Satisfaction Clinical Trial
Official title:
Effectiveness of Psycho-emotional Support in Acute Spinal Cord Injury. ESPELMA Project.
The purposes of the ESPELMA project are twofold: 1) To increase acute spinal cord injury
patients' satisfaction with treatment while hospitalization and 2) To increase mastery among
rehabilitation professionals with regard to the clinical management of patients'
psychological distress.
For these purposes, a tailored training for professionals will be designed and offered.
It is hypothesized that building capacity among professionals will serve to better
management of patients' distress and a greater ability to commit them to the rehabilitation
process. Thus, it is expected to lead to better and faster functional recovery and
consequently to higher perceived satisfaction with treatment.
Background: Acute spinal cord injury leaves patients severely impaired and consequently,
generates high levels of psychological distress among them and their families. This
psychological distress can cause patients and their families to take a less active role in
rehabilitation, which leads to lower and slower levels of functional recovery and to less
perceived satisfaction with the results. In addition, rehabilitation professionals that deal
with this psychological distress could ultimately experience higher stress and more risk of
burnout. The aim of ESPELMA project is to train rehabilitation professionals in the clinical
management of acute spinal cord injury associated psychological distress, and to measure the
impact of this training on the patients' perceived satisfaction with treatment. It is
hypothesized that rehabilitation professionals trained in psychological distress management
will foster greater psychological well-being during hospitalization among acute spinal cord
injury patients and their families, and will secure greater commitment from them to
participate in the rehabilitation process. Thus, it is expected to lead to better and faster
functional recovery and consequently to higher perceived satisfaction with treatment.
Methods/Design: The study follows a pre-post control group design. Participants are a sample
of acute spinal cord injury patients consecutively admitted to a tertiary hospital spinal
cord injury unit, their relatives, and the spinal cord injury unit staff. All participants
completed a baseline survey before the intervention. Training of rehabilitation
professionals comprises biweekly 6-hour sessions followed by 6-months of optional on-demand
coaching. Contents of the training are customized according to focus groups. Once the
training sessions end, all participants are assessed again.
Discussion: To our knowledge, no studies have yet evaluated the effectiveness of training
professionals to manage psychological distress of acute spinal cord injury patients by means
of motivational interviewing principles. If this training proves to be effective, several
benefits could be achieved: e.g. higher job content and less burnout among professionals, as
well as better patient compliance and satisfaction with treatment.
Keywords Acute Spinal Cord Injury; Patient Satisfaction; Psychological Distress;
Rehabilitation; Training Professionals; Burnout; Job Content.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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