Pauline Koh
Purpose: To evaluate outcomes and perceptions following participation in a spinal cord injury (SCI) specific community-based self-management program.
Methods: This retrospective chart review utilized data from an outpatient vocational rehabilitation service in Singapore. Participants were adults with SCI who completed a self-management program. Outcome measures were recorded at baseline, post-intervention, and three-month follow-up. They include the University of Washington Self-Efficacy Scale, SCI Secondary Conditions Scale, Community Integration Questionnaire, and employment status. Post-program survey findings were also analyzed.
Findings: Data from fifteen participants revealed positive changes over time for all outcome measures. Self-efficacy scores increased from baseline to post-intervention with a large effect size. Improvements dropped to a medium effect size at follow-up. Participants reported overall perceived benefit. They valued information relevance, effective instruction, participant affirmation, peer interaction, psycho-emotional support, and program customization, adaptability and accessibility.
Conclusions: The community-based self-management intervention was well-received and associated with short term improvements in self-efficacy.