Date Presented 04/02/2022 This quantitative study investigated facilitators and barriers to community engagement and its influence on quality of life and self-efficacy among those with spinal cord injury. The results suggest barriers in transportation, specialized equipment, personal assistance, and restroom usability may lower quality of life. Education level, annual income, and complete versus incomplete injuries were predictors of self-efficacy. OTs can use these results to advocate for addressing these barriers. Primary Author and Speaker: Yan-hua Huang Additional Authors and Speakers: Elisabeth Bolten, Nader Abolhosn, Heather Bocianski, Julia Adams

Although some people with spinal cord injury (SCI) return to outdoor recreation, many have low activity levels and encounter significant environmental barriers. The purpose of the study was to describe how people with SCI engage in outdoor recreation activities, what meaning they attribute to these, and to inform occupational therapists in promoting outdoor recreation post-SCI. The study used qualitative, descriptive phenomenology. Thirteen participants completed semi-structured interviews, and data were analyzed using thematic analysis. Outdoor recreation contributes to personal well-being. It is a way to share life with loved ones and other disabled people. Having the right equipment and using a trial-and-error approach facilitated participation, which was sometimes supported and frequently constrained by physical, built, and information environments. Findings suggest implications for occupational therapists in the areas of direct intervention, entrepreneurship, and advocacy. These are consistent with the American Occupational Therapy Association Vision 2025 to collaborate for inclusion and accessibility in occupational performance.