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| ID | Type | Description | Link |
|---|---|---|---|
| H133G080042-10 | Other Grant/Funding Number | National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) |
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| Name | Class |
|---|---|
| National Institute on Disability, Independent Living, and Rehabilitation Research | FED |
| TIRR Memorial Hermann | OTHER |
| University of Montana | OTHER |
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The purpose of this project is to test the efficacy of an internet-based psychological health enhancement program for women with spinal cord injury. The intervention will occur in Second Life (SL), which is an online virtual word simulator with a group of women with spinal cord injury.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Zest | Experimental | Zest is an internet-based psychological health enhancement program for women with spinal cord injury. The intervention will occur in Second Life (SL), which is an online virtual word simulator with a group of women with spinal cord injury.The Zest program will consist of 10 weekly 2-hour group sessions with approximately 8 women using avatars to represent themselves. |
|
| Control | No Intervention | No intervention - Control participants are provided intervention materials at the end of the study. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zest | Behavioral | Zest is an internet-based psychological health enhancement program for women with spinal cord injury. The intervention will occur in Second Life (SL), which is an online virtual word simulator with a group of women with spinal cord injury.The Zest program will consist of 10 weekly 2-hour group sessions with approximately 8 women using avatars to represent themselves. |
| Measure | Description | Time Frame |
|---|---|---|
| Self-esteem as assessed by the Rosenberg Self-Esteem Scale | The effect of the Zest intervention on self-esteem as assessed by the Rosenberg Self-Esteem Scale. This is a 10-item scale with scores ranging from 10-40 with higher scores indicating higher self-esteem. | Baseline |
| Self-esteem as assessed by the Rosenberg Self-Esteem Scale | The effect of the Zest intervention on self-esteem as assessed by the Rosenberg Self-Esteem Scale. This is a 10-item scale with scores ranging from 10-40 with higher scores indicating higher self-esteem. | 10 weeks |
| Self-esteem as assessed by the Rosenberg Self-Esteem Scale | The effect of the Zest intervention on self-esteem as assessed by the Rosenberg Self-Esteem Scale. This is a 10-item scale with scores ranging from 10-40 with higher scores indicating higher self-esteem. | 6 months |
| Depression as assessed by the Patient Health Questionnaire-9 (PHQ-9) | The effect of the Zest intervention on depression as assessed by the Patient Health Questionnaire-9 (PHQ-9). This is a 9-item scale with scores ranging from 0-27 with higher scores indicating more severe depression. | Baseline |
| Depression as assessed by the Patient Health Questionnaire-9 (PHQ-9) | The effect of the Zest intervention on depression as assessed by the Patient Health Questionnaire-9 (PHQ-9). This is a 9-item scale with scores ranging from 0-27 with higher scores indicating more severe depression. | 10 weeks |
| Depression as assessed by the Patient Health Questionnaire-9 (PHQ-9) |
| Measure | Description | Time Frame |
|---|---|---|
| Self-efficacy as assessed by the Generalized Self-Efficacy Scale | The effect of the Zest intervention on self-efficacy as assessed by the Generalized Self-Efficacy Scale. This is a 10-item scale with scores ranging from 10-40 with higher scores indicating higher self-efficacy. | Baseline |
| Self-efficacy as assessed by the Generalized Self-Efficacy Scale |
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Inclusion Criteria:
Exclusion Criteria:
Participants must self-identify as a woman during the screening interview.
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| Name | Affiliation | Role |
|---|---|---|
| Susan Robinson-Whelen, PhD | The University of Texas Health Science Center, Houston | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Montana | Missoula | Montana | 59812 | United States | ||
| The University of Texas Health Science Center at Houston |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39913478 | Derived | Robinson-Whelen S, Hughes RB, Gonzalez D, Norah-Davis L, Leon-Novelo LG, Ngan E, Whelen ML, Wenzel L, Taylor HB. Promoting psychological health in women with spinal cord injury: A randomized trial. Rehabil Psychol. 2025 Nov;70(4):426-436. doi: 10.1037/rep0000602. Epub 2025 Feb 6. |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Sep 23, 2019 | May 2, 2022 | ICF_000.pdf |
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| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
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| Baylor College of Medicine |
| OTHER |
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The effect of the Zest intervention on depression as assessed by the Patient Health Questionnaire-9 (PHQ-9). This is a 9-item scale with scores ranging from 0-27 with higher scores indicating more severe depression.
