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Pilot Study of a Self-Management Program for Parents With Spinal Cord Injury or Disease
Carla Wilson Walker1, Mary Holowatuk2, Jessica Dashner3
1Carla Wilson Walker, OTD, OTR/L, ATP, is Instructor, Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO; walkerc@wustl.edu.
Importance:
This study lays the groundwork for a self-management program run by occupational therapy practitioners for parents with spinal cord injury or disease (SCI/D).
Objective:
To develop and implement the Parenting Self-Management Program with people with SCI/D and evaluate the potential impact on knowledge, self-efficacy, and participation.
Design:
A mixed-methods approach was used to develop (Phase 1) and implement and evaluate (Phase 2) a pilot group intervention for parents with SCI/D.
Setting:
Community-based occupational therapy settings.
Participants:
Phase 1 participants were professionals working in the field of disability and SCI/D (n = 11) and experienced parents with SCI/D (n = 9). Phase 2 participants were people with SCI/D who were newly injured or inexperienced in parenting (n = 10). All participants were paid volunteers.
Intervention:
The 4-wk Parenting Self-Management Program was piloted with 10 parents with SCI/D. Participants attended a weekly program with other parents with SCI/D led by occupational therapists in which they received parenting resources and presentations and set weekly goals.
Outcomes And Measures:
The General Self-Efficacy Scale, a modified version of the Participation Survey/Mobility, and open-ended questions regarding parents' participation in parenting tasks were administered during Phase 2.
Results:
Significant increases (p < .05) in perceived knowledge were found for the topics of emergency preparedness, home modifications, adapted equipment, fatigue management, pain management, and community resources among Phase 2 participants.
Conclusions And Relevance:
A self-management approach combined with pertinent resources for parents with SCI/D yielded positive outcomes.
What This Article Adds:
This research demonstrates that a self-management structure for a specific population (people with SCI/D) in combination with a targeted occupation (parenting) and delivered through group occupational therapy services, improved client outcomes.
