Bridge Reinvention

The goal of this randomized controlled trial is to determine the efficacy of a treatment to
improve resilience to stress for individuals with SCI who are transitioning from inpatient
rehabilitation to home. The overarching hypothesis is that individuals who participate in an
intervention that presents positive psychotherapy topics in an interactive, structured,
cognitive-behaviorally-based group intervention that stresses restructuring maladaptive
thought processes and provides experiential opportunities to reinforce behavioral change will
demonstrate increased self-efficacy. There were three aims of this study: AIM 1:
Self-Efficacy - To examine the ability of a six-week, manualized, cognitive-behaviorally
based group educational intervention (Re-Inventing Yourself after SCI-Bridge) to improve both
SCI-specific and general self-efficacy for people who are early in the process of community
reintegration; AIM 2: Psychosocial Adjustment - To assess the ability of the Re-Inventing
Yourself after SCI-Bridge intervention to improve psychosocial adjustment of people with SCI
who are early in the community reintegration process; and, Aim 3: Participation - To
determine the ability of the Re-Inventing Yourself after SCI-Bridge intervention to improve
societal participation for people with SCI who are early in the community reintegration
process.

Inclusion Criteria:

1. History of SCI at any level;

2. completed initial inpatient rehabilitation but are no more than 6 months
post-discharge;

3. 18 years of age or older at the time of study enrollment;

4. English speaking in order to complete study measures and participate in group
interactions; and

5. able to provide informed consent to participate.

Exclusion Criteria:

1. History of moderate or severe traumatic brain injury;

2. current participation in another RCT;

3. live beyond a reasonable commuting distance from Craig Hospital;

4. unable to verbally communicate;

5. unable to attend group sessions;

6. active participation in another formal clinical group or psychological therapy;

7. are currently experiencing severe depression which would require more intense
treatment than is provided in this intervention, as evidenced by a score of 20 or
higher on the Personal Health Questionnaire-9;

8. report any current suicidal ideation on the Personal Health Questionnaire-9; or

9. have any condition that, in the judgment of the investigators, precludes successful
participation in the study.