| 6 months |
| Life satisfaction as assessed by the Satisfaction with Life Scale | The effect of the Zest intervention on life satisfaction as assessed by the Satisfaction with Life Scale. This is a 5-item scale with scores ranging from 5-35 with higher scores indicating greater satisfaction with life. | Baseline |
| Life satisfaction as assessed by the Satisfaction with Life Scale | The effect of the Zest intervention on life satisfaction as assessed by the Satisfaction with Life Scale. This is a 5-item scale with scores ranging from 5-35 with higher scores indicating greater satisfaction with life. | 10 weeks |
| Life satisfaction as assessed by the Satisfaction with Life Scale | The effect of the Zest intervention on life satisfaction as assessed by the Satisfaction with Life Scale. This is a 5-item scale with scores ranging from 5-35 with higher scores indicating greater satisfaction with life. | 6 months |
The effect of the Zest intervention on self-efficacy as assessed by the Generalized Self-Efficacy Scale. This is a 10-item scale with scores ranging from 10-40 with higher scores indicating higher self-efficacy. |
| 10 weeks |
| Self-efficacy as assessed by the Generalized Self-Efficacy Scale | The effect of the Zest intervention on self-efficacy as assessed by the Generalized Self-Efficacy Scale. This is a 10-item scale with scores ranging from 10-40 with higher scores indicating higher self-efficacy. | 6 months |
| Social connectedness as assessed by the Medical Outcomes Study Social Support Scale, Emotional/Informational Support subscale. | The effect of the Zest intervention on social connectedness as assessed by the Medical Outcomes Study Social Support Scale, Emotional/Informational subscale. This is an 8-item scale in which scores for each item are averaged. Scores are converted to a 0-100 scale with higher scores indicating more support and, therefore, social connectedness. | Baseline |
| Social connectedness as assessed by the Medical Outcomes Study Social Support Scale, Emotional/Informational Support subscale. | The effect of the Zest intervention on social connectedness as assessed by the Medical Outcomes Study Social Support Scale, Emotional/Informational subscale. This is an 8-item scale in which scores for each item are averaged. Scores are converted to a 0-100 scale with higher scores indicating more support and, therefore, social connectedness. | 10 weeks |
| Social connectedness as assessed by the Medical Outcomes Study Social Support Scale, Emotional/Informational Support subscale. | The effect of the Zest intervention on social connectedness as assessed by the Medical Outcomes Study Social Support Scale, Emotional/Informational subscale. This is an 8-item scale in which scores for each item are averaged. Scores are converted to a 0-100 scale with higher scores indicating more support and, therefore, social connectedness. | 6 months |
| Perceived stress as assessed the by Perceived Stress Scale | The effect of the Zest intervention on perceived stress as assessed by the Perceived Stress Scale. This is a 10-item scale with scores ranging from 0-40 with higher scores indicating more perceived stress. | Baseline |
| Perceived stress as assessed the by Perceived Stress Scale | The effect of the Zest intervention on perceived stress as assessed by the Perceived Stress Scale. This is a 10-item scale with scores ranging from 0-40 with higher scores indicating more perceived stress. | 10 weeks |
| Perceived stress as assessed the by Perceived Stress Scale | The effect of the Zest intervention on perceived stress as assessed by the Perceived Stress Scale. This is a 10-item scale with scores ranging from 0-40 with higher scores indicating more perceived stress. | 6 months |
| Houston |
| Texas |
| 77006 |
| United States |
| Baylor College of Medicine | Houston | Texas | 77030 | United States |
| TIRR Memorial Hermann | Houston | Texas | 77030 | United States |
| D014947 | Wounds and Injuries |