service is a 12-week (1 × week; 120 minutes) interprofessional closed therapeutic education service. Main Outcome Measure(s). Moorong Self-Efficacy Scale (MSES); Impact on Participation and Autonomy (IPA); Positive Affect and Negative Affect Scale (PANAS); Coping Inventory of Stressful Situations (CISS); World Health Organization Quality of Life (WHOQOL-BREF); semistructured qualitative interviews. Methods. Twenty-one participants were recruited from two subsequent CROP services, with only 14 persons completing all data assessments. Data were collected at baseline (week 0), at exit (week 12), and at a three-month follow-up. Semistructured interviews were conducted at exit. Results. Self-efficacy (MSES) and positive affect (PANAS) improved from baseline to exit (P < .05), but the changes were not maintained at follow-up. Qualitative analysis identified four major themes related to therapeutic benefits: (1) role of self; (2) knowledge acquisition; (3) skill application; and (4) group processes. Conclusions. Participation in a therapeutic education service has the potential to improve well-being in persons with SCI, but there is a need to identify strategies to maintain long-term gains.
authors.affiliation: Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5G 1V7.
authors.forename: Alana
authors.identifier: 0000-0001-7906-9905
authors.initials: A
authors.lastname: Zinman
authors.affiliation: Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5G 1V7.
authors.forename: Nicole
authors.identifier: 0000-0001-5748-0496
authors.initials: N
authors.lastname: Digout
authors.affiliation: Lyndhurst Centre, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada M4G 3V9.
authors.forename: Patricia
authors.initials: P
authors.lastname: Bain
authors.affiliation: Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5G 1V7.
authors.forename: Sylvia
authors.identifier: 0000-0003-4110-0975
authors.initials: S
authors.lastname: Haycock
authors.affiliation: Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5G 1V7 ; Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada M5G 2A2.
authors.forename: Debbie
authors.initials: D
authors.lastname: Hébert
authors.affiliation: Institute for Life Course and Aging, Faculty of Medicine, University of Toronto, 263 McCaul Street, Suite 328, Toronto, ON, Canada M5T 1W7.
authors.forename: Sander L
authors.initials: SL
authors.lastname: Hitzig