Self-Management Program for AIS D SCI
Reason given: Staffing unavailable.
Key facts
- Where
- Richmond, United StatesSee the site
- Phase
- Phase 1/2
Where in United States
- Richmond VA Medical Center, Richmond, VARichmond, United StatesNo longer taking part
Trial details
- Who runs it
- VA Office of Research and Development
- Trial code
- NCT05800717
- Record updated
- 13 March 2026
- Original description
About 25-51% of adults with acquired spinal cord injury (SCI) have "AIS D" SCI, the lowest severity grade of neurologic injury. Veterans with AIS D SCI generally have better outcomes in mobility, community integration, and employment. However, counterintuitively, they are also at higher risk of poor subjective well-being (SWB) and related psychosocial outcomes. Preliminary evidence suggests that poorer SWB in this group is associated with distinctive, modifiable factors such as less intensity of acute rehabilitation services, limited development of instrumental and social support networks, and underdeveloped disability identity. A significant gap in the care of Veterans with AIS D SCI is that they are unlikely to receive rehabilitation that is responsive to their specific experiences and needs. The proposed study will develop a novel, self-management based program to help Veterans with AIS D SCI. This study is highly significant, as creation of the proposed program is expected to improve SWB and lifetime psychosocial functioning for Veterans with AIS D SCI.Read full original descriptionShow less
A Self-Management Program for Improving the Well-Being of Veterans With AIS D Incomplete Spinal Cord Injury
About 25-51% of adults with acquired spinal cord injury (SCI) have "AIS D" SCI, the lowest severity grade of neurologic injury. Veterans with AIS D SCI generally have better outcomes in mobility, community integration, and employment. However, counterintuitively, they are also at higher risk of poor subjective well-being (SWB) and related psychosocial outcomes. Preliminary evidence suggests that poorer SWB in this group is associated with distinctive, modifiable factors such as less intensity of acute rehabilitation services, limited development of instrumental and social support networks, and underdeveloped disability identity. A significant gap in the care of Veterans with AIS D SCI is that they are unlikely to receive rehabilitation that is responsive to their specific experiences and needs. The proposed study will develop a novel, self-management based program to help Veterans with AIS D SCI. This study is highly significant, as creation of the proposed program is expected to improve SWB and lifetime psychosocial functioning for Veterans with AIS D SCI.
Inclusion: VA clinician-confirmed diagnosis of tetraplegia or paraplegia with an ASIA rating of AIS D [Veterans with AIS D SCI]; Interest and ability (e.g., reliable video telehealth equipment and WiFi) to participate in the focus groups.
Exclusion: Mental disorders such as posttraumatic stress disorder and depressive disorder will not be exclusions, but any medications must have been stable for at least 30 days prior to enrollment; Diagnosis of a psychotic disorder; Any medical condition that could affect results such as advanced cancer or neurologic disease such as Parkinson's disease; and; Currently participating in a comprehensive, inpatient rehabilitation program; At high risk for suicidal/homicidal behavior; Active substance dependence; Lack of capacity to consent to participation.