Spinal Cord Injury
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.
- Become familiar with the intervention methods of a community-based peer program for individuals with SCI
- Identify key factors to implement a community-based peer program for individuals from underrepresented populations
- Understand the results of a feasibility pilot study and cost analysis of a community-based peer program