The Evolution and Evaluation of a Therapeutic Recreation Cottage Program for Persons with Spinal Cord Injury
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Sander L. Hitzig, Charlene Alton, Niclole Leong, Katherine GattThe Evolution and Evaluation of a Therapeutic Recreation Cottage Program for Persons with Spinal Cord Injury

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)
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