Wednesday, March 22, 2023 3/22/2023

ReInventing Yourself after SCI: A multi-site randomized controlled trial of an intervention to improve outcomes after spinal cord injury

Award Number: 90DPHF0002
ORGANIZATION: NATIONAL INSTITUTE ON DISABILITY, INDEPENDENT LIVING, AND REHABILITATION RESEARCH
OPDIV: ACL
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: OTHER

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The purpose of this study is to conduct a multi-site randomized controlled trial (RCT) to evaluate the replicability and efficacy of a structured six-week, manualized, group therapy intervention, ReInventing Yourself after SCI that delivers positive psychology concepts within a cognitive behavioral therapy (CBT)-based model. The goals of this RCT are to increase SCI-specific and general self-efficacy, enhance emotional well-being, and improve participation in society for people with SCI living in the community. Craig Hospital is the lead site for this study, collaborating with the University of Michigan, Ann Arbor, and Kessler Institute for Rehabilitation in New Jersey. The intervention is delivered through six sessions, each lasting approximately 2 hours. Eight skills are presented over the course of the intervention to address reframing a person’s method of looking at events, building confidence by focusing on personal strengths, developing methods of recognizing and appreciating the good in one's life and expressing gratitude for positive attributes. These skills are presented in a specific sequence through a workbook so that participants can gain mastery of introductory concepts before undertaking those that are both more difficult and complex. The RCT will have three research arms: 1) Group treatment plus workbook (Group), 2) individual self-study through YouTube video plus workbook (Indiv), and 3) no group or individual sessions, no workbook (Control). It is hypothesized that presenting the positive psychotherapy topics in an interactive structured CBT group format while restructuring maladaptive thought processes and providing experiential opportunities to reinforce behavioral change will result in increased self-efficacy, enhanced well-being and improved societal participation. Three specific hypotheses will be tested: Hypothesis 1 (Primary): Individuals in the Group arm will show greater improvements after the six week intervention in SCI-specific and general self-efficacy, emotional well-being, increased societal participation, less depressive and anxiety symptomatology, and improved resilience than participants in the Indiv and Control arms. Hypothesis 2 (Secondary): Individuals in the Group arm will maintain greater improvements through 46 weeks post-intervention in SCI-specific self-efficacy than participants in the Indiv and Control arms. Hypothesis 3 (Secondary): Individuals in the Group arm will show greater improvements after six weeks of treatment and through 46 weeks post-intervention in general self-efficacy, life satisfaction, community participation, resilience, and less depressive and anxiety symptomatology than participants in the Indiv and Control groups. The Moorong Self-Efficacy Scale (MSES) will serve as the primary outcome measure for this study. The MSES is a 16 item self-report measure of self-efficacy related to everyday life activities, designed specifically for persons with SCI. Individuals use a 7-point Likert scale ranging from 1 (very uncertain) to 7 (very certain) to rate their ability to perform 16 everyday tasks, with higher scores representing greater perceived self-efficacy. Secondary outcome measures include the General Self-Efficacy Scale, Diener Satisfaction with Life Scale, and measures of participation, resilience, anxiety and depression. Each collaborating site will enroll 84 individuals to be randomized into one of the three study arms in waves of 21 people per wave (4 waves per site). Training of site facilitators will take place at Craig Hospital.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2021	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	04	5	10/7/2022	EXTENSION WITH OR WITHOUT FUNDS	$0
2023	2020	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	04	5	10/7/2022	EXTENSION WITH OR WITHOUT FUNDS	$0


Issue Date FY: 2022 ( Subtotal = $0 )
2022	2020	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	01	5	5/11/2022	OTHER REVISION	$0
2022	2020	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	04	4	12/7/2021	OTHER REVISION	$0
2022	2019	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	03	5	6/29/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2019	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	04	4	12/7/2021	OTHER REVISION	$0
2022	2018	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	03	5	6/29/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2018	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	04	4	12/7/2021	OTHER REVISION	$0
2022	2017	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	03	5	6/29/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2017	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	02	5	6/22/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0


Issue Date FY: 2021 ( Subtotal = $499,613 )
2021	2021	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	5	7/28/2021	NON-COMPETING CONTINUATION	$499,613
2021	2020	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	02	4	1/4/2021	OTHER REVISION	$0
2021	2020	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	5	7/28/2021	NON-COMPETING CONTINUATION	$0
2021	2020	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	01	4	11/16/2020	OTHER REVISION	$0
2021	2020	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	03	4	6/29/2021	OTHER REVISION	$0
2021	2019	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	03	4	6/29/2021	OTHER REVISION	$0
2021	2019	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	02	4	1/4/2021	OTHER REVISION	$0
2021	2019	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	5	7/28/2021	NON-COMPETING CONTINUATION	$0
2021	2018	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	02	4	1/4/2021	OTHER REVISION	$0
2021	2018	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	01	4	11/16/2020	OTHER REVISION	$0
2021	2018	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	5	7/28/2021	NON-COMPETING CONTINUATION	$0
2021	2018	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	03	4	6/29/2021	OTHER REVISION	$0


Issue Date FY: 2020 ( Subtotal = $485,660 )
2020	2020	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	4	9/11/2020	NON-COMPETING CONTINUATION	$485,660
2020	2018	CRAIG HOSPITAL	3425 S Clarkson St	Englewood	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	4	9/11/2020	NON-COMPETING CONTINUATION	$0
2020	2018	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	01	3	1/7/2020	OTHER REVISION	$0


Issue Date FY: 2019 ( Subtotal = $498,859 )
2019	2019	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	3	9/10/2019	NON-COMPETING CONTINUATION	$498,859
2019	2018	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	01	2	2/1/2019	OTHER REVISION	$0
2019	2018	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	02	2	6/11/2019	OTHER REVISION	$0
2019	2017	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	01	1	10/5/2018	OTHER REVISION	$0
2019	2017	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	02	2	6/11/2019	OTHER REVISION	$0
2019	2017	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	01	2	2/1/2019	OTHER REVISION	$0


Issue Date FY: 2018 ( Subtotal = $495,118 )
2018	2018	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	2	9/5/2018	NON-COMPETING CONTINUATION	$495,118
2018	2017	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	2	9/5/2018	NON-COMPETING CONTINUATION	$0


Issue Date FY: 2017 ( Subtotal = $499,530 )
2017	2017	CRAIG HOSPITAL	3425 S CLARKSON ST	ENGLEWOOD	CO	80113	ARAPAHOE	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	1	9/21/2017	NEW	$499,530


Grand Total All Awards = $2,478,780

Sum of Action Amount is $2,478,780;

Grand Total = $2,478,780

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ReInventing Yourself after SCI: A multi-site randomized controlled trial of an intervention to improve outcomes after spinal cord injury

Award Number: 90DPHF0002

ORGANIZATION: NATIONAL INSTITUTE ON DISABILITY, INDEPENDENT LIVING, AND REHABILITATION RESEARCH

OPDIV: ACL

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: OTHER

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