Self-management training: a controlled investigation of its effectiveness in improving coping skills, mood and quality of life with patients with acquired physical disability

INTERVENTION: Participants were allocated to control or intervention groups according to timing of admission. Control group participants received usual care. Participants in the intervention group received usual care plus the 'Next Steps UK & Ireland self‐management programme'. CONDITION: Patients with acquired physical impairment (spinal cord injury and limb amputation) ; Mental and Behavioural Disorders PRIMARY OUTCOME: 1. Pain: Brief pain Inventory; 2. Depressive Symptoms: Hospital Anxiety and Depression Scale ; 3. Positive Affect: Positive and Negative Affect Schedule Positive States of Mind scale ; Data collected on admission to rehabilitation, 7 weeks later and at 6 months post‐programme. SECONDARY OUTCOME: 1. Restrictions in Activities and Participation: WHODAS‐II and the Community Participation Indicators; 2. Self‐management knowledge, skills, confidence: Patient Activation Measure (SF); 3. Quality of Life: WHOQoL; Data collected on admission to rehabilitation, 7 weeks later and at 6 months post‐programme. INCLUSION CRITERIA: Inclusion criteria consist of (1) being aged 18 years or older; (2) having limb amputation or spinal cord injury; (3) English speaking; (4) no more than 3 weeks previous inpatient rehabilitation for the current condition; onset of index injury/condition within 1 year.