Spinal Cord Injury

Lifestyle Medicine

Research Papers and Posters

Results of a Community-Based Peer Mentor Program for SCI: Feasibility and Cost Analysis (453129)

Wednesday, October 3
10:24 AM - 10:41 AM
Location: Governors Lecture Hall

Research Objectives : To develop and evaluate the feasibility and cost of a community-based peer mentor program to prevent and manage pressure ulcers and untreated depression for individuals with spinal cord injury (SCI)

Design : Mixed methods: Non-randomized feasibility study with randomized cost analysis

Setting : Safety-net rehabilitation center and participants’ homes/communities in an urban metropolis

Participants : Forty ethnically/racially diverse patients from underrepresented backgrounds from a rehabilitation center in an urban metropolis; 18 years or older; SCI; at high risk of developing a pressure ulcer and/or depression. Control group was matched by age, gender, and SCI level/severity to intervention group

Interventions : 6-month community-based peer program to reduce pressure ulcers and untreated depression

Main Outcome Measure(s) : 1) Feasibility: a) Pressure ulcer risk, b) Depression, c) Program adherence
2) Cost analysis: Cost of healthcare
3) Interview: Reports of participants and mentors


Results : All outcomes exhibited a positive trend in favor of pressure ulcer prevention; management of pressure ulcers and depression; self-management; and community reintegration (t-test for pre-post scores; n=20). The intervention was cost effective as compared to traditional services. The healthcare services rendered by the control group cost $500,000 more than the intervention group during the study phase (cost analysis; n=40; included a randomized standard care control group). Most pressure ulcers were healed and prevented from surgeries. Factors/themes were identified for successful future programming (interviews; n=20).

Conclusions : The community-based peer mentoring program was feasible to administer and cost effective. Based on the cost analysis and use of key factors/themes identified, this type of program could minimize the cost of burdensome health issues, maximize appropriate use of services, and improve the health and quality of life of individuals with SCI.

Author(s) Disclosures : All authors declare they have NO conflicts of interest.

Learning Objectives:

Valerie A. Hill

Assistant Professor
University of Cincinnati

Valerie Hill is a Rehabilitation Scientist and Assistant Professor at the University of Cincinnati in the Department of Rehabilitation, Exercise, and Nutrition Sciences. Her work focus on life- and self- management for individuals with disabilities and chronic diseases.

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Shawn Phipps

Chief Quality Officer
Rancho Los Amigos National Rehabilitation Center

hawn Phipps is the Chief Quality Officer & Associate Hospital Administrator at Rancho Los Amigos National Rehabilitation Center, Dr. Phipps is responsible for hospital-wide strategic planning, quality improvement, directing the implementation of key hospital-wide strategic initiatives, leadership development, driving the development of effective and efficient systems of patient-centered care across the continuum, and engaging all levels of the organization in creating a culture and commitment to quality improvement and innovation. Dr. Phipps also oversees the hospital's accreditation programs with The Joint Commission (TJC) and the Commission on the Accreditation of Rehabilitation Facilities (CARF), and provides oversight of the Quality Resource Management Department and the Patient Safety, Infection Control, and the Risk Management Departments.

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