Skeels S E, Pernigotti D, Houlihan B V, Belliveau T, Brody M, Zazula J, Hasiotis S, Seetharama S, Rosenblum D, Jette A
Spaulding New England Regional Spinal Cord Injury Center Model Systems Network, Boston, MA, USA.
The Health and Disability Research Institute, Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, USA.
Spinal Cord. 2017 Nov;55(11):1016-1022. doi: 10.1038/sc.2017.104. Epub 2017 Oct 10.
A process evaluation of a clinical trial.
To describe the roles fulfilled by peer health coaches (PHCs) with spinal cord injury (SCI) during a randomized controlled trial research study called 'My Care My Call', a novel telephone-based, peer-led self-management intervention for adults with chronic SCI 1+ years after injury.
Connecticut and Greater Boston Area, MA, USA.
Directed content analysis was used to qualitatively examine information from 504 tele-coaching calls, conducted with 42 participants with SCI, by two trained SCI PHCs. Self-management was the focus of each 6-month PHC-peer relationship. PHCs documented how and when they used the communication tools (CTs) and information delivery strategies (IDSs) they developed for the intervention. Interaction data were coded and analyzed to determine PHC roles in relation to CT and IDS utilization and application.
PHCs performed three principal roles: Role Model, Supporter, and Advisor. Role Model interactions included CTs and IDSs that allowed PHCs to share personal experiences of managing and living with an SCI, including sharing their opinions and advice when appropriate. As Supporters, PHCs used CTs and IDSs to build credible relationships based on dependability and reassuring encouragement. PHCs fulfilled the unique role of Advisor using CTs and IDSs to teach and strategize with peers about SCI self-management.
The SCI PHC performs a powerful, flexible role in promoting SCI self-management among peers. Analysis of PHC roles can inform the design of peer-led interventions and highlights the importance for the provision of peer mentor training.
一项临床试验的过程评估。
描述同伴健康教练（PHC）在一项名为“My Care My Call”的随机对照试验研究中对脊髓损伤（SCI）患者所发挥的作用。该研究是一项新颖的基于电话、由同伴主导的自我管理干预措施，针对受伤1年及以上的慢性SCI成年患者。
美国康涅狄格州和马萨诸塞州大波士顿地区。
采用定向内容分析法，对两名经过培训的SCI PHC与42名SCI参与者进行的504次电话辅导通话信息进行定性分析。自我管理是每段为期6个月的PHC与同伴关系的重点。PHC记录了他们如何以及何时使用为干预措施开发的沟通工具（CT）和信息传递策略（IDS）。对互动数据进行编码和分析，以确定PHC在CT和IDS使用及应用方面的角色。
PHC发挥了三个主要作用：榜样、支持者和顾问。榜样互动包括CT和IDS，使PHC能够分享管理SCI并与之共处的个人经历，包括在适当的时候分享他们的意见和建议。作为支持者，PHC使用CT和IDS基于可靠性和令人安心的鼓励建立可信的关系。PHC通过使用CT和IDS履行顾问的独特角色，与同伴就SCI自我管理进行教导和制定策略。
SCI PHC在促进同伴间的SCI自我管理方面发挥着强大而灵活的作用。对PHC角色的分析可为同伴主导的干预措施设计提供参考，并凸显提供同伴导师培训的重要性。
