Recruiting

SMS Intervention

Sponsor:

Washington University School of Medicine

Code:

NCT07386522

Conditions

Spinal Cord Injuries (SCI)

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Secondary Health Conditions (SHC) text message group

Motivational text message group

Study Details

Brief summary:

The goal of this pilot study is to design and feasibility test a mobile phone text messaging (SMS) self-management intervention for persons with spinal cord injury (PwSCI). The project will focus on providing a 16-week text messaging intervention on the secondary health conditions of bowel/bladder management, pain, pressure injury, and psychosocial health. Our hopes are to reduce the impact of secondary health conditions (SHC) for PwSCI.

The project hopes to test whether the developed self-management program will be feasible and superior to a control group. determine the feasibility and efficacy of the SMS intervention main questions the study aims to answer are:

Participants will:

Complete an initial assessment Participate in a 16-week text messaging program using their mobile phones Complete 4-week check-ins Complete a post assessment

The main question\[s\] it aims to answer \[is/are\]:

\[primary hypothesis or outcome measure 1\]? \[primary hypothesis or outcome measure 2\]? If there is a comparison group: Researchers will compare \[arm information\] to see if \[insert effects\].

Participants will \[describe the main tasks participants will be asked to do, interventions they'll be given and use bullets if it is more than 2 items\].

Conditions

Spinal Cord Injuries (SCI)

Study ID

NCT07386522

Start date

Feb 5, 2026

Status verified date

Mar, 2026

Completion date

Oct 30, 2026

Anticipated

Primary completion date

Oct 30, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • 18 years of age or older
  • Diagnosis of SCI
  • At least 3 months from date of injury or illness
  • Identify at least one secondary health condition (pain, pressure injury, bladder/bowel dysfunction, and psychosocial distress) that impacts daily life
  • Live in the community
  • English as primary language
  • Ability and willingness to use their own smartphone to receive and respond to text messages for the 16-week study period
  • Ability and willingness to participate in two full assessments and an additional four check ins during the 16-week study period

Exclusion Criteria:

\- Current admission in a hospital or in-patient rehabilitation facility

Study Design

Enrollment

40 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Basic Science

Interventions and Outcome Measures

Arms

active comparator: Secondary Health Conditions (SHC) text message group

A group provided 16-weeks of daily text messaging tips on four secondary health conditions (psychosocial health, bowel/bladder management, pressure injury/skin management, and pain).

placebo comparator: Motivational text message group

A group provided 16-weeks of daily motivational text messages.

Interventions

Secondary Health Conditions (SHC) text message group

The Secondary Health Conditions (SHC) text message group will participate in a 16-week text message intervention in which they will receive and respond to text messages focused on SHC information. Each domain or 4-week period will include text messages on one SHC (psychosocial health, bowel and bladder management, pressure injury/skin management, and pain). Every 4 weeks the domain topic will change until all 4 topics have been covered. On Mondays-Thursdays participants will receive messages that don't require a return response and on Fridays participants will receive a total of 5 messages, three that will require a short response. The overall goal is to provide daily tips to help manage SHC.

Motivational text message group

The motivational text message group will participate in a 16-week text message intervention in which the participants will receive and respond to text messages that are motivational in nature. On Mondays-Thursdays they will receive messages that don't require a return response and on Fridays participants will receive a total of 3 messages, one of those requiring a return response.

Primary outcome measure

  • The Patient Activation Measure (PAM-13) [ Time Frame: Baseline, every 4 weeks during 16-week intervention and up to 2 weeks post intervention ]
  • Self-Care in Spinal Cord Injuries Inventory (SC-SCII) and Self-Care Self-Efficacy Scale in Spinal Cord Injuries (SCSES-SCI) [ Time Frame: Baseline and up to 2 weeks post intervention ]

Central Contacts and Locations

Central contacts

Kerri A Morgan, PhD

314-286-1659morgank@wustl.edu

Kim A Walker, OTD

314-273-7010walker.k@wustl.edu

Locations

Washington University School of Medicine

Recruiting

St Louis, Missouri, United States, 63108

More Information

Sponsor

Washington University School of Medicine

Last update posted

Mar 11, 2026

Last verified

Mar, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Washington University School of Medicine on 2026-03-11.