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Project Type/Research Category: Model Spinal Cord Injury Systems.
Funding Priority: Health and Function.
For more information on NIDRR's funding priorities, read about NIDRR's Core Areas of Research at http://www.ed.gov/rschstat/research/pubs/core-area.html.
Northwest Regional Spinal Cord Injury System.
University of Washington.
Department of Rehabilitation Medicine.
Box 356490.
Seattle, WA 98195-6490.
E-mail: scirehab@u.washington.edu.
URL(s): http://sci.washington.edu.
Principal Investigator: Charles H. Bombardier, PhD.
PI Phone: 206/731-3665.
Public Contact: Cynthia Salzman, MHA.
Public Contact Phone: 206/685-3999.
Fax: 206/685-3244.
Project Number: H133N060033.
Start Date: October 1, 2006.
Length: 60 months.
NIDRR Officer: Theresa San Agustin, MD.
NIDRR Funding: FY 06 $464,417; FY 07 $464,417; FY 08 $464,417; FY 09 $464,417; FY 10 $464,417.
Abstract:
The University of Washington's Northwest Regional Spinal Cord Injury System (NWRSCIS) serves a critical mass of patients with spinal cord injury (SCI) and has all the necessary disciplines to provide state-of-the-art medical, surgical, and rehabilitation care. One site-specific project is a randomized controlled intervention study evaluating the effect of proactive, structured, telephone-based counseling and care management on rehospitalization rate and quality of life during the first year after discharge from acute rehabilitation. This study builds upon successful experiences with telephone counseling for both people with traumatic brain injury and multiple sclerosis. This research is particularly important because the lifestyle changes and health care behaviors required for successful living after SCI are tremendously challenging, rates of rehospitalization are high, and many people (especially in rural regions) lack ready access to knowledgeable advice, behavior change support, and specialty care sufficient to maintain their health. A modular project studies the natural history of major depression under conditions of usual care during the first year after SCI. This project establishes reliable and valid means of screening and diagnosing major depression soon after SCI. It examines the impact of depression on rehabilitation efficiency and compares the effect of standard treatment to clinical practice guideline level care of depression. This study describes depression treatment preferences among people with SCI and lays the foundation for a multi-site clinical trial. The NWRSCIS also includes a collaborative, multisite, randomized, double-blind, placebo controlled trial of venlafaxine XR (Effexor XR) in adults with SCI and major depressive disorder (MDD). The purpose of the study is to examine the efficacy and tolerability of venlafaxine XR as a treatment for MDD. NWRSCIS contributes to the national statistics database at the University of Alabama at Birmingham.
Descriptors: Depression, Model Systems, Outcome, Rehabilitation, Rehabilitation medicine, Spinal cord injuries.
Documents in REHABDATA:
Improving the efficiency of screening for major depression in people with spinal cord injury.
Measuring depression in persons with spinal cord injury: A systematic review.
Patient health questionnaire-9 in spinal cord injury: An examination of factor structure as related to gender.
Spinal cord injury update, Fall 2009.
Spinal cord injury update, Fall 2008.
Spinal cord injury update, Spring 2009.
Spinal cord injury update, Spring 2007.
Spinal cord injury update, Spring 2008.
Spinal cord injury update, Spring 2010.
Spinal cord injury update, Summer 2010.
Spinal cord injury update, Summer 2007.
Spinal cord injury update, Summer 2009.
Spinal cord injury update, Winter 2008.
Spinal cord injury update, Winter 2007.
The relationship of chronological age, age at injury, and duration of injury to employment status in individuals with spinal cord injury.
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