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Aim To test the contributions of self‐efficacy, resilience, social support, and negative moods (i.e., anxiety, depression) to patient activation among persons with spinal cord injury (SCI). Methods One hundred and twenty‐two participants with SCI were recruited from the spinal surgery department at a large general hospital. During the period before discharge after surgery, standardized self‐assessment questionnaires were used to collect data on patient activation, self‐efficacy, resilience, social support, anxiety, depression, demographics (age, gender, education, marital status), and disease‐related information (etiologies, level of injury, American Spinal Injury Association Impairment Scale score). Hierarchical regression analysis, mediation analysis, and moderation analysis were performed in SPSS, Amos, and Jamovi to determine the influencing factors of patient activation. Results Self‐efficacy, resilience, social support, anxiety, and depression uniquely explained 38.2% (p < .001) of the variance in patient activation after controlling for demographic and disease‐related covariates. The full model explained 53.7% (p < .001) of the variance in patient activation. In the mediation analysis, self‐efficacy, resilience, and social support had partial mediating effects (p < .05). In the moderation analysis, marital status moderated the relationship between self‐efficacy and patient activation (p < .05). Conclusions Activation of persons with SCI is a positive psychosocial resource related to higher self‐efficacy, resilience, and social support. Marital status may affect activation in persons with SCI. The causal relationship between these psychosocial variables needs to be proved by further intervention studies.

Study design: A double-blinded randomized controlled trial. Objective The present research aimed to investigate the effects of a self-efficacy-centred self-management program on persons with neurogenic bladder (NGB) after spinal cord injury (SCI). Setting: The spinal surgery department of the Third Affiliated Hospital of Soochow University, Changzhou, China. Methods Eighty-two individuals with NGB after SCI were randomized into the control or intervention group. The control group received standard admission and discharge education and follow-up. The intervention group received the self-efficacy-centred self-management programme. Self-efficacy was assessed at preintervention, 4 weeks, 8 weeks and 12 weeks postintervention. Self-management ability, the incidence of UTI, residual urine volume, bladder safety capacity and quality of life were assessed at 12 weeks postintervention. The data obtained were analysed using SPSS 26.0. Results Ultimately, 79 participants (control group: n = 39, 66.67% males, intervention group: n = 40, 57.50% males) received the full intervention. A significant difference was observed in self-efficacy between the control and intervention groups (2.54 ± SD 0.247 versus 2.71 ± SD 0.218, mean 95% CI: 0.174, 0.070 to 0.278, p < 0.05) at 12 weeks postintervention. Significant differences (p < 0.05) were observed in self-management ability, the incidence of UTI, residual urine volume and bladder safety capacity between the groups at 12 weeks postintervention. There were significant differences in quality of life (vitality, mental health, p < 0.05) between the two groups. Conclusions The self-efficacy-centred self-management program developed in this study can significantly increase participants’ self-efficacy and bladder self-management ability, thereby improving their bladder functional status and quality of life.