TY  - JOUR
AU  - Abu Mostafa, Moussa
AU  - Plastow, Nicola Ann
AU  - Savin-Baden, Maggi
AU  - Ayele, Birhanu
PY  - 2022
DA  - 2022/7/22
TI  - The Impact of an Evidence-Informed Spinal Cord Injury Activities of Daily Living Education Manual (SADL-eM): Protocol for a Randomized Controlled Trial
JO  - JMIR Res Protoc
SP  - e30611
VL  - 11
IS  - 7
KW  - occupational therapy
KW  - educational intervention
KW  - activities of daily living
KW  - spinal cord injury
KW  - clinical trials
AB  - Background: Spinal cord injury (SCI) is a catastrophic injury associated with functional loss and life-threatening complications. Many people with SCI in the Gaza Strip of Palestine are discharged from inpatient rehabilitation to the community while still lacking many daily life skills. This randomized controlled trial (RCT) seeks to test the impact of the Spinal Cord Injury Activities of Daily Living Education Manual (SADL-eM)—an evidence-based occupational therapy patient educational intervention—on rehabilitation outcomes. Objective: The proposed trial aims to evaluate the SADL-eM intervention compared with standard treatment among people with SCI. Methods: This is a parallel RCT with two study arms: intervention and control. A total of 90 patients treated in inpatient rehabilitation settings will be randomly allocated to two study groups. Both groups will receive standard care. The intervention group will also use the SADL-eM with their treating occupational therapist during rehabilitation. The SADL-eM is a comprehensive activities of daily living (ADL) educational tool that was codeveloped with people with SCI and stakeholders across Gaza. The self-report version of the Spinal Cord Independence Measure will be used on admission (ie, baseline measure) and after 6 weeks as the primary outcome measure. Secondary outcomes include the third version of the Spinal Cord Independence Measure, the Private Religiousness Practices Scale, the Organizational Religiousness Short-Form, additional ADL domains covered by the education manual, and adherence to the intervention. The effect of the intervention will be determined using repeated-measures analysis of variance. Results: This study will be conducted from April 2021 through December 2022, with results expected to be available in January 2023. Conclusions: If the SADL-eM is demonstrated as clinically effective, this will have significant implications for occupational therapy interventions in low- and middle-income countries. Trial Registration: ClinicalTrials.gov NCT04735887; https://clinicaltrials.gov/ct2/show/NCT04735887 
SN  - 1929-0748
UR  - https://www.researchprotocols.org/2022/7/e30611
UR  - https://doi.org/10.2196/30611
UR  - http://www.ncbi.nlm.nih.gov/pubmed/35867399
DO  - 10.2196/30611
ID  - info:doi/10.2196/30611
ER  -