Assessment of a Holistic Wellness Program for Persons with Spinal Cord Injury

Zemper, Eric D.; Tate, Denise G.; Roller, Sunny; Forchheimer, Martin; Chiodo, Anthony E.; Nelson, Virginia S.; Scelza, William M.

doi:10.1097/01.phm.0000098504.78524.e2

Cited by 72 publications

(61 citation statements)

References 11 publications

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“…However, in the latter study, the enhanced HSE levels of persons in the intervention group did not differ from the HSE levels of the control group. 60 PC was not improved in the identified intervention studies. 43,47,55 Overall, sample sizes for SE-intervention studies were small (27ono44), but larger for PC-intervention studies (37ono234).…”

Section: Resultsmentioning

confidence: 80%

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Psychological resources in spinal cord injury: a systematic literature review

et al. 2011

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Study design: Systematic literature review. Objectives: The purpose of this study was to gain a systematic overview of the role of psychological resources in the adjustment to spinal cord injury (SCI). Methods: A systematic literature review was performed. The literature search was conducted in the databases Pubmed, PsycINFO, the Social Sciences Citation Index, the Education Resources Information Center, Embase and the Citation Index of Nursing and Allied Health Literature. The assessed variables, measurement instruments, results and the methodological quality of the studies were extracted, summarized and evaluated. Results: A total of 83 mainly cross-sectional studies were identified. Psychological resources were categorized into seven groups: self-efficacy (SE), self-esteem, sense of coherence (SOC), spirituality, optimism, intellect and other personality characteristics. SE and self-esteem were consistently associated with positive adjustment indicators such as high well-being and better mental health. Interrelations between psychological resources and key rehabilitation outcome variables such as participation were rarely studied. Only a few interventions, which were aimed at strengthening psychological resources were identified. Longitudinal studies suggested that SE, SOC, spirituality and purpose in life were potential determinants of adjustment outcomes in the long term. Conclusion: Research on psychological resources in SCI is broad, but fragmented. Associations of psychological resources with mental health and well-being were frequently shown, while associations with participation were rarely studied. Further development of resource-based interventions to strengthen persons with SCI is indicated. This review can serve as guide for clinical practice and can add to the design of future SCI research.

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Section: Resultsmentioning

confidence: 80%

“…Five randomized controlled trials were identified and rated with PEDro. 35,47,56,58,60 On average, studies achieved a score of 7.4 out of 11. Therapists and assessors were not blinded and only two studies 56,58 performed concealed allocation and 'intention to treat' analyses.…”

Section: Study Qualitymentioning

confidence: 99%

Psychological resources in spinal cord injury: a systematic literature review

et al. 2011

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“…13 Other variables like age, neurological level of injury, functional recovery of mobility, social support and self-care also have an important role. 14,15 In our study, age was identified to be negatively associated with knowledge and knowledge acquisition as well. Furlan and Fehlings 16 identified that older SCI subjects had worse functional recovery compared with younger patients.…”

Section: Discussionmentioning

confidence: 86%

“…The differences in the number of patients with poor (0-8), average (9)(10)(11)(12), and good knowledge (13)(14)(15)(16)(17)(18)(19)(20) between the different age classifications (age at injury) were calculated using a w 2 or Fisher's exact test as appropriate.…”

Section: Statisticsmentioning

confidence: 99%

How does knowledge about spinal cord injury-related complications develop in subjects with spinal cord injury? A descriptive analysis in 214 patients

Thietje¹,

Giese

Pouw

et al. 2010

Spinal Cord

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Study design: Monocentric cohort study. Objective: To investigate the acquisition of knowledge about spinal cord injury (SCI)-related complications in SCI patients. Setting: Level 1 trauma center. Methods: All patients with a traumatic or non-traumatic SCI were included in the study. Data were collected at admission, post-admission at 1 and 3 months and post-discharge at 6, 18 and 30 months. The discharge of all patients was between 3 and 6 months post-admission. Knowledge about pressure ulcers and bladder management was tested using the 'Knowledge' score. This score has a minimum and maximum of 0 and 20 points. To detect differences across the multiple time intervals, the Friedman test was used. Differences in the number of patients with poor (0-8), average (9-12) and good knowledge (13-20) between the different age classifications (age at injury) were calculated using a w 2 -test. Results: A total of 214 patients were included. At discharge subjects had increased their knowledge score to 11.2 compared with 5.4 on admission (Po0.001). After 30 months, however, the mean score decreased to 10.8 points. At the time of discharge, the number of patients who achieved poor, average or good knowledge were 48 (22.4%), 65 (30.4%) and 101 (47.2%), respectively. Subjects of B50 years old and tetraplegics had better (Po0.001) knowledge compared with subjects of B50 years old and paraplegics, respectively. Conclusion: In this study, less than 50% of SCI patients had good knowledge about bladder management and pressure ulcers after being discharged.

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“…Therefore, encouraging an active lifestyle is important in this population. Interventions conducted to promote PA in persons with SCI showed moderate benefits [19,20]. Furthermore, none of these interventions were • Persons with long-term SCI benefit from a higher activity level in terms of health-and psychological benefits.…”

Section: Introductionmentioning

confidence: 99%

Randomized controlled trial of a self-management intervention in persons with spinal cord injury: design of the HABITS (Healthy Active Behavioural IntervenTion in SCI) study

Kooijmans

Post

Woude

et al. 2012

Disability and Rehabilitation

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Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Purpose: To evaluate the effectiveness of a 16-week selfmanagement intervention on physical activity level and self-management skills (self-efficacy, proactive coping and problem solving skills) in persons with chronic SCI. Method and design: Multicenter randomized controlled trial (RCT). Eighty persons with a SCI for at least 10 years and aged 18 to 65 will randomly be assigned to the intervention (self-management) or the control group (information provision). During the 16-week self-management intervention (one home-visit, five group and five individual sessions) active lifestyle will be stimulated and self-management skills will be taught. Data will be collected at baseline (T0), 16 (T1) and 42 (T2) weeks after baseline. Primary outcome measure is level of daily physical activity (self-report/ objectively measured). Secondary outcome measures are selfmanagements skills, stage of behaviour change and attitude. Conclusion: This is the first RCT on self-management in people with chronic spinal cord injury. This trial will provide knowledge on the effects of a self-management intervention on physical active lifestyle in persons with a long-term SCI.

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Assessment of a Holistic Wellness Program for Persons with Spinal Cord Injury

Abstract: Within-group comparisons suggest improvements in several areas of the participants' overall health behaviors. These findings, although preliminary, emphasize the potential role of health behaviors in positively influencing long-term health outcomes and quality of life.

Cited by 72 publications

References 11 publications

Psychological resources in spinal cord injury: a systematic literature review

Psychological resources in spinal cord injury: a systematic literature review

How does knowledge about spinal cord injury-related complications develop in subjects with spinal cord injury? A descriptive analysis in 214 patients

Randomized controlled trial of a self-management intervention in persons with spinal cord injury: design of the HABITS (Healthy Active Behavioural IntervenTion in SCI) study

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