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A Community Wellness Program for Adults Living With Long-term Physical Disability

CompletedNA

Sponsor: University of Washington

Conditions: Physical Disability

Interventions: EnhanceWellness for Disability (EW-D), Wellness Education

Countries: United States

For people living with long-term physical disabilities, such as spinal cord injury or multiple sclerosis, middle-age (45-64) is a period of great vulnerability for losses in function and participation. There is an urgent need to develop and test interventions that can be delivered through existing community service agencies to help these people maximize their community participation and quality of life. This research will test the efficacy of one such intervention in a community trial and, thereby, contribute to our understanding of the intervention's effectiveness and mechanisms of action.

Eligibility overview

Sex: ALL

Age: 45 Years to 64 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* 45 to 64 years of age at screening (turning 65 years after screening is ok);
* Able to read, speak, and understand English;
* Has a self-reported physician's diagnosis of long-term physical disability defined as:

  * a medical condition affecting the muscular or neurologic systems (eg, muscular dystrophy, multiple sclerosis, post-polio syndrome or spinal cord injury), and the condition:
  * creates functional disability (impairment in at least one activity of daily living (ADL) or at least one instrumental activity of daily living (IADL), as indicated by the Expanded Functional Disability Scale)
  * was present before age 40 years
* Able to participate via telephone;
* Has a goal in mind if randomized to the EW-D intervention;
* Has not participated in the original EnhanceWellness intervention group.

Exclusion Criteria:

* Under 45 years of age or 65 or older at screening;
* Unable to read, speak, or understand English;
* Does not have a neurological or muscular condition affecting physical function (e.g., persons with low back pain and shoulder pain would be excluded);
* Does not have functional disability;
* Disability onset after age 40 years;
* Significant cognitive impairment as defined by the Six-Item Screener;
* Psychiatric condition or symptoms that would interfere with participation, specifically:

  * Current, active suicidal ideation with current intent to harm oneself, or
  * Current schizophrenia, psychosis, or mania
* Unable to participate via telephone;
* Does not have a goal if randomized to the EW-D intervention;
* Has participated in the original EnhanceWellness intervention group.

Locations (1)

Seattle, Washington, United States