CClinicalTrials.gg
CompletedNCT00148239SCIUpdated Dec 2, 2015

Health Interventions for Survivors and Primary Support Persons of Spinal Cord Injury

A Phase 2/3 interventional study of Caregiver Only Intervention and Dual Treatment in Spinal Cord Injuries, sponsored by University of Pittsburgh. Completed at 2 sites in United States. Open to participants aged 30 Years and older. Per ClinicalTrials.gov, last updated 2015-12-02.

Sponsored by University of Pittsburgh · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
380
Allocation
Randomized
Ages
30 Years and older
Sex
All
01

Study summary

The overall objective of this project is to test the efficacy of an innovative multi-component intervention aimed at reducing the risk for adverse health outcomes among caregivers of older survivors with spinal cord injury or disability, and to improve the well being of the spinal cord-injured survivor. In a three-group, randomized, controlled design providing access to information, resources, and support, we predict that the dual target approach will have a greater positive impact on both the caregiver and survivor than the caregiver-only approach, and that both active treatments will be superior with respect to caregiver outcomes than an information-only control condition.

Read the detailed description

The specific aims of this project are to:

  1. Assess the impact of a dual target (caregiver and care recipient) intervention compared to a traditional caregiver-only intervention strategy.
  2. Assess causal linkages between the treatment components (e.g. knowledge, social support) of a multi-component intervention and specific treatment outcomes (e.g. caregiver depression, quality of life).
  3. Explore cultural and racial differences in the evaluation of and effectiveness of the different treatment approaches.

Overall, the issues affecting management of SCI/D in later life are complex and hold critical implications for the health of the long-term survivor as well as for those who provide care in the home environment. Large numbers of individuals are living with the effects of SCI/D for decades post-injury. In addition to the health-related complications that typically accompany older age, these individuals are especially vulnerable to co-occurring medical conditions that require high degrees of support and maintenance. Consequently, older caregivers face multiple and often extreme challenges in providing support to the SCI/D survivor at a time in their lives when their own abilities may be compromised due to age-related changes in health and functioning.

The multi-faceted burden faced by caregivers is associated with high levels of depression and anxiety as well as the onset of deleterious physical symptoms. The cumulative effects of such multiple stressors over time all too frequently leave the caregiver unable to continue providing the level of support necessary to maintain their partner's health in the home environment. In order to circumvent the additional distress certain to accompany such a family separation, Elliott et al. (2001, p. 230) recently concluded that "there is a pressing need for interventions that help family [SCI] caregivers address the routines and tasks essential to maintaining family functioning."

02

Conditions studied

  • Spinal Cord Injuries

Keywords

  • SCI
  • Caregiving
  • Aging
  • Disability
  • Paralysis
03

In context

Spinal Cord Injuries

1,948 studies on the registry are indexed under Spinal Cord Injuries; 505 are open to participants now.

This study's enrollment of 380 is above the median of 24 across 1,566 interventional studies indexed under Spinal Cord Injuries.

Browse Spinal Cord Injuries studies →

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,385 studies on the registry; 167 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria (Survivors):

  • have adult-onset disability resulting from spinal cord injury, trauma, or disease,
  • be survivors with complete or incomplete injury as defined by the American Spinal Injury Association (ASIA) impairment scale
  • require and use some type of assistance for getting around (e.g., wheelchair, cane, etc.) be 30 years old or older be living at home for a minimum of 1 year post-injury (to avoid the acute trauma phase) speak English.

Inclusion Criteria (Caregivers):

  • Is a family member/partner (e.g. spouse, child, or fictive kin)
  • is 18 years of age or older
  • is or is not living with the care recipient
  • speaks English
  • has a telephone at home
  • plans to live in the area for at least 6 months.
  • self-identifies as white, African American or Hispanic.

Exclusion Criteria:

  • has a terminal illness with life expectancy of less than 6 months
  • is in active treatment for cancer (except for tamoxifen and lupron)
  • is blind or deaf
  • if the survivor is cognitively impaired due to brain injury or dementia and/or has no use of their hands and severe limitations in speech production
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
380 participants (actual)

Study arms

  • Experimental
    Caregiver Only

    A multi-component psycho-educational intervention designed to reduce the negative emotional and behavioral responses of the caregiver and reduce the risk of mental and physical health problems.

    Behavioral: Caregiver Only Intervention

  • Experimental
    Dual Treatment

    Complements the caregiver only intervention by targetting both caregiver and SCI person with multi-component psycho-educational intervention

    Behavioral: Dual Treatment

  • Active comparator
    Control

    Participants are provided with written materials at beginning of study; nothing thereafter

    Behavioral: Control

Interventions

  • BehavioralCaregiver Only Intervention

    A multi-component psycho-educational intervention designed to reduce the negative emotional and behavioral responses of the caregiver and reduce the risk of mental and physical health problems.

  • BehavioralDual Treatment

    Complements the caregiver only intervention by targetting both caregiver and SCI person with multi-component psycho-educational intervention

  • BehavioralControl

    Participants given written educational materials at beginning of study; no treatment beyond this

06

What researchers measure

Primary outcomes

  1. Depressive symptoms caregivers and SCI

    Time frame: 6 and 12 months post-randomization

  2. Caregiver Burden

    Time frame: 6 and 12 months

  3. Social support caregiver and SCI

    Time frame: 6 and 12 months

  4. Health symptoms caregiver and SCI

    Time frame: 6 and 12 months

07

Study locations

2 sites
  • University of Miami
    Miami, Florida 33136, United States
  • University of Pittsburgh (UCSUR)
    Pittsburgh, Pennsylvania 15260, United States
08

References and documents

Publications

  • Schulz R, Czaja SJ, Lustig A, Zdaniuk B, Martire LM, Perdomo D. Improving the quality of life of caregivers of persons with spinal cord injury: a randomized controlled trial. Rehabil Psychol. 2009 Feb;54(1):1-15. doi: 10.1037/a0014932. PubMed 19618698 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 2, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00148239
Lead sponsor
University of Pittsburgh
Collaborators
University of Miami
Responsible party
Richard Schulz (Prof. of Psychiatry, University of Pittsburgh) — Principal investigator
First posted
Sep 7, 2005
Start date
Sep 2002
Primary completion
Jul 2007
Completion
Jul 2008
Last update
Dec 2, 2015

Study contacts

Richard Schulz, PhD
principal investigator · University of Pittsburgh

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2015. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion