The purpose of this article is to provide an overview of the Toronto Rehabilitation Institutes (University Health Network) Spinal Cord Rehabilitation Program (SCRP) Cottage Program, which is a unique outdoor experiential therapy (OET) intervention for persons with spinal cord injury (SCI). The outcomes illustrate the evolution of a therapeutic recreation (TR) program, and the development and implementation of a program evaluation framework. Over time, the SCRP Cottage Program has evolved from a small, one-day TR unstructured program to a large four-day structured inter-professional OET. For the evaluation component, a pre-posttest survey design was employed with participants with SCI who attended the cottage program (n = 14) and with a control group (n = 7). Cottage participants completed surveys on their goals and satisfaction with the program, while both groups completed the Rosenberg Self-Esteem Scale, Positive Affect and Negative Affect Scale and the Moorong Self-Efficacy Scale. Positive affect and self-efficacy increased over time in cottage participants, but not for controls. Overall, participants were highly satisfied with the cottage program. The findings provide a model for the development and evaluation of an OET aimed at improving well-being following SCI.
Author Sander L. Hitzig, Charlene Alton, Niclole Leong, Katherine Gatt
Volume Vol 46, No 3 (2012